Factors Associated With Diabetes-Related Distress: Implications for Diabetes Self-Management

Jana Wardian, Fei Sun

    Research output: Contribution to journalArticlepeer-review

    76 Scopus citations


    As 7.8% of the U.S. population is affected by diabetes, health care providers are tasked with providing resources to assist patients toward self-management. Psychosocial issues have an effect on diabetes self-care. Diabetes-related distress is associated with self-management and lower A1C. This cross-sectional study seeks to understand how demographic factors, psychological orientations, support, and diabetes management behaviors predict diabetes-related distress. This study uses data from 267 adults with Type 2 diabetes. The Diabetes Distress Scale (DDS) is a 17-item scale measuring diabetes-related distress including emotional distress, physician-related distress, regimen distress, and interpersonal distress. Hierarchical regression was conducted in four stages. The final model explains 48% of the variance in DDS. Significant factors related to lower DDS were older age, lower body mass index, higher self-efficacy, higher levels of health care provider support, and a healthy diet. Findings of this study help health care providers know where to focus to reduce diabetes-related distress. Health care provider support is significant in reducing DDS. Diabetes education may want to include strategies that increase self-efficacy and assist people with diabetes to obtain a healthy weight through a more healthful diet.

    Original languageEnglish (US)
    Pages (from-to)364-381
    Number of pages18
    JournalSocial Work in Health Care
    Issue number4
    StatePublished - Apr 2014


    • chronic illness
    • older adult
    • psychosocial intervention

    ASJC Scopus subject areas

    • Community and Home Care
    • Psychiatry and Mental health


    Dive into the research topics of 'Factors Associated With Diabetes-Related Distress: Implications for Diabetes Self-Management'. Together they form a unique fingerprint.

    Cite this