Analysis of Determinants of Psychological Well-Being in People with Diabetes: A Systematic Review
DOI:
https://doi.org/10.59188/eduvest.v5i8.52139Keywords:
Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus, Psychological well-being, diabetes managementAbstract
Psychological well-being in individuals with diabetes is a crucial yet often overlooked aspect of disease management, as it directly influences glycemic stability, adherence to treatment, and the risk of complications or mortality. Despite its importance, variations in demographic, psychosocial, and environmental determinants remain insufficiently synthesized in the literature. This study aims to identify factors influencing psychological well-being in people with diabetes through a systematic review of 33 peer-reviewed journals (N = 20,282) retrieved from Google Scholar, PubMed, Crossref, and Scopus. The review examined determinants including age, gender, socioeconomic status, self-efficacy, self-management, religiosity, mindfulness, self-compassion, gratitude, coping strategies, social support, supportive environments, and access to healthcare. The findings indicate that individuals with Type 1 Diabetes Mellitus face persistent psychosocial stress due to lifelong insulin use, whereas those with Type 2 Diabetes Mellitus are more affected by lifestyle-related factors. Overall, higher levels of psychological well-being were associated with better glycemic control, improved treatment adherence, and reduced risk of complications. The study highlights the need for effective psychosocial interventions, integration of mental health support in diabetes care, and the development of comprehensive measurement standards. These implications are critical for policymakers, healthcare providers, and community-based programs seeking to improve the holistic well-being of people with diabetes.
References
Ajele, W. K., Babalola, O. B., Idehen, E. E., & Oladejo, T. A. (2022). Relationship between depression and psychological well-being among person with diabetes during COVID-19 pandemic: Diabetes distress as a mediator. Journal of Diabetes & Metabolic Disorders, 21, 631-635. https://doi.org/10.1007/s40200-022-01025-z
Albikawi, Z. F., Petro-Nustas, W., & Abuadas, M. (2016). Self-care management intervention to improve psychological wellbeing for Jordanian patients with type two diabetes mellitus. Issues in Mental Health Nursing, 37(3), 190-201. https://doi.org/10.3109/01612840.2015.1122118
Al-Dwaikat, T. N., Rababah, J. A., Al-Hammouri, M. M., & Chlebowy, D. O. (2020). Social support, self-efficacy, and psychological wellbeing of adults with type 2 diabetes. Western Journal of Nursing Research, 43(4), 288-297. https://doi.org/10.1177/0193945920921101
Ashraf, M. N., Cheng, A. Y. Y., & Robinson, D. J. (2024). Emotional, psychological, and social well-being experience of long-term living with type 1 diabetes mellitus: A patient-psychiatrist-endocrinologist perspective. Diabetes Therapy, 15(2), 317-323. https://doi.org/10.1007/s13300-023-01527-w
Avarsin, F. M., Pirkhaefi, A., & Golkar, M. K. (2024). The effectiveness of spiritual group therapy on psychological well-being and self-efficacy of patients with type 2 diabetes in Tehran in 2023. The Journal of Tolooebehdasht. https://doi.org/10.18502/tbj.v23i3.16484
Berry, E., Cleal, B., Morrissey, E., Willaing, I., Shields, C., Thornton, M., Duffy, G., & Davies, M. (2023). The role of social media on psychological wellbeing from the perspectives of young people with type 1 diabetes and their caregivers: A qualitative study. International Journal of Adolescence and Youth, 29(1), 1-16. https://doi.org/10.1080/02673843.2023.2298083
Bozek, A., Nowak, P. F., & Blukacz, M. (2020). The relationship between spirituality, health-related behaviour, and psychological well-being. Frontiers in Psychology, 11, 1-13. https://doi.org/10.3389/fpsyg.2020.01997
Deci, E. L., & Ryan, R. M. (2012). Self-determination theory. In P. A. M. V. Lange, A. W. Kruglanski, & E. T. Higgins (Eds.), Handbook of theories of social psychology (Vol. 1). Sage.
Eid, A., Arnout, B. A., Al-Qahtani, T. A., Pavlovic, S., AlZahrani, M. R., Abdelmotelab, A. S., & Abdelmotelab, Y. S. (2023). Predictive cross-sectional study of religiosity, mental immunity, and psychological well-being of diabetes patients in the Kingdom of Saudi Arabia. Research Square. https://doi.org/10.21203/rs.3.rs-3638160/v1
ElSayed, N. A., Aleppo, G., Bannuru, R. R., Beverly, E. A., Bruemmer, D., Collins, B., Darville, A., Ekhlaspour, L., Hassanein, M., Hilliard, M. E., Johnson, E. L., Khunti, K., Lingvay, I., Matfin, G., McCoy, R. G., Perry, M. L., Pilla, S. J., Polsky, S., Prahalad, P., & Pratley, R. E. (2023). Facilitating positive health behaviors and well-being to improve health outcomes: Standards of care in diabetes—2024. Diabetes Care, 47(Supplement_1), S77-S110. https://doi.org/10.2337/dc24-s005
Garrusi, B., Baneshi, M. R., & Moradi, S. (2013). Psychosocial contributing factors that affect mental well being in diabetic patients. Russian Open Medical Journal, 2(1), 0106. https://doi.org/10.15275/rusomj.2013.0106
Glümer, C., Hvidberg, A. D., & Helgstrand, L. A. (2023). 548-P: The effects from type 2 diabetes management programs on mental health and diabetes distress. Diabetes, 72(Supplement_1). https://doi.org/10.2337/db23-548-p
Helgeson, V. S., Berg, C. A., & Raymaekers, K. (2022). Topical review: Youth with type 1 diabetes: What is the role of peer support? Journal of Pediatric Psychology, 48(2), 176-180. https://doi.org/10.1093/jpepsy/jsac083
Hernandez, R., Bassett, S. M., Boughton, S. W., Schuette, S. A., Shiu, E. W., & Moskowitz, J. T. (2017). Psychological well-being and physical health: Associations, mechanisms, and future directions. Emotion Review, 10(1), 18-29. https://doi.org/10.1177/1754073917697824
Jacob, R., Biju, B., & Sharma, R. K. (2024). Psychologic distress in diabetic patients. Journal of Drug Delivery and Therapeutics, 14(6), 247-250. https://doi.org/10.22270/jddt.v14i6.6663
Jahan, F., & Nematolah, S. (2021). Effect of a quality of life education program on psychological well-being and adherence to treatment of diabetic patients. JHNM, 31(1), 61-67. https://doi.org/10.32598/jhnm.31.1.2034
Jones, A., Vallis, M., & Pouwer, F. (2014). If it does not significantly change HbA1c levels why should we waste time on it? A plea for the prioritization of psychological well-being in people with diabetes. Diabetic Medicine, 32(2), 155-163. https://doi.org/10.1111/dme.12620
Kordbagheri, M., Bagheri, S. M., Heris, N. J., Matbouraftar, P., Azarian, M., & Mousavi, S. M. (2024). The mediating role of psychological well-being in the relationship between the light triad of personality and sense of concordance with treatment adherence in patients with type 2 diabetes: A network analysis and structural equation modeling study. Acta Psychologica, 248, 104361. https://doi.org/10.1016/j.actpsy.2024.104361
Legault, L. (2017). Self-determination theory. In V. Zeigler-Hill & T. Shackelford (Eds.), Encyclopedia of personality and individual differences (pp. 1-9). Springer. https://doi.org/10.1007/978-3-319-28099-8_1162-1
Ludiana, L., Hasanah, U., Sari, S. A., Fitri, N. L., & Nurhayati, S. (2022). Hubungan faktor psikologis (stres dan depresi) dengan kadar gula darah penderita diabetes mellitus tipe 2. Jurnal Wacana Kesehatan, 7(2), 61-67. https://doi.org/10.52822/jwk.v7i2.413
Majidzadeh, R., Rezaei, S., & Akbari, B. (2022). Self-compassion reduces the destructive effects of perceived stress on psychological well-being and self-care behaviors: Results from type II diabetes mellitus patients. Iranian Journal of Diabetes and Obesity. https://doi.org/10.18502/ijdo.v14i4.11226
Mirahmadizadeh, A., Mahizadeh, H., Seif, M., & Sharifi, M. H. (2021). Factors related to psychological well-being amongst patients with type 2 diabetes. Diabetes Research and Clinical Practice, 178, 108982. https://doi.org/10.1016/j.diabres.2021.108982
Mojahed, A., Fallah, M., Gajali, A., & MD, Z. H. (2019). The role of social support and coping strategies in the prediction of psychological well-being in type 2 diabetic patients of Zahedan. BMJ, 8(1), 281-286. https://doi.org/10.15562/bmj.v8i1.663
Northam, E. A., Lin, A., Finch, S., Werther, G. A., & Cameron, F. J. (2010). Psychosocial well-being and functional outcomes in youth with type 1 diabetes 12 years after disease onset. Diabetes Care, 33(7), 1430-1437. https://doi.org/10.2337/dc09-2232
Nur, M., & Nugrahawati, N. E. N. (2024). Pengaruh dukungan sosial terhadap psychological well being pada pasien diabetes mellitus tipe 2 di RSUD Indramayu. Bandung Conference Series Psychology Science, 4(2), 855-861. https://doi.org/10.29313/bcsps.v4i2.12855
Parviniannasab, A. M., Faramarzian, Z., Hosseini, S. A., Hamidizadeh, S., & Bijani, M. (2024). The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: A moderated mediation analysis. BMC Public Health, 24(1), 477. https://doi.org/10.1186/s12889-024-18022-x
Pérez‐Fernández, A., Fernández‐Berrocal, P., & Gutiérrez‐Cobo, M. J. (2022). The relationship between well‐being and HbA1c in adults with type 1 diabetes: A systematic review. Journal of Diabetes, 15(2), 152-164. https://doi.org/10.1111/1753-0407.13357
Ramkisson, S., Pillay, B. J., & Sartorius, B. (2016). Anxiety, depression and psychological well-being in a cohort of South African adults with type 2 diabetes mellitus. The South African Journal of Psychiatry, 22(1), 935. https://doi.org/10.4102/sajpsychiatry.v22i1.935
Rasmussen, B., Mekonnen, A., Geller, G., Holton, S., Orellana, L., Nankervis, A., Houlihan, C., Hendrieckx, C., Steele, C., McNamara, C., Read, M., & Wynter, K. (2024). Psychosocial well-being and diabetes distress in the transition to motherhood among women with type 1 or type 2 diabetes. Sexual & Reproductive Healthcare, 43, 101048. https://doi.org/10.1016/j.srhc.2024.101048
Soffa, N., & Nisa, Y. (2020). Are gratitude and religious coping have impact for psychological well being from diabetes mellitus patients? https://doi.org/10.4108/eai.18-9-2019.2293477
Telaak, S. H., Costabile, K. A., & Persky, S. (2023). The influence of weight on psychosocial well-being in diabetes. BMC Psychology, 11(1). https://doi.org/10.1186/s40359-023-01185-4
Umam, K., Iswatun, I., Susanto, J., Sri Wijayanti, E., & Paramadita, Y. (2024). Relationship between patient factors and psychological well-being in type 2 diabetes mellitus patients. Journal of Vocational Nursing, 5(2), 159-165. https://doi.org/10.20473/jovin.v5i2.62966
Wahidah, N., & Rahayu, S. R. (2022). Determinan diabetes melitus pada usia dewasa muda. Higea Journal of Public Health Research and Development, 6(1), 114. https://doi.org/10.15294/higeia.v6il.53512
Wibisono, S., Soetmadji, D. W., Pranoto, A., Mardianto, Shahab, A., Karimi, J., Tarigan, T. J. E., Pemanyun, T. G. D., Pramono, B., & Fajari, N. M. (2021). Pedoman petunjuk praktis terapi insulin pada diabetes melitus (1st ed.). PB. Perkeni.
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://doi.org/10.2337/dc16-2053
Yuliasari, H., Wahyuningsih, H., & Sulityarini, R. I. (2018). Efektifitas pelatihan koping religius untuk meningkatkan kesejahteraan psikologis pada penderita diabetes melitus tipe 2. Journal of Psychological Science and Profesion (JPSP), 2(1), 73-82. https://doi.org/10.24198/jpsp.v2i1.15024
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