Key result
Each additional chronic diabetes complication linked to ~92% higher odds of multi-psychosocial burden.
Why the study?
Depression, anxiety, and diabetes-related distress commonly coexist in adults with diabetes, but the prevalence of multi-psychosocial burden and its association with chronic diabetes-related complications required examination.
Cross-Sectional (n=172)
In adults with diabetes, the burden of chronic complications is dose-dependently associated with multiple concurrent psychosocial conditions, highlighting the need for routine psychosocial screening.
May warrant integrated psychosocial screening in diabetes; hypothesis-generating for complication links pending longitudinal data.
(1) Background: Depression, anxiety, and diabetes-related distress commonly coexist in adults with diabetes and may contribute to cumulative psychosocial burden. This study examined the prevalence of multi-psychosocial burden and its association with chronic diabetes-related complications. (2) Methods: A cross-sectional study was conducted among 172 adults with diabetes using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Diabetes Distress Scale. Multi-psychosocial burden was defined as the presence of at least two positive psychosocial conditions. Sociodemographic and clinical data were collected through structured assessment and medical record review. (3) Results: The mean age was 58.3 ± 10.4 years, and 57.6% were female. Overall, 16.9% of participants met criteria for multi-psychosocial burden. Chronic diabetes-related complications were present in 47.7% of participants. Each additional chronic complication was independently associated with higher odds of multi-psychosocial burden (adjusted OR 1.92, 95% CI 1.21–3.05; p = 0.005). The prevalence of multi-psychosocial burden increased from 8.9% among participants without complications to 37.9% among those with two or more complications, demonstrating a dose-dependent pattern. (4) Conclusions: Chronic complication burden was independently associated with concurrent psychosocial conditions in adults with diabetes, supporting the importance of routine psychosocial screening in patients with chronic complications, while future longitudinal studies are needed to clarify causal pathways.
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Khuyag et al. (2026) conducted a cross-sectional in Diabetes (n=172). Chronic diabetes-related complications vs. No chronic complications was evaluated on Multi-psychosocial burden (presence of at least two positive psychosocial conditions) (adjusted OR 1.92, 95% CI 1.21-3.05, p=0.005). Each additional chronic diabetes-related complication was independently associated with higher odds of multi-psychosocial burden (adjusted OR 1.92; 95% CI 1.21-3.05; p = 0.005).
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