Diabetes-related distress and daily cortisol output in people with Type 2 diabetes

Abstract

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The effectiveness of cognitive behavioural therapy and third‐wave cognitive behavioural interventions on diabetes‐related distress: A systematic review and meta‐analysis

“… 12 , 13 However, researchers have been investigating diabetes‐related distress as a key psychological outcome in diabetes for over 25 years. 5 , 14 , 15 Psychological distress seen within diabetes is often conceptually different to that in those living with general depression and anxiety (e.g., emotional burden of diabetes management, the burden of potential future complications and the social impact of diabetes 16 , 17 ). Indeed, evidence now suggests that diabetes‐related distress may be more closely linked to glycaemic control than depression.…”

“…This may be explained by evidence associating depression with poorer glycaemic control, 10 increased risk of diabetes complications 11 and reduced quality of life 12,13 . However, researchers have been investigating diabetes‐related distress as a key psychological outcome in diabetes for over 25 years 5,14,15 . Psychological distress seen within diabetes is often conceptually different to that in those living with general depression and anxiety (e.g., emotional burden of diabetes management, the burden of potential future complications and the social impact of diabetes 16,17 ).…”

Salivary Biomarkers Associated with Psychological Alterations in Patients with Diabetes: A Systematic Review

“…The many features of the selected studies are shown in Table 1. The participants in the studies selected were type I diabetes mellitus (T1DM) patients [55][56][57][58], T2DM patients [55,[58][59][60][61][62][63][64][65], pregnant women with gestational diabetes mellitus (GDM) [66][67][68], and patients with diabetic retinopathy (DR) [55]. Figure 1 shows the sample characteristics and psychometric or clinical instruments used to analyse the psychological alterations and primary outcomes related to the salivary biomarkers and psychological alterations.…”

“…In total, 14 articles were included who fulfilled the inclusion criteria. Of these, 11 were observational analyses of which 4 were cross-sectional analyses [57,59,64,67] and 7 were longitudinal [55,56,[61][62][63]66,68]. In addition, three were experimental articles.…”

“…In total, information was collected and analysed from 522 people with T2DM, 376 people with T1DM, and 65 women with GMD. A total of eight articles studied people with T2DM [55, [59][60][61][62][63][64][65], three studied people with T1DM [56,57,66], two studied women with GDM [67,68], and one article compared people with T2DM and people with T1DM [58].…”