Evidence map›Paper›PMID 41572009›Full record

ArticleDiabetologia2026

Uncovering distinct predictors of diabetes distress and depressive symptoms in a longitudinal survival analysis of incidence and remission: indication for diverging aetiological paths.

Gina Lehmann, Dominic Ehrmann, Birgit Olesen, Lilli-Sophie Priesterroth, Bernhard Kulzer, Thomas Haak, Norbert Hermanns

Abstract read
In one paragraph

Article in Diabetologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Gina LehmannResearch Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany. lehmann@fidam-rdc.de.ORCID http://orcid.org/0000-0002-1830-6484
Dominic EhrmannResearch Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany. ehrmann@fidam.de.ORCID http://orcid.org/0000-0002-5794-5596
Birgit OlesenResearch Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.
Lilli-Sophie PriesterrothResearch Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.ORCID http://orcid.org/0000-0001-8010-5475
Bernhard KulzerResearch Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.ORCID http://orcid.org/0000-0001-9120-4479
Thomas HaakDiabetes Center Mergentheim, Bad Mergentheim, Germany.
Norbert HermannsResearch Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.ORCID http://orcid.org/0000-0002-2903-2677

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe aim of the study was to examine the course of diabetes distress and depressive symptoms and their predictors of incidence and remission in individuals with type 1 and type 2 diabetes.

methodsData were collected every 6 months over a 24 month period. Participants (n=654) completed measures of diabetes distress (Problem Areas in Diabetes Scale) and depressive symptoms (Patient Health Questionnaire 8). Cox proportional hazards models were applied to examine predictors of incidence and remission, considering demographic, clinical and psychosocial factors. All predictors were assessed at baseline, except for HbA

resultsDiabetes distress showed cumulative incident cases in 21% of the sample and a remission rate of 70% across 24 months. For depressive symptoms, cumulative 24 month incidence was 33% and remission was 67%. The median onset time was 18 months for diabetes distress and 24 months for depressive symptoms; the median remission time for both was 6 months. Higher HbA CONCLUSIONS/

interpretationSuboptimal glycaemic outcomes predicted both diabetes distress and depression; however, diabetes distress was associated with anxiety disorders, whereas depressive symptoms were linked to prior depression and eating disorders, hinting at distinct aetiologies.

Indexed as

DepressionDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Stress, PsychologicalAdultAgedFemaleGlycated HemoglobinHumansIncidenceLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsRemission InductionSurvival AnalysisGlycated HemoglobinAnxiety disorderDepressionDiabetes distressIncidenceLongitudinalRemissionSurvival analysis

Identifiers

PMID41572009
PMCPMC13005816

What Socratic holds

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LicenceCC BY
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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.