The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea

Kim, Hyesun; Seo, Kawoun

doi:10.12799/jkachn.2022.33.4.446

Cited by 1 publication

(2 citation statements)

References 23 publications

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“…In the past three years, there has been increasing interest in exploring the association between diabetes-related stigma and psychological distress (14 out of the 19 studies were published in 2020–2022) [ 19 – 21 , 33 , 35 , 36 , 38 , 55 , 57 , 59 – 63 ]. After rigorous selection by the PRISMA guidelines, the meta-analysis included 19 studies with a total of 12,777 participants to provide evidence of the association between diabetes-related stigma and psychological distress.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, determining the correlation between diabetes stigma and diabetes-related distress will further inspire researchers to focus on the psychosocial aspects of diabetes and enable better psychological care for patients. Many previous empirical studies have reported the relationship between diabetes stigma and psychological distress [ 33 – 35 ], but no research has used a quantitative synthesis method, such as meta-analysis, to investigate the severity of this association and moderators of the relationship. Additionally, the magnitude of the correlation has been a controversial topic [ 19 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

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

Guo,

Wu,

Tang

et al. 2023

BMC Psychol

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Background & aims Diabetes 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 methods Following 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. Results Eligible 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. Conclusions The 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.

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