Sinha Ratnesh, Priya Angelin, Sinha Anuvi, Hifz Ur Rahman Mohammad
Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, India.
Sadar Hospital, Ranchi, India.
Health Psychol Behav Med. 2024 Mar 5;12(1):2324091. doi: 10.1080/21642850.2024.2324091. eCollection 2024.
The burden of type 2 diabetes mellitus (T2DM) in India is on the rise, with projections indicating a staggering 134 million cases by 2045. Managing T2DM demands strict adherence, often resulting in mental strain and burnout. Diabetes distress (DD), a unique psychological burden, significantly affects motivation and self-care, contributing to increased morbidity and mortality.
This study was conducted by doing a comprehensive literature search using PubMed (MEDLINE) and EMBASE databases for studies published from their inception to 14th August 2023 by using relevant keywords. The protocol is registered in PROSPERO and adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Selected articles were meticulously screened based on predetermined inclusion and exclusion criteria. Joanna Briggs Institute (JBI) Critical Appraisal scale for cross-sectional study was used for assessing the study quality. Data analysis was done by using Jamovi 2.3.24 software.
Following the systematic search and screening process, 10 cross-sectional studies were identified, comprising a total of 2,107 Type 2 Diabetes Mellitus patients. All studies employed the Diabetes Distress Scale-17 (DDS-17) for measurement. The prevalence of DD varied, ranging from 8.45% to 61.48%. The pooled prevalence of DD in T2DM patients in India was estimated at 33% (95% CI: 21%-45%) with substantial heterogeneity observed ( = 97.33%, < 0.001). While an asymmetric funnel plot suggested potential publication bias, sensitivity analysis reinforced the robustness of our findings.
Policymakers, clinicians, and researchers can leverage these insights to prioritize the psychological well-being of T2DM patients, ultimately improving their overall health outcomes. This study aligns with the Sustainable Development Goals (SDGs) and India's national health policy, emphasizing the urgency of screening and treating diabetes-related distress by 2025.
印度2型糖尿病（T2DM）的负担正在上升，预计到2045年将达到惊人的1.34亿例。管理T2DM需要严格遵守，这往往会导致精神压力和倦怠。糖尿病困扰（DD）是一种独特的心理负担，会显著影响动机和自我护理，导致发病率和死亡率上升。
本研究通过使用PubMed（MEDLINE）和EMBASE数据库，使用相关关键词对从数据库建立到2023年8月14日发表的研究进行全面文献检索。该方案已在PROSPERO注册，并遵循系统评价和Meta分析的首选报告项目（PRISMA）清单。根据预先确定的纳入和排除标准对选定的文章进行精心筛选。采用乔安娜·布里格斯研究所（JBI）横断面研究的批判性评价量表来评估研究质量。使用Jamovi 2.3.24软件进行数据分析。
经过系统的检索和筛选过程，确定了10项横断面研究，共包括2107名2型糖尿病患者。所有研究均采用糖尿病困扰量表-17（DDS-17）进行测量。DD的患病率各不相同，从8.45%到61.48%不等。印度T2DM患者中DD的合并患病率估计为33%（95%CI：21%-45%）观察到存在显著异质性（I² = 97.33%，P < 0.001）。虽然不对称漏斗图表明可能存在发表偏倚，但敏感性分析加强了我们研究结果的稳健性。
政策制定者、临床医生和研究人员可以利用这些见解，将T2DM患者的心理健康作为优先事项，最终改善他们的整体健康结果。本研究符合可持续发展目标（SDGs）和印度的国家卫生政策，强调到2025年筛查和治疗糖尿病相关困扰的紧迫性。
