{"id":"https://openalex.org/W2809541884","doi":"https://doi.org/10.2337/db18-61-lb","title":"High Prevalence of Distress among Patients with Type 2 Diabetes (T2DM)\u2014A Hospital-Based Cross-Sectional Study from South India","display_name":"High Prevalence of Distress among Patients with Type 2 Diabetes (T2DM)\u2014A Hospital-Based Cross-Sectional Study from South India","publication_year":2018,"publication_date":"2018-06-22","ids":{"openalex":"https://openalex.org/W2809541884","doi":"https://doi.org/10.2337/db18-61-lb","mag":"2809541884"},"language":"en","primary_location":{"id":"doi:10.2337/db18-61-lb","doi":"https://doi.org/10.2337/db18-61-lb","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db18-61-lb","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112741935","display_name":"Prasanth Sankar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"PRASANTH SANKAR","raw_affiliation_strings":["Pathanamthitta, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pathanamthitta, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112372515","display_name":"PRIYANKA SASIKUMAR","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"PRIYANKA SASIKUMAR","raw_affiliation_strings":["Pathanamthitta, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pathanamthitta, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005859374","display_name":"RITUNA MEDAYIL","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"RITUNA MEDAYIL","raw_affiliation_strings":["Pathanamthitta, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pathanamthitta, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033223205","display_name":"Rittin Jacob","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"RITTIN JACOB","raw_affiliation_strings":["Pathanamthitta, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pathanamthitta, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031856875","display_name":"Saranya Sasidharan","orcid":"https://orcid.org/0000-0002-6175-1305","observed_orcids":["https://orcid.org/0000-0002-6175-1305"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SARANYA SASIDHARAN","raw_affiliation_strings":["Pathanamthitta, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pathanamthitta, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0908,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.7633539,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"67","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-distress","display_name":"diabetes distress","score":0.9850000143051147},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.949999988079071},{"id":"https://openalex.org/keywords/emotional-burden","display_name":"emotional burden","score":0.8659999966621399},{"id":"https://openalex.org/keywords/physician-distress","display_name":"physician distress","score":0.5389999747276306},{"id":"https://openalex.org/keywords/interpersonal-distress","display_name":"interpersonal distress","score":0.9760000109672546},{"id":"https://openalex.org/keywords/diabetes-complications","display_name":"diabetes complications","score":0.4749999940395355},{"id":"https://openalex.org/keywords/diabetic-neuropathy","display_name":"diabetic neuropathy","score":0.8090000152587891},{"id":"https://openalex.org/keywords/diabetic-nephropathy","display_name":"diabetic nephropathy","score":0.9959999918937683},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.902999997138977},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8569999933242798},{"id":"https://openalex.org/keywords/insulin-use","display_name":"insulin use","score":0.7139999866485596},{"id":"https://openalex.org/keywords/diabetes-duration","display_name":"diabetes duration","score":0.5740000009536743},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.6179999709129333},{"id":"https://openalex.org/keywords/cardiovascular-disease","display_name":"cardiovascular disease","score":0.5270000100135803},{"id":"https://openalex.org/keywords/south-india","display_name":"South India","score":0.6779999732971191},{"id":"https://openalex.org/keywords/outpatients","display_name":"outpatients","score":0.7559999823570251},{"id":"https://openalex.org/keywords/diabetes-self-management","display_name":"diabetes self-management","score":0.3700000047683716}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7966287136077881},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.6813015937805176},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.5849913954734802},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5740342736244202},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5636193156242371},{"id":"https://openalex.org/C2910068830","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 Diabetes Mellitus","level":3,"score":0.5048585534095764},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.49278953671455383},{"id":"https://openalex.org/C2781413609","wikidata":"https://www.wikidata.org/wiki/Q7308373","display_name":"Regimen","level":2,"score":0.4889713525772095},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.43290746212005615},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.18035057187080383},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.16835135221481323},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db18-61-lb","doi":"https://doi.org/10.2337/db18-61-lb","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db18-61-lb","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2912723283","https://openalex.org/W2790445660","https://openalex.org/W6959939541","https://openalex.org/W4206990782","https://openalex.org/W2978700498","https://openalex.org/W4414619804","https://openalex.org/W4414180190","https://openalex.org/W3138528727","https://openalex.org/W4393593844","https://openalex.org/W3217416263"],"abstract_inverted_index":{"Background:":[0],"Diabetes":[1],"distress":[2,151,156,173,235,286],"(DD)":[3],"refers":[4],"to":[5],"unique,":[6],"often":[7],"hidden":[8],"emotional":[9,285],"burdens":[10],"and":[11,33,84,154,171,203,244,291,301],"worries,":[12],"distinct":[13],"from":[14,254],"clinical":[15],"depression,":[16],"that":[17],"are":[18,287],"part":[19],"of":[20,23,111,128,145,196,215,251,260,266,296],"the":[21],"spectrum":[22],"patient":[24],"experience":[25],"when":[26],"managing":[27,280],"diabetes.":[28],"Aim:":[29],"To":[30],"assess":[31],"DD":[32,62,70,146,161,188,261,267],"its":[34,252],"association":[35,191],"with":[36,41,53,73,149,192,213,240],"various":[37],"parameters":[38],"in":[39,55,59,75,125,133,152,157,230,238,262,279],"patients":[40],"T2DM.":[42],"Methodology:":[43],"A":[44],"cross":[45],"sectional":[46],"study":[47],"was":[48,63,90,98,102,113,122,130,136,142,147,163,211,236],"done":[49],"on":[50],"262":[51],"out-patients":[52],"T2DM":[54,197,216],"a":[56,67,293],"multispecialty":[57],"hospital":[58],"South":[60,255],"India.":[61],"measured":[64],"by":[65,138],"DDS-17,":[66],"17-item":[68],"self-reported":[69],"scale":[71],"used":[72,137],"subscales":[74],"4":[76],"domains":[77],"-":[78],"Emotional":[79],"burden":[80],"(EB),":[81],"Physician,":[82],"Regimen":[83,233],"Interpersonal":[85],"distress.":[86,100],"Overall":[87],"score":[88,162],"<2.0":[89],"little":[91],"or":[92],"no":[93],"distress,":[94],"2.0-2.9":[95],"moderate,":[96],"\u22653.0":[97],"high":[99,155,225,241,258],"Data":[101],"analysed":[103],"using":[104],"SPSS":[105],"version":[106],"11.5.":[107],"Results:":[108],"Mean":[109,140,159,166],"age":[110],"participants":[112],"59.7":[114],"\u00b1":[115,176,179,182],"9.1":[116],"years.":[117],"Females":[118],"constituted":[119],"71.8%.":[120],"BMI":[121,193],"\u2264":[123],"25kg/m2":[124],"32.8%.":[126],"Duration":[127],"diabetes":[129,281],"<10":[131],"years":[132],"42%.":[134],"Insulin":[135],"45%.":[139],"HbA1c":[141,199,226,242],"8.7\u00b11.7%.":[143],"Prevalence":[144],"27.9%,":[148],"moderate":[150],"22.1%":[153],"5.7%.":[158],"total":[160],"1.67\u00b1":[164],"0.59.":[165],"for":[167],"EB,":[168,206],"physician-related,":[169],"regimen-related":[170],"interpersonal":[172],"were":[174],"(2.1":[175],"1.02),":[177],"(1.09":[178],"0.33),":[180],"(1.92":[181],"0.89),":[183],"(1.30\u00b1":[184],"0.76)":[185],"respectively.":[186],"Total":[187],"had":[189],"significant":[190],"(p=0.04),":[194,198],"duration":[195,214],"(p=0.01),":[200],"neuropathy":[201,221],"(p=0.002)":[202],"nephropathy":[204,223],"(p=0.008).":[205],"considered":[207],"most":[208],"important":[209],"domain,":[210],"associated":[212],"(p=0.02),":[217],"insulin":[218],"use":[219],"(p=0.002),":[220],"(p<0.001),":[222],"(p=0.008),":[224],"levels":[227],"(p=0.001),":[228],"ASCVD":[229],"females":[231],"(p<0.001).":[232],"related":[234],"more":[237,277],"those":[239],"(p=0.001)":[243],"smokers":[245],"(p=0.04).":[246],"Discussion:":[247],"The":[248],"study,":[249],"first":[250],"kind":[253],"India,":[256],"identifies":[257],"prevalence":[259],"this":[263],"population.":[264],"Assessment":[265],"should":[268],"be":[269],"integrated":[270],"into":[271],"patients\u2019":[272],"self-care":[273],"plan.":[274],"Patients":[275],"become":[276],"involved":[278],"if":[282],"their":[283],"specific":[284],"taken":[288],"care":[289],"of,":[290],"have":[292],"better":[294],"sense":[295],"social":[297],"care,":[298],"health":[299],"control":[300],"self-efficacy.":[302],"Disclosure":[303],"P.":[304,307],"Sankar:":[305],"None.":[306,309,312,315,318],"Sasikumar:":[308],"R.":[310,313],"Medayil:":[311],"Jacob:":[314],"S.":[316],"Sasidharan:":[317]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2018-06-29T00:00:00"}
