ReviewJournal of multidisciplinary healthcare2026
Diabetes Distress in Adults with Type 2 Diabetes and Multimorbidity: A Scoping Review.
Review in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Mental Health Among Adults with Diabetes in Spain: A Population-Based Matched Study of Emotional Well-Being, Depressive Symptoms, and Psychiatric Medication Use.Healthcare (Basel, Switzerland) · 2026Article
- Psychosocial distress and associated factors among pneumoconiosis patients: a cross-sectional study.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Diabetes distress is a distinct psychological construct often conflated with depression in adults with Type 2 Diabetes Mellitus (T2DM) and multimorbidity. Current literature lacks a unified synthesis explaining how "therapeutic competition", where managing multiple conditions creates conflicting self-care demands, and cumulative regimen complexity specifically drive distress in this population. Objective: This scoping review systematically maps the biopsychosocial determinants of diabetes distress in adults with T2DM and multimorbidity to inform integrated, patient-centered interventions. Methods: A systematic search was conducted across PubMed/MEDLINE, Scopus, and EBSCOhost up to July 2025, following PRISMA-ScR guidelines. Peer-reviewed English studies examining diabetes distress in adults (≥18 years) with T2DM and multimorbidity were included. Evidence was thematically synthesized using a biopsychosocial framework. Results: Of 269 records, 17 studies met the inclusion criteria. Thematic synthesis identified a synergistic interplay across four domains. Clinically, distress was driven primarily by treatment complexity (insulin regimens, polypharmacy) rather than disease duration, and was linked to poor glycemic control. Psychologically, distress emerged as a distinct mediator between depression and self-management. Behavioral challenges included medication non-adherence and physical inactivity. Notably, sociodemographic risks revealed significant cultural divergence: while socioeconomic disadvantage was universal, marital status acted as a protective buffer in Western cohorts but a source of caregiving strain in specific non-Western contexts. Conclusion: Diabetes distress in multimorbidity is a biopsychosocial phenomenon driven by therapeutic competition and context-dependent social dynamics, rather than chronicity alone. Effective management requires a paradigm shift toward integrated care that prioritizes routine screening for high-risk profiles and culturally adapted support systems.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.