IJAST

The Stressful Link: Diabetes and Its Impact on Mental Health

© 2025 by IJAST

Volume 3 Issue 3

Year of Publication : 2025

Author : Keya Pan

: 10.56472/25839233/IJAST-V3I3P102

Citation :

Keya Pan, 2025. "The Stressful Link: Diabetes and Its Impact on Mental Health" ESP International Journal of Advancements in Science & Technology (ESP-IJAST)  Volume 3, Issue 3: 7-14.

Abstract :

Diabetes is a chronic disease and also poses risk for mental health other than physical health. This paper addresses the influence of diabetes in mental health condition such as depression, anxiety, diabetes distress and back. The purpose of this study was to search for the frequency and clinical implications (regarding the treatment of the diseases) of these enfermedades, in subjects with Diabetes Mellitus, and also regarding the relationships that exist between and among the disorders by using the literature already published. The data suggest that diabetes is a risk factor for mental disorder and the reverse, with the risk on diabetes management and its complications and possibly finally leading to an impact on glycaemic control and complications. There are also common physiologic pathways (e.g., chronic inflammation, neuroendocrine dysregulation, and alteration of neurotransmitters) that contribute to this association.Psychological distress has been associated with nonadherence to diabetes selfcare regimens9-13 increased use of health care13 and worse quality of life.14 The post advocates for person-centered diabetes and mental health treatment. Nevertheless, therapeutic approaches (e.g., psychosocial treatments that include CBT and mindfulness-based stress reduction, pharmacological treatments, and lifestyle therapy should be eased of on the patient. Lastly, the authors emphasize the necessity of not only identifying but also treating the mental health problems of a person living with diabetes in order to enhance their overall health and QoL. There is a requirement for multidisciplinary care, education and support to address the challenge of managing two burdens, diabetes and mental illness, together.

References :

[1] Golden, S. H., Lazo, M., Carnethon, M., Bertoni, A. G., Schreiner, P. J., Roux, A. V. D., & Lyketsos, C. (2008). Examining a bidirectional association between depressive symptoms and diabetes. JAMA, 299(23), 2751-2759. https://pubmed.ncbi.nlm.nih.gov/18390791/

[2] Gonzalez, J. S., Peyrot, M., McCarl, L. A., Collins, E. M., Serpa, L., & Rubin, R. R. (2008). Depression and diabetes treatment nonadherence: a meta-analysis. Diabetes Care, 31(12), 2398-2403. https://pubmed.ncbi.nlm.nih.gov/18565844/

[3] Grigsby, A. B., Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2002). Prevalence of anxiety in adults with diabetes: a systematic review. Journal of Psychosomatic Research, 53(6), 1053-1060. https://pubmed.ncbi.nlm.nih.gov/12409502/

[4] Polonsky, W. H., Fisher, L., Earles, J., Dudl, R. J., Lees, J., Mullan, J. T., & Jackson, R. A. (2005). Assessing psychosocial distress in diabetes: development of the Diabetes Distress Scale. Diabetes Care, 28(3), 626-631. https://pubmed.ncbi.nlm.nih.gov/15735199/

[5] Dowlati, Y., Herrmann, N., Swardfager, W., Liu, H., Sham, L., Reim, E. K., & Lanctôt, K. L. (2010). A meta-analysis of cytokines in major depression. Biological Psychiatry, 67(5), 446-457. https://pubmed.ncbi.nlm.nih.gov/19748195/

[6] Elenkov, I. J. (2008). Neurohormonal-cytokine interactions: implications for inflammation, common human diseases and well-being. Neurochemistry International, 52(1-2), 40-51. https://pubmed.ncbi.nlm.nih.gov/18968284/

[7] Golden, S. H., Lee, H. B., Schreiner, P. J., Roux, A. V. D., & Lyketsos, C. (2009). Depression and type 2 diabetes mellitus: the multi-ethnic study of atherosclerosis. Psychosomatic Medicine, 71(6), 620-626. https://pubmed.ncbi.nlm.nih.gov/19359590/

[8] Gonzalez, J. S., Tanenbaum, M. L., & Commissariat, P. V. (2016). Psychosocial factors in medication adherence and diabetes self-management: implications for research and practice. American Psychologist, 71(7), 539. https://pubmed.ncbi.nlm.nih.gov/26551479/

[9] Snoek, F. J., & Bremmer, M. A. (2015). Mental health problems in diabetes: a hidden burden. Journal of Diabetes and its Complications, 29(6), 865-870. https://pubmed.ncbi.nlm.nih.gov/25784572/

[10] de Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: a meta-analysis. Psychosomatic Medicine, 63(4), 619-630. https://pubmed.ncbi.nlm.nih.gov/11138816/

[11] Katon, W. J., Von Korff, M., Ciechanowski, P., Russo, J., Lin, E. H. B., Simon, G., ... & Young, B. (2010). Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine, 363(27), 2611-2620. https://pubmed.ncbi.nlm.nih.gov/20009057/

[12] van Bastelaar, K. M., Pouwer, F., Cuijpers, P., Riper, H., Snoek, F. J. (2011). Web-based depression treatment for type 1 and type 2 diabetic patients: a randomized, controlled trial. Diabetes Care, 34(2), 320-325. https://pubmed.ncbi.nlm.nih.gov/21196499/

[13] Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., ... & Vivian, E. (2016). Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 39(11), 2065-2079. https://pubmed.ncbi.nlm.nih.gov/27257264/

[14] Lustman, P. J., Clouse, R. E., & Freedland, K. E. (2006). Managing depression in diabetes: efficacy and safety of sertraline and cognitive behavior therapy. Diabetes Care, 29(5), 1170-1175. https://pubmed.ncbi.nlm.nih.gov/16415882/

[15] Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., ... & Braun, B. (2010). Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care, 33(12), e147-e167. https://pubmed.ncbi.nlm.nih.gov/20663469/

[16] Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes Care, 39(12), 2126-2140. https://pubmed.ncbi.nlm.nih.gov/26921520/

Keywords :

Diabetes Mellitus, Mental Health, Depression, Anxiety, Diabetes Distress, Glycemic Control, Inflammation, Integrated Care, Psychosocial Interventions, Quality of Life.