Relationships of Multidimensional Factors to Diabetes Complications: A Cross-Sectional, Correlational Study.
Seongkum Heo, JungHee Kang, Tammy Barbé and 5 others
PMID 39171415WHAT IT FOUND
Only age and diabetes distress were linked to the number of diabetes complications in this survey.
Depression was not directly linked to complications but was associated with distress, which in turn was linked to complications.
Key findings
01Older age and higher diabetes distress were the only factors significantly associated with a greater number of diabetes complications.
02Depressive symptoms were not directly associated with diabetes complications, but they were associated with diabetes distress, which mediated the relationship.
03Higher self-efficacy was associated with lower diabetes distress, but not with the number of complications directly.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional design prevents causal inference. Diabetes complications were self-reported, which may affect validity. Most participants were White, limiting generalizability. Duration of diabetes and self-care behaviors were not included in the analysis. The knowledge instrument had lower internal consistency than desired. Small sample size may limit power to detect smaller effects.
Declared interests
The authors declared no potential conflicts of interest. No specific funding source was listed.
The easy way to misread this
Do not assume depression directly causes diabetes complications based on this study. The direct link was not significant; the association was mediated by diabetes distress. Also, do not generalize these findings to all populations, as the sample was predominantly White and used self-reported outcomes.