Evidence mapPaperPMID 37620853Full record

SynthesisBMC psychology2023

The relationship between stigma and psychological distress among people with diabetes: a meta-analysis.

Xiajun Guo, Sijia Wu, Haishan Tang, Yuanyuan Li, Wanglin Dong, Guangli Lu, Shuang Liang, Chaoran Chen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Type 1 diabetes stigma: A UK survey of adults living with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Observational
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  3. Review
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  5. Observational
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  15. Review
  16. Understanding the struggle: Unique challenges of adherence in male diabetic patients in Tshwane.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  17. Article
  18. Impact of Living with Stigma in Persons with Type 1 Diabetes: A Patient-Physician Perspective.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiajun Guo *Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Sijia Wu *Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Haishan TangInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Yuanyuan LiInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Wanglin DongInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Guangli LuInstitute of Business Administration, School of Business, Henan University, Jinming Avenue, Kaifeng, 475004, Henan, China.
Shuang LiangInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China. 54988699@qq.com.
Chaoran ChenInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China. kfccr@126.com.

Funding

Henan University Undergraduate Education Teaching Reform Research and Practice Project HDXJJG2020-25Investigation topic of Henan Federation of Social Sciences: "Research on the Current Situation and Cultivation Mechanism of Social and Emotional Ability of Henan Youth" SKL-2022-55
6 · The paper itself

Abstract

BACKGROUND &

aimsDiabetes may perceive or experience varying degrees of stigma and psychological distress. The association between diabetes-related stigma and psychological distress has been examined in many studies, but no research has used a quantitative synthesis method to investigate the severity of this association and the moderators of the relationship. Thus, we conducted a meta-analysis to quantitatively integrate previous findings to identify the magnitude of the association between stigma and psychological distress among people with diabetes. REVIEW

methodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we systematically searched four English academic databases (PubMed, Embase, Web of Science, and PsycINFO) and three Chinese databases (China National Knowledge Infrastructure [CNKI], WANFANG Data, China Science and Technology Journal Database [VIP]). The databases were searched from the inception of each database to the end of March 2023. The pooled correlation coefficient of the association between stigma and psychological distress among people with diabetes was calculated by a random effects model using Stata software (version 17.0), and several moderators that impacted this relationship were identified.

resultsEligible studies (N = 19) with a total of 12,777 participants were analysed. The pooled correlation was high between diabetes-related stigma and psychological distress (r = 0.50, 95% CI: [0.43-0.57]). Moreover, the association was moderated by the diabetes stigma measurement tools and diabetes distress measurement tools used. However, the relationship was not moderated by type of diabetes, age, gender, geographical location, or type of stigma.

conclusionsThe results of the meta-analysis showed that stigma is strongly related to psychological distress among people with diabetes. Longitudinal or experimental research should be expanded in the future to further identify the causal pathways in the relationship between diabetes stigma and diabetes distress.

Indexed as

Diabetes MellitusPsychological DistressSocial StigmaChinaHumansDiabetes mellitusMeta-analysisPsychological distressReviewStigma

Identifiers

PMID37620853
PMCPMC10463375

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.