The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Prevalence of symptoms of depression and anxiety in a diabetes clinic population
Abstract
Summary: Aims To investigate the use of a short questionnaire to measure psychological symptoms in a busy clinic setting, and to examine the prevalence of these symptoms in adults with diabetes. The perceived need for psychological treatment services was also measured. Methods Adults (> 18 years) with either Type 1 or Type 2 diabetes were invited to complete a short demographic form and the Hospital Anxiety and Depression Scale (HADS) whilst waiting for their routine diabetes outpatients appointment. Complication status was measured via patients' medical records. Glycaemic control (HbA 1c) was also recorded. Results A high response rate (96%) was achieved. Prevalence rates of psychological symptoms were high (overall 28% of study participants reported moderate–severe levels of depression or anxiety or both). Men were somewhat more likely to report moderate–severe depressive symptoms, whereas women reported more moderate–severe anxiety. A significant association between depression and poor glycaemic control was observed in the men, but not in the women. Regression analysis demonstrated that the interaction between sex and glycaemic control, HbA 1c and sex were all significantly associated with depression and anxiety (R2 = 0.16 and 0.19, respectively). One‐third of subjects reported that at the moment they would be interested in receiving counselling or psychotherapy if it was currently available at the diabetes clinic. Conclusions This study has shown that the HADS is an appropriate questionnaire to use in a clinic setting in adults with diabetes. There may be a stronger association between glycaemic control and psychological symptomatology in men than in women. There remains a significant proportion of individuals with diabetes who require psychological support, which, if available, might help improve glycaemic control and thus overall wellbeing.
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“a number of tools have been utilised and validated to screen depression (PHQ-9 [50, 51], HADS [52, 53]) and anxiety (HADS [52], Generalised Anxiety Disorder 7-item scale (GAD-7) [54, 55]) in diabetes.”
Citations
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
(1993) · New England Journal of Medicine · doi:10.1056/nejm199309303291401 · Cited by 24,667
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696
Handbook of Psychology and Diabetes
Bradley, C. (2013) · Routledge eBooks · doi:10.4324/9781315077369 · Cited by 668
Levels and risks of depression and anxiety symptomatology among diabetic adults
Peyrot, M., & Rubin, R. R. (1997) · Diabetes Care · doi:10.2337/diacare.20.4.585 · Cited by 488
Carroll, B. T., Kathol, R. G., Noyes, R., Wald, T. G., & Clamon, G. H. (1993) · General Hospital Psychiatry · doi:10.1016/0163-8343(93)90099-a · Cited by 329
Screening for Depression in Diabetes Using the Beck Depression Inventory
Lustman, P. J., Clouse, R. E., Griffith, L. S., Carney, R. M., & Freedland, K. E. (1997) · Psychosomatic Medicine · doi:10.1097/00006842-199701000-00004 · Cited by 252
Guidelines for Encouraging Psychological Well‐being
Bradley, C., Gamsu, D. S., & Psychological Well‐being Working Group of the WHO/IDF St Vincent Declaration Action Programme for Diabetes (1994) · Diabetic Medicine · doi:10.1111/j.1464-5491.1994.tb00316.x · Cited by 213
Psychological status of diabetic people with or without lower limb disability
Carrington, A. L., Mawdsley, S. K. V., Morley, M., Kincey, J., & Boulton, A. J. M. (1996) · Diabetes Research and Clinical Practice · doi:10.1016/0168-8227(96)01198-9 · Cited by 201
Research works printed but not linked: 2
- Lustman PJ, 1996, Practical Psychology for Diabetes Clinicians.
- Lustman PJ, 1995, Improvement in depression is associated with improvement in glycemic control, Diabetes, 4, 27A
Cited by
Sorted by citations
Items 201–244 of 244
Policy and practice for diabetes care
Lloyd, C. E., & Skinner, T. C. (2009) · doi:10.1007/978-1-137-02125-0_7 · Cited by 1
Self-citationLobo, A., Peréz-Echeverría, M. J., & Campayo, A. (2007) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543975.019 · Cited by 1
Pandey, J. M., & Mishra, P. (2018) · IGI Global eBooks · doi:10.4018/978-1-5225-7122-3.ch018 · Cited by 1
Robinson, V. M. (2008) · ERA · Cited by 1
Psychiatric Care of the Patient with Diabetes
Kraker, J., & Ferrando, S. J. (2009) · Springer eBooks · doi:10.1007/978-0-387-09841-8_46
Why and When Should We Screen for Depression and Other Psychological Problems?
Hermanns, N. (2012) · Springer eBooks · doi:10.1007/978-0-85729-751-8_1
Behavioral Health Disorders and the Quality of Diabetes Care: A Dissertation
Leung, Y. H. (2010) · The Journal of the American Medical Association (JAMA) Network (American Medical Association) · doi:10.13028/r00y-aw61
Husain, N. (2012) · Medicine and Pharmacy Reports
Psychologic Factors and Diabetes
Ryan, C. M. (2010) · Wiley eBooks · doi:10.1002/9781444324808.ch49
Katsiki, N., Iliadis, F. S., Didangelos, T., Sarafidou, A., Αδαμίδου, Α., & Karamitsos, D. T. (2008) · Annals of General Psychiatry · doi:10.1186/1744-859x-7-s1-s146
Psychologische Aspekte bei Diabetes mellitus
Hirsch, A., & Lange, K. (2004) · Springer eBooks · doi:10.1007/978-3-642-18571-7_36
Константинович, З. А., Моросеева, Е. А., Зиньковский, К. А., Кузьмичев, Б. Н., & Rodionova, O. M. (2013) · Russian Family Doctor · doi:10.17816/rfd2013237-40
Mood disorders and handling of daily routine in patients with diabetes melitus type II
Κουλούρη, Α. Γ., & Sotiro (2009)
Depression in Type 2 Diabetes Mellitus study of 100 patients
Saxena, D. V. (2016) · Journal of Medical Science And clinical Research · doi:10.18535/jmscr/v4i7.63
Type of psychosocial stressor as risk factor of depressive symptom in metabolic syndrome
Fauziyati, A., Siswanto, A., Purnomo, L. B., & Sinorita, H. (2016) · Bangladesh Journal of Medical Science · doi:10.3329/bjms.v15i2.28867
Asociación entre Depresión y Diabetes Mellitus Association between Depression and Diabetes Mellitus
Aldo, B., Lorenzo, G., Bueno, E., Agüero, F., Alsina, S., María, M., & Jazmín, V.-R. (2008)
Parham, S. C. (2017) · Queensland University of Technology · doi:10.5204/thesis.eprints.106919
Pandey, J. M., & Mishra, P. (2018) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/978-1-5225-3480-8.ch015
Anxiety and health related quality of life among obese women with type 2 diabetes mellitus
Thirumalai, R., & Shenoy, V. V. (2018) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20182277
de Figueiredo, R. C. (2013) · Americanae (AECID Library)
Jung, H.-W., Kim, S. H., Park, S.-H., Gon, K. S., Kim, J., Seo, E. H., & Yoon, H. (2020) · Anxiety and Mood · doi:10.24986/anxmod.2020.16.1.002
Fear of hypoglycaemia in people attending the Christchurch Diabetes Centre
Taylor, K. J. (2002) · University of Canterbury Research Repository (University of Canterbury) · doi:10.26021/12016
Quality of life in people with Type 2 diabetes; a study in a multi-ethnic clinical trial population
Kulkarni, S., Welsh, P. I., Ali, M., & Petrie, J. R. (2021) · British Journal of Diabetes · doi:10.15277/bjd.2021.315
Sugimoto, K., Murakawa, Y., Zhang, W., et al. (2000) · Diabetes/Metabolism Research and Reviews · doi:10.1002/1520-7560(200009/10)16:5
Psychiatric Care of the Patient with Diabetes
Maruyama, N. C., Ashley, K. B., Casasnovas, C. E., Goschin, S., Kraker, J., Quraishi, S. N., Safin, D. S., Shu, M. A., & Ferrando, S. J. (2017) · Springer eBooks · doi:10.1007/978-3-319-20797-1_46-2
Psychiatric Care of the Patient with Diabetes
Maruyama, N. C., Ashley, K. B., Casasnovas, C. E., Goschin, S., Quraishi, S. N., Safin, D. S., Shu, M. A., & Ferrando, S. J. (2016) · Springer eBooks · doi:10.1007/978-3-319-20797-1_46-1
Psychiatric Care of the Patient with Diabetes
Maruyama, N. C., Ashley, K. B., Casasnovas, C. E., Goschin, S., Kraker, J., Quraishi, S. N., Safin, D. S., Shu, M. A., & Ferrando, S. J. (2017) · Springer eBooks · doi:10.1007/978-3-319-18741-9_46
Psychosocial and Educational Implications of Diabetic Foot Complications
Weinger, K., Smaldone, A. M., & Beverly, E. A. (2018) · Contemporary diabetes · doi:10.1007/978-3-319-89869-8_26
Impact of Covid-19 Lock down on Stress & Life Satisfaction of Diabetic People in Central Kerala
Varghese, S. M. (2022) · Diabetes & Obesity International Journal · doi:10.23880/doij-16000256
ภาวะซมเศราในผปวยเบาหวานชนดท 2 ในโรงพยาบาลเจาพระยาอภยภเบศร จงหวดปราจนบร
เนื่องจากนาค, อ. (2017) · doi:10.58837/chula.the.2017.1564
Assessing Anxiety Disorder among Type 2 Diabatic Patients in Damascus, SyriaPreprint
Saba, C., Dagher, R., & Hammoud, T. (2023) · Research Square · doi:10.21203/rs.3.rs-3393609/v1
Assessment of depression in diabetic patients
Kotwal, S. D., Kour, N., Gadda, I. R., & Devraj (2023) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20233161
Wongwiwatthananukit, S., Krittiyanunt, S., Sunthomthepvarakul, T., & Wannapinyo, A. (2004) · The Thai Journal of Pharmaceutical Sciences · doi:10.56808/3027-7922.2254
Depression in Older Adults with Diabetes: Measurement and Implications for Care
Beverly, E. A., & Weinger, K. (2012) · Springer eBooks · doi:10.1007/978-0-85729-751-8_7
姜, 盼. (2026) · Advances in Clinical Medicine · doi:10.12677/acm.2026.1651875
Su, Q., Wu, Y., Hu, H., Song, Q., & Wang, H. (2026) · Journal of Health Psychology · doi:10.1177/13591053261446856
Maghrabi, R. I., & Alotaibi, A. B. (2026) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20263222
Alrashed, F. A., Ahmad, T., Karim, S. I., & John, J. (2026) · Healthcare · doi:10.3390/healthcare14182978
Othman, R. B., Trabelsi, S., Dergaa, I., Ceylan, H. İ., Öztürk, D., Bragazzi, N. L., Jallouli, Y., Ștefănică, V., & Jamoussi, H. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15208115
Petty, S. (2013) · Repository@Hull (Worktribe) (University of Hull)
Metadata
- Authors
- Lloyd, C. E., Dyer, P. H., & Barnett, A. H.
- Affiliations
- The Open University (GB)
- Heartlands Hospital (GB)
- Corresponding author
- Lloyd, C. E.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2000-03
- Volume
- 17
- Issue
- 3
- Pages
- 198-202
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2103551376
- Cited by
- 244
- References
- 15
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 8 · 2020: 8 · 2019: 3 · 2018: 14 · 2017: 11 · 2016: 18 · 2015: 8 · 2014: 10 · 2013: 14 · 2012: 24
- FWCI
- 5.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Open Research Online - ORO (The Open University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, anxiety, diabetes mellitus, type 1 diabetes, type 2 diabetes, glycemic control, HbA1c, Hospital Anxiety and Depression Scale, psychological symptoms, sex differences, diabetes clinic, prevalence
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Anxiety, Depression, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Surveys and Questionnaires, Regression Analysis, Sex Characteristics
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