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A total of 83 relevant articles published between 2000 and 2024 which reported on the psychosocial burden of diabetes (depression, anxiety, diabetes distress, or mental quality of life) were identified through electronic searches in Medline, PsycINFO, PubMed, CINAHL, and African Journals Online. The pooled prevalence of depressive symptoms, anxiety symptoms, moderate-to-high diabetes distress, and low mental quality of life were 43.3% (95% CI: 37.7\u201349.1,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200934 studies), 38.8% (95% CI: 27.4\u201351.5,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200912 studies), 48.8% (95% CI: 34.2\u201363.6,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20098 studies), and 43.9% (95% CI: 35.6\u201352.6,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20098 studies) respectively. These findings emphasize the substantial psychosocial burden faced by PWD in Africa and the need for integrating mental health into diabetes care in the region.\n                  <\/jats:p>","DOI":"10.1177\/13591053251341786","type":"journal-article","created":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T10:47:20Z","timestamp":1752403640000},"page":"948-982","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Psychosocial burden of diabetes in Africa: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"31","author":[{"given":"Michelle Danny Stampley","family":"Boakye","sequence":"first","affiliation":[{"name":"University of Massachusetts Boston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Peprah","family":"Osei","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1654-2774","authenticated-orcid":false,"given":"Samuel","family":"Akyirem","sequence":"additional","affiliation":[{"name":"Yale University, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadrach","family":"Dare","sequence":"additional","affiliation":[{"name":"Glasgow Caledonian University, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9579-5920","authenticated-orcid":false,"given":"Shammah Oluwabori","family":"Omololu","sequence":"additional","affiliation":[{"name":"University of Cincinnati, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9122-4135","authenticated-orcid":false,"given":"Emmanuel","family":"Ekpor","sequence":"additional","affiliation":[{"name":"Deakin University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene Fosuhemaa","family":"Bossman","sequence":"additional","affiliation":[{"name":"University of Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Addo-Mensah","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Precious Adade","family":"Duodu","sequence":"additional","affiliation":[{"name":"University of Huddersfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph Ngmenesegre","family":"Suglo","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals NHS Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,13]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-020-00267-6"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2019.03.012"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.217.45"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000035988"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608231189944"},{"issue":"1","key":"e_1_3_2_7_1","article-title":"Risk of depression and suicide in diabetic patients","volume":"14","author":"AbdElmageed RM","year":"2022","unstructured":"AbdElmageed RM, Mohammed Hussein SM (2022) Risk of depression and suicide in diabetic patients. 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