The relationship between stigma and psychological distress among people with diabetes: a meta-analysis
Abstract Background & aims Diabetes may perceive or experience varying degrees of stigma and psychological distress. The association between diabetes-related stigma and psychological distress has been examined in many studies, but no research has used a quantitative synthesis method to investiga...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Psychology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40359-023-01292-2 |
| _version_ | 1797450995414859776 |
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| author | Xiajun Guo Sijia Wu Haishan Tang Yuanyuan Li Wanglin Dong Guangli Lu Shuang Liang Chaoran Chen |
| author_facet | Xiajun Guo Sijia Wu Haishan Tang Yuanyuan Li Wanglin Dong Guangli Lu Shuang Liang Chaoran Chen |
| author_sort | Xiajun Guo |
| collection | DOAJ |
| description | Abstract Background & aims Diabetes may perceive or experience varying degrees of stigma and psychological distress. The association between diabetes-related stigma and psychological distress has been examined in many studies, but no research has used a quantitative synthesis method to investigate the severity of this association and the moderators of the relationship. Thus, we conducted a meta-analysis to quantitatively integrate previous findings to identify the magnitude of the association between stigma and psychological distress among people with diabetes. Review methods Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we systematically searched four English academic databases (PubMed, Embase, Web of Science, and PsycINFO) and three Chinese databases (China National Knowledge Infrastructure [CNKI], WANFANG Data, China Science and Technology Journal Database [VIP]). The databases were searched from the inception of each database to the end of March 2023. The pooled correlation coefficient of the association between stigma and psychological distress among people with diabetes was calculated by a random effects model using Stata software (version 17.0), and several moderators that impacted this relationship were identified. Results Eligible studies (N = 19) with a total of 12,777 participants were analysed. The pooled correlation was high between diabetes-related stigma and psychological distress (r = 0.50, 95% CI: [0.43–0.57]). Moreover, the association was moderated by the diabetes stigma measurement tools and diabetes distress measurement tools used. However, the relationship was not moderated by type of diabetes, age, gender, geographical location, or type of stigma. Conclusions The results of the meta-analysis showed that stigma is strongly related to psychological distress among people with diabetes. Longitudinal or experimental research should be expanded in the future to further identify the causal pathways in the relationship between diabetes stigma and diabetes distress. |
| first_indexed | 2024-03-09T14:48:31Z |
| format | Article |
| id | doaj.art-9bb5751f66064f5c83bc70cb9c4fcd7c |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-03-09T14:48:31Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-9bb5751f66064f5c83bc70cb9c4fcd7c2023-11-26T14:36:54ZengBMCBMC Psychology2050-72832023-08-0111111410.1186/s40359-023-01292-2The relationship between stigma and psychological distress among people with diabetes: a meta-analysisXiajun Guo0Sijia Wu1Haishan Tang2Yuanyuan Li3Wanglin Dong4Guangli Lu5Shuang Liang6Chaoran Chen7Institute of Nursing and Health, School of Nursing and Health, Henan UniversityInstitute of Nursing and Health, School of Nursing and Health, Henan UniversityInstitute of Nursing and Health, School of Nursing and Health, Henan UniversityInstitute of Nursing and Health, School of Nursing and Health, Henan UniversityInstitute of Nursing and Health, School of Nursing and Health, Henan UniversityInstitute of Business Administration, School of Business, Henan UniversityInstitute of Nursing and Health, School of Nursing and Health, Henan UniversityInstitute of Nursing and Health, School of Nursing and Health, Henan UniversityAbstract Background & aims Diabetes may perceive or experience varying degrees of stigma and psychological distress. The association between diabetes-related stigma and psychological distress has been examined in many studies, but no research has used a quantitative synthesis method to investigate the severity of this association and the moderators of the relationship. Thus, we conducted a meta-analysis to quantitatively integrate previous findings to identify the magnitude of the association between stigma and psychological distress among people with diabetes. Review methods Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we systematically searched four English academic databases (PubMed, Embase, Web of Science, and PsycINFO) and three Chinese databases (China National Knowledge Infrastructure [CNKI], WANFANG Data, China Science and Technology Journal Database [VIP]). The databases were searched from the inception of each database to the end of March 2023. The pooled correlation coefficient of the association between stigma and psychological distress among people with diabetes was calculated by a random effects model using Stata software (version 17.0), and several moderators that impacted this relationship were identified. Results Eligible studies (N = 19) with a total of 12,777 participants were analysed. The pooled correlation was high between diabetes-related stigma and psychological distress (r = 0.50, 95% CI: [0.43–0.57]). Moreover, the association was moderated by the diabetes stigma measurement tools and diabetes distress measurement tools used. However, the relationship was not moderated by type of diabetes, age, gender, geographical location, or type of stigma. Conclusions The results of the meta-analysis showed that stigma is strongly related to psychological distress among people with diabetes. Longitudinal or experimental research should be expanded in the future to further identify the causal pathways in the relationship between diabetes stigma and diabetes distress.https://doi.org/10.1186/s40359-023-01292-2Diabetes mellitusStigmaPsychological distressMeta-analysisReview |
| spellingShingle | Xiajun Guo Sijia Wu Haishan Tang Yuanyuan Li Wanglin Dong Guangli Lu Shuang Liang Chaoran Chen The relationship between stigma and psychological distress among people with diabetes: a meta-analysis BMC Psychology Diabetes mellitus Stigma Psychological distress Meta-analysis Review |
| title | The relationship between stigma and psychological distress among people with diabetes: a meta-analysis |
| title_full | The relationship between stigma and psychological distress among people with diabetes: a meta-analysis |
| title_fullStr | The relationship between stigma and psychological distress among people with diabetes: a meta-analysis |
| title_full_unstemmed | The relationship between stigma and psychological distress among people with diabetes: a meta-analysis |
| title_short | The relationship between stigma and psychological distress among people with diabetes: a meta-analysis |
| title_sort | relationship between stigma and psychological distress among people with diabetes a meta analysis |
| topic | Diabetes mellitus Stigma Psychological distress Meta-analysis Review |
| url | https://doi.org/10.1186/s40359-023-01292-2 |
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