The role of depression and diabetes distress in glycemic control: A meta-analysis
Authors' conclusion
Depression and diabetes distress are associated with poorer glycemic control and reduced self-care behaviours. Findings highlight the need for standardized measures and longitudinal studies to explore mechanisms underlying these associations.
Study context
- Population
- Individuals with diabetes; studies conducted 2001–2024
- Participants
- 19,537 individuals61 studies
- Outcome
- Associations of depression and diabetes distress with glycemic control (HbA1c) and self-care behaviours
Methodological detailsrandom-effects models, subgroup analyses by diabetes type, geographic location and measurement tools
- Random-effects models
- Subgroup analyses by diabetes type, geographic location and measurement tools
Pooled result
As reported in the abstract
Association of depression and diabetes distress with poorer glycemic control and reduced self-care
Correlation with poorer glycemic control (95% CI 0.15 to 0.31; p < 0.001)
r = 0.23
Correlation with self-care behaviours (95% CI −0.28 to −0.10; p < 0.001)
r = −0.19
Further pooled results
Subgroups: diabetes type and geographic location
- Mixed diabetes populations (95% CI 0.30 to 0.40; I2 = 0 %)
- r = 0.35
- Studies in Europe
- r = 0.28
- Studies in North America
- r = 0.34
Original publication
The role of depression and diabetes distress in glycemic control: A meta-analysis. Diabetes Res Clin Pract. Published 30 January 2025. doi:10.
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