{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:23:58Z","timestamp":1785432238488,"version":"3.56.0"},"reference-count":34,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec id=\"S2056472426110205_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diabetes distress, whereby people with diabetes experience distressing psychological symptoms associated with living with their condition, is an emerging problem in India. Diabetes distress leads to self-care deficits, suboptimal glycaemic control (which can lead to increasing risks of complications) and impaired quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426110205_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To determine the burden of diabetes distress and its associated factors in an Indian tertiary care centre in Trichy, Tamil Nadu, India, covering a population of 1.25 million.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426110205_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This prospective observational study involved a structured questionnaire covering demographic and clinical details, which was given to patients. The Diabetes Distress Scale 17 (DDS-17) was used to assess diabetes distress levels. The DDS-17 also measures four subdomains: emotional burden, physician-related distress, regimen-related distress and diabetes-related interpersonal distress. Patients were divided into two groups based on their DDS-17 score: no diabetes distress (DDS-17 score &lt;2) versus diabetes distress (DDS-17 score \u22652) and compared. Correlation analysis, chi-squared tests and\n                      <jats:italic>t<\/jats:italic>\n                      -tests were used, with\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05 considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426110205_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1019 respondents (mean age 56 years; 59.6% male, 40.4% female), diabetes distress was reported in 24.4% (\n                      <jats:italic>n<\/jats:italic>\n                      = 249). Factors significantly associated with higher DDS-17 scores were younger age (&lt;45 years) (\n                      <jats:italic>P &lt;<\/jats:italic>\n                      0.0001), long-standing diabetes (&gt;10 years) (\n                      <jats:italic>P &lt;<\/jats:italic>\n                      0.0001), and smoking and alcohol (\n                      <jats:italic>P &lt;<\/jats:italic>\n                      0.05). Significant protective factors for diabetes distress included working, daily exercise, no comorbidities and medical insurance cover (\n                      <jats:italic>P &lt;<\/jats:italic>\n                      0.05). Significant positive correlation between DDS-17 score and all four subdomains was observed (\n                      <jats:italic>P &lt;<\/jats:italic>\n                      0.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426110205_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings highlight the need for routine psychological screening and holistic management strategies in diabetes care, to improve patient outcomes and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.11020","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T10:53:22Z","timestamp":1777287202000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and determinants of diabetes-related psychological distress in a tertiary care setting in Tamil Nadu, India: cross-sectional study"],"prefix":"10.1192","volume":"12","author":[{"given":"Gowri","family":"Palaniswamy","sequence":"first","affiliation":[{"name":"Kauvery Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence Soosai","family":"Nathan","sequence":"additional","affiliation":[{"name":"Anugraha Institute of Social Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthil R.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Anugraha Institute of Social Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aravindakumar","family":"Subramanium","sequence":"additional","affiliation":[{"name":"Kauvery Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthikeyan","family":"Aravindakumar Gowri","sequence":"additional","affiliation":[{"name":"Madras Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhasaratharaman","family":"Thirunavukkarasu","sequence":"additional","affiliation":[{"name":"Kauvery Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0783-285X","authenticated-orcid":false,"given":"Samuel J.","family":"Tromans","sequence":"additional","affiliation":[{"name":"University of Leicester"},{"name":"Leicestershire Partnership NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1183-6933","authenticated-orcid":false,"given":"Rohit","family":"Shankar","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/008n7pv89","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Plymouth"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"S2056472426110205_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-010-1874-x"},{"key":"S2056472426110205_ref4","doi-asserted-by":"publisher","DOI":"10.4103\/ijem.IJEM_579_17"},{"key":"S2056472426110205_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/eat.1077"},{"key":"S2056472426110205_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.63.11.1551"},{"key":"S2056472426110205_ref32","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/4760624"},{"key":"S2056472426110205_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2005.01644.x"},{"key":"S2056472426110205_ref19","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1238"},{"key":"S2056472426110205_ref20","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-1614"},{"key":"S2056472426110205_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(23)00119-5"},{"key":"S2056472426110205_ref25","unstructured":"25 Population Census. 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e119"}}