Type 1 diabetes

Diabetes distress screening using PAID‐5 and PAID‐1 among adults attending a tertiary multidisciplinary type 1 diabetes clinic

Diabet MedPublished Retrospective cross-sectional study

Authors' conclusion

A high prevalence of diabetes distress was detected on screening among adults attending a tertiary type 1 diabetes service. This highlights the importance of psychological assessment and implementation of management strategies for diabetes distress to reduce the burden of living with type 1 diabetes. Our findings support the use of the PAID-1 as a rapid screening tool to assess for diabetes distress.

Study context

Population
Adults attending a multidisciplinary T1D outpatient clinic at a tertiary centre, October 2023 to September 2024; median age 38 years [IQR 30–52], T1D duration 16 years [4–24], 86% using CGM
Participants
160 adults
Outcome
Possible diabetes distress on screening with PAID-5 (incorporating PAID-1), score ≥8
Follow-up
Initial consultation
Methodological detailsreal-world, single tertiary centre, multidisciplinary T1D outpatient clinic
  • Real-world
  • Single tertiary centre
  • Multidisciplinary T1D outpatient clinic

Main finding

As reported in the abstract

Possible diabetes distress (PAID-5 score ≥8)

PAID-5 score, median [IQR]

8

4–12

PAID-5 score ≥8, indicating possible diabetes distress

83

52%

Observational data: associations, not effects.

Further findings

Association of diabetes distress screening scores with CGM metrics

Higher diabetes distress screening scores were associated with CGM metrics indicative of hyperglycaemia
No associations with CGM-detected hypoglycaemia

Diagnostic accuracy of PAID-1 for PAID-5-detected diabetes distress

Sensitivity
81%
Specificity
96%

Original publication

Diabetes distress screening using PAID‐5 and PAID‐1 among adults attending a tertiary multidisciplinary type 1 diabetes clinic. Diabet Med. Published 8 June 2025. doi:10.1111/dme.70083

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