{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T15:37:17Z","timestamp":1782315437714,"version":"3.54.5"},"reference-count":20,"publisher":"Touch Medical Media, Ltd.","issue":"2","license":[{"start":{"date-parts":[[2018,2,16]],"date-time":"2018-02-16T00:00:00Z","timestamp":1518739200000},"content-version":"vor","delay-in-days":46,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018]]},"abstract":"<p>Euthymia, or optimal mood, is an integral part of health. A diagnosis of diabetes poses multiple challenges to mental and emotional health and may lead to psychological and psychiatric dysfunction. Such conditions influence glycaemic control negatively and may act as barriers to achievement of desired biomedical outcomes. This article describes the concept of euthymia in diabetes and calls for euthymia to be accepted as a target, as well as a tool, in modern diabetes care.<\/p>","DOI":"10.17925\/ee.2018.14.2.18","type":"journal-article","created":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T11:52:30Z","timestamp":1537271550000},"page":"18","source":"Crossref","is-referenced-by-count":10,"title":["Euthymia in Diabetes"],"prefix":"10.17925","volume":"14","author":[{"given":"Sanjay","family":"Kalra","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Bharti Hospital, Karnal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yatan Pal Singh","family":"Balhara","sequence":"first","affiliation":[{"name":"Department of Psychiatry, National Drug Dependence Treatment Center, All India Institute of Medical Sciences, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Bathla","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7274","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Young-Hyman D, De Groot M, Hill-Briggs F, et al. Psychosocial care for people with diabetes: a position statement of the American Diabetes Association.\n                      Diabetes Care\n                      . 2016;39:2126\u201340.","DOI":"10.2337\/dc16-2053"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Balhara YPS. Diabetes and psychiatric disorders.\n                      Indian\n                      J Endocrinol Metab\n                      . 2011;15:274\u201383.","DOI":"10.4103\/2230-8210.85579"},{"key":"ref3","unstructured":"Kalra S, Verma K, Singh YB. Management of diabetes distress.\n                      J Pak Med Assoc\n                      . 2017;67:1625\u20137."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Kalra S, Balhara YPS. Insulin distress.\n                      US Endocrinology\n                      . 2018;In Press.","DOI":"10.17925\/USE.2018.14.1.27"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Smith KJ, B\u00e9land M, Clyde M, et al. Association of diabetes with anxiety: a systematic review and meta-analysis.\n                      J Psychosom Res\n                      . 2013;74:89\u201399.","DOI":"10.1016\/j.jpsychores.2012.11.013"},{"key":"ref6","unstructured":"World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva, 1992. Available at: www.who.int\/classifications\/icd\/en\/bluebook.pdf (accessed 14 May 2018)."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association.\n                      Diagnostic and Statistical\n                      Manual of Mental Disorders (DSM-5\u00ae)\n                      , Fifth Edition, 2013: Arlington, USA","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Kahn CH. Democritus and the origins of moral psychology.\n                      Am J Philol\n                      . 1985;106:1\u201331.","DOI":"10.2307\/295049"},{"key":"ref9","unstructured":"Gita SB. 1584. Gorakhpur, India: Gita Press; 2009. [with English translation]"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Kalra S, Joshi A, Kalra B, et al. Bhagavad Gita for the Physician.\n                      Indian J Endocrinol Metab\n                      . 2017;21:893\u20137.","DOI":"10.4103\/ijem.IJEM_259_17"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Keyes CLM, Simoes EJ. To flourish or not: positive mental health and all-cause mortality.\n                      Am J Public Health\n                      . 2012;102:2164\u201372.","DOI":"10.2105\/AJPH.2012.300918"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Milsum JH. A model of the eustress system for health\/illness.\n                      Behav Sci\n                      . 1985;30:179\u201386.","DOI":"10.1002\/bs.3830300402"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being.\n                      J Pers Soc Psychol\n                      . 1989;6:1069\u201381.","DOI":"10.1037\/0022-3514.57.6.1069"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health.\n                      Clin Psychol Rev\n                      . 2010;30:865\u201378.","DOI":"10.1016\/j.cpr.2010.03.001"},{"key":"ref15","unstructured":"The World Health Organisation- Five Well-Being Index (WHO-5). Available at: https:\/\/www.corc.uk.net\/outcome-experiencemeasures\/ the-world-health-organisation-five-well-being-indexwho- 5\/. Last accessed on 24 April 2018"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Fava GA, Bech P, The concept of euthymia.\n                      Psychother\n                      Psychosom\n                      . 2016;85:1\u20135.","DOI":"10.1159\/000441244"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Bond FW, Hayes SC, Baer R, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire II: a revised measure of psychological inflexibility and experiential avoidance.\n                      Behav Ther\n                      . 2011;42:676\u201388.","DOI":"10.1016\/j.beth.2011.03.007"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Kalra S, Sridhar GR, Balhara YP, et al. National recommendations: psychosocial management of diabetes in India.\n                      Indian J Endocrinol Metab\n                      . 2013;17:376.","DOI":"10.4103\/2230-8210.111608"},{"key":"ref19","unstructured":"Kalra S, Verma K, Balhara YP. The sixth vital sign in diabetes.\n                      J Pak Med Assoc\n                      . 2017;67:1775\u20136."},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Kalra S, Balhara YPS, Bathla M. \u201cEulexithymia\u201d and diabetes care professionals.\n                      US Endocrinology\n                      . 2017;13:55\u20136.","DOI":"10.17925\/USE.2017.13.02.55"}],"container-title":["European Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/touchendocrinology.com\/diabetes\/journal-articles\/euthymia-in-diabetes\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T07:00:09Z","timestamp":1764745209000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.touchendocrinology.com\/articles\/euthymia-diabetes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"alternative-id":["EE.2018.14.2.18"],"URL":"https:\/\/doi.org\/10.17925\/ee.2018.14.2.18","relation":{},"ISSN":["1758-3772"],"issn-type":[{"value":"1758-3772","type":"print"}],"subject":[],"published":{"date-parts":[[2018]]}}}