{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T17:48:06Z","timestamp":1774806486546,"version":"3.50.1"},"reference-count":29,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"unspecified","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,3,9]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Diabetes distress is a common health problem among people living with type 2 diabetes (T2D), making it difficult to manage the condition. Though it remains a problem, limited attention has been given to the mental health impact it has on people living with the condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our study investigated the prevalence and predictors of diabetes distress at a public hospital in the Volta Region of Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a health facility-based cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Public hospital in the Volta Region of Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>164 people living with T2D at the diabetes clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data collection<\/jats:title>\n                    <jats:p>We collected data using a standardised questionnaire, adopting Diabetes Distress Scale-17 and analysed with descriptive statistics and logistic regression test using STATA V.17.0. Statistical significance was set at a p value &lt;0.05 at 95% CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found a 43.9% prevalence of diabetes distress, including emotional (58.5%), interpersonal (51.8%), regimen-related (51.2%) and physician-related (12.8%). Those on combined insulin and oral antidiabetic drugs (OADs) had higher odds (adjusted OR=7.26, 95% CI 1.15 to 45.87) of having diabetes distress compared with those on OAD-only regimen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The high prevalence of diabetes distress highlights the mental health burden of T2D and gaps in management, a critical factor for poor T2D outcomes. This may decelerate progress towards the achievement of SDG 3.4 aiming to reduce premature mortality from non-communicable diseases through prevention and treatment, and promote mental health and well-being by 2030.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-110791","type":"journal-article","created":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T17:42:52Z","timestamp":1774806172000},"page":"e110791","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and predictors of diabetes distress in Volta Region, Ghana: a health facility-based cross-sectional study"],"prefix":"10.1136","volume":"16","author":[{"given":"Reginald Enam Gibril","family":"Attidigah","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Fred N. 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