{"id":"https://openalex.org/W7225567504","doi":"https://doi.org/10.7759/cureus.119329","title":"The Hidden Struggle: Exploring Diabetes-Related Distress in a Hospital-Based Cross-Sectional Study","display_name":"The Hidden Struggle: Exploring Diabetes-Related Distress in a Hospital-Based Cross-Sectional Study","publication_year":2026,"publication_date":"2026-11-08","ids":{"openalex":"https://openalex.org/W7225567504","doi":"https://doi.org/10.7759/cureus.119329"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.119329","doi":"https://doi.org/10.7759/cureus.119329","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119329","pdf_url":"https://www.cureus.com/articles/428101-the-hidden-struggle-exploring-diabetes-related-distress-in-a-hospital-based-cross-sectional-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/428101-the-hidden-struggle-exploring-diabetes-related-distress-in-a-hospital-based-cross-sectional-study.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161290441","display_name":"Abhinav Jayant Karajgi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abhinav Jayant Karajgi","raw_affiliation_strings":[". General Medicine , Mamata Academy of Medical Sciences , Hyderabad , IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". General Medicine , Mamata Academy of Medical Sciences , Hyderabad , IND","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161281618","display_name":"B Nidhi Reddy Chepyala","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B Nidhi Reddy Chepyala","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5016279733","display_name":"Pidakala Mary Moses","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pidakala Mary Moses","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"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/T10168","display_name":"COVID-19 and Mental Health","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-distress","display_name":"diabetes distress","score":0.8759999871253967},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9580000042915344},{"id":"https://openalex.org/keywords/diabetes-distress-scale","display_name":"Diabetes Distress Scale","score":0.8289999961853027},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.9179999828338623},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.75},{"id":"https://openalex.org/keywords/diabetes-duration","display_name":"diabetes duration","score":0.6830000281333923},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.9869999885559082},{"id":"https://openalex.org/keywords/psychological-burden","display_name":"psychological burden","score":0.7229999899864197},{"id":"https://openalex.org/keywords/patient-physician-communication","display_name":"patient-physician communication","score":0.8069999814033508}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9153000116348267},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.6707000136375427},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4228000044822693},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.367900013923645},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.3343000113964081},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3334999978542328},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.26750001311302185},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.24729999899864197},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.24560000002384186},{"id":"https://openalex.org/C3017945913","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Emotional distress","level":3,"score":0.21930000185966492}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.7759/cureus.119329","doi":"https://doi.org/10.7759/cureus.119329","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119329","pdf_url":"https://www.cureus.com/articles/428101-the-hidden-struggle-exploring-diabetes-related-distress-in-a-hospital-based-cross-sectional-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.7759/cureus.119329","doi":"https://doi.org/10.7759/cureus.119329","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119329","pdf_url":"https://www.cureus.com/articles/428101-the-hidden-struggle-exploring-diabetes-related-distress-in-a-hospital-based-cross-sectional-study.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"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":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225567504.pdf","grobid_xml":"https://content.openalex.org/works/W7225567504.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W2036323100","https://openalex.org/W2056930506","https://openalex.org/W2124304301","https://openalex.org/W2171169519","https://openalex.org/W2556561633","https://openalex.org/W2775988733","https://openalex.org/W2808712634","https://openalex.org/W2889672661","https://openalex.org/W3217416263","https://openalex.org/W4200164408","https://openalex.org/W4379741127","https://openalex.org/W4380629278","https://openalex.org/W4387190189","https://openalex.org/W4392757267","https://openalex.org/W4392772165","https://openalex.org/W4392932178","https://openalex.org/W4393593844","https://openalex.org/W4405154354","https://openalex.org/W4405898754"],"related_works":["https://openalex.org/W4292526063","https://openalex.org/W3191632003","https://openalex.org/W4230340434","https://openalex.org/W7221216956","https://openalex.org/W7048135416","https://openalex.org/W2190058193","https://openalex.org/W3171799650","https://openalex.org/W2414741222","https://openalex.org/W7074215539","https://openalex.org/W2420694767"],"abstract_inverted_index":{"BackgroundDiabetes":[0],"distress":[1,86,119,162,241],"can":[2],"be":[3,21],"defined":[4],"as":[5,32],"the":[6,56,80,88,98,116,166,226,262,273,278],"emotional":[7,38],"and":[8,15,37,43,61,82,112,159,171,222,283],"psychological":[9,36,57,267,279],"burden":[10],"associated":[11,22],"with":[12,14,23,28,115,138,190,232,246,250,287],"living":[13],"managing":[16],"diabetes.It":[17],"is":[18,47],"shown":[19],"to":[20,66,78,96,230,264],"higher":[24],"HbA1c":[25,104,160],"levels,":[26,105],"along":[27],"other":[29],"factors":[30,229],"such":[31],"a":[33,130,147,239,251,290],"lack":[34],"of":[35,54,59,84,102,107,118,197,205,213,243,253,281],"support":[39],"from":[40],"family,":[41],"friends":[42],"physicians.Despite":[44],"this,":[45],"it":[46,63],"often":[48],"neglected":[49],"in":[50,69,202,248],"standard":[51],"treatment":[52,113],"regimens":[53,114],"diabetes.Recognising":[55],"aspect":[58],"diabetes":[60,233,270,282],"addressing":[62],"will":[64],"lead":[65],"an":[67],"increase":[68],"overall":[70],"clinical":[71,157],"outcomes":[72],"among":[73],"patients.":[74],"ObjectivesThis":[75],"study":[76,93,123],"aims":[77,95],"assess":[79],"prevalence":[81],"impact":[83],"diabetes-related":[85],"using":[87,146,165,179,272],"Diabetes":[89],"Distress":[90],"Scale":[91],"(DDS-17).This":[92],"also":[94],"find":[97],"relationship":[99],"between":[100],"duration":[101,212,234,252],"diabetes,":[103,214],"presence":[106],"comorbidities,":[108,218],"gender,":[109],"educational":[110],"status":[111],"levels":[117],"experienced.":[120],"MethodsA":[121],"cross-sectional":[122],"was":[124,163,169,174,177],"conducted":[125],"over":[126,141,235],"six":[127],"months":[128],"at":[129,193],"tertiary":[131],"care":[132,271],"hospital,":[133],"involving":[134],"235":[135,198],"confirmed":[136],"patients":[137,249,288],"T2DM":[139],"aged":[140],"18":[142],"years.Data":[143],"were":[144,200,225],"collected":[145],"pre-designed":[148],"semi-structured":[149],"questionnaire":[150],"through":[151],"face-to-face":[152],"interviews,":[153],"covering":[154],"sociodemographic":[155],"details,":[156],"history":[158],"levels.Diabetes":[161],"measured":[164],"DDS-17.Ethical":[167],"clearance":[168],"obtained,":[170],"informed":[172],"consent":[173],"collected.Statistical":[175],"analysis":[176],"performed":[178],"IBM":[180],"SPSS":[181],"Statistics":[182],"software,":[183],"version":[184],"21.0":[185],"(IBM":[186],"Corp.,":[187],"Armonk,":[188],"NY),":[189],"significance":[191],"set":[192],"p<0.05.":[194],"ResultsA":[195],"total":[196],"participants":[199],"included":[201],"this":[203],"study,":[204],"which":[206],"77%":[207],"had":[208,238],"clinically":[209],"significant":[210,240],"distress.The":[211],"one":[215],"or":[216],"more":[217,291],"poor":[219],"glycaemic":[220],"index":[221],"treatment-related":[223],"challenges":[224],"main":[227],"contributing":[228],"distress.Patients":[231],"10":[236],"years":[237],"percentage":[242],"23.4%":[244],"compared":[245],"17.3%":[247],"less":[254],"than":[255],"five":[256],"years.":[257],"ConclusionThese":[258],"particular":[259],"findings":[260],"emphasise":[261],"need":[263],"integrate":[265],"routine":[266],"screening":[268],"into":[269],"DDS-17.Physicians":[274],"must":[275],"focus":[276],"on":[277],"aspects":[280],"subsequently":[284],"improve":[285],"communication":[286],"for":[289],"holistic":[292],"management":[293],"approach.":[294]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-09T00:00:00"}