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Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 9 Sayı: 2

Anxiety, Depression, and Associated Psychosocial Factors in Individuals with Type 2 Diabetes Attending Family Health Centers

Aile Sağlığı Merkezlerine Başvuran Tip 2 Diyabeti Olan Bireylerde Anksiyete, Depresyon ve İlişkili Psikososyal Faktörler

Çiğdem Samancı Tekin(NİĞDE ÖMER HALİSDEMİR ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI)0000-0003-0895-1911
Yasemin Uğurlu(Niğde Ömer Halisdemir Üniversitesi Zübeyde Hanım Sağlık Bilimleri Fakültesi)0000-0002-0478-9091
Aysun Güzel(BURDUR MEHMET AKİF ERSOY ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-7071-3511
Pages
212–223
Publication Date
2025-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Moreover, the multifaceted factors and psychological aspects of diabetes should be considered in the planning of diabetes-oriented services.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The present study aims to explore the multidimensional factors of diabetes, as well as the anxiety and depression levels, in individuals with Type 2 diabetes attending family health center.
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Key Findings & Data:Material and Methods: This cross-sectional study included 180 patients with Type 2 diabetes registered in three randomly selected family health centers.
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Conclusion & Impact:Moreover, the multifaceted factors and psychological aspects of diabetes should be considered in the planning of diabetes-oriented services.
🔬Design:Survey & Empirical Study
📍Scope:2023 Verileri
⚙️Variables:Diabetes mellitus · Tip 2 · Anksiyete

Abstract

Aim: The present study aims to explore the multidimensional factors of diabetes, as well as the anxiety and depression levels, in individuals with Type 2 diabetes attending family health center. Material and Methods: This cross-sectional study included 180 patients with Type 2 diabetes registered in three randomly selected family health centers. We collected data using the Multidimensional Diabetes Questionnaire (MDQ) and the Hospital Anxiety and Depression Scale (HADS) between June and November, 2023. The data were then subjected to the Mann-Whitney U test, the Kruskal- Wallis test, and multiple linear regression analysis. Results: The disease duration was 1-5 years for 63.3% of participants, and 75.6% reported self-monitoring their blood glucose levels. While 11.1% of participants exhibited symptoms of anxiety, 74.4% had depressive symptoms. Our analysis showed the factors associated with anxiety symptoms to be perceived interference and misguided support behaviors. Moreover, perceived interference, perceived severity, and outcome expectancies significantly contributed to the manifestation of depressive symptoms (p<0.05). Conclusion: To attain more effective diabetes management, it seems key to reinforcing family health centers and securing comprehensive diabetes-specific services and training in family health centers. Moreover, the multifaceted factors and psychological aspects of diabetes should be considered in the planning of diabetes-oriented services.

Özet

Amaç: Bu çalışma, aile sağlığı merkezlerine başvuran Tip 2 diyabetli bireylerde diyabetin çok boyutlu faktörlerini ve anksiyete ile depresyon düzeylerini incelemeyi amaçlamaktadır. Gereç ve Yöntemler: Kesitsel tipteki bu araştırmaya, rastgele seçilen üç aile sağlığı merkezine kayıtlı 180 Tip 2 diyabet hastası dâhil edilmiştir. Veriler, Haziran-Kasım 2023 tarihleri arasında Çok Boyutlu Diyabet Ölçeği (MDQ) ve Hastane Anksiyete ve Depresyon Ölçeği (HADS) kullanılarak toplanmıştır. Elde edilen veriler Mann-Whitney U testi, Kruskal-Wallis testi ve çoklu doğrusal regresyon analizi ile değerlendirilmiştir. Bulgular: Katılımcıların %63,3’ünde hastalık süresi 1-5 yıl arasında olup %75,6’sı kan şekeri düzeylerini kendi kendine izlediğini belirtmiştir. Katılımcıların %11,1’inde anksiyete semptomları, %74,4’ünde ise depresif semptomlar saptanmıştır. Analizler sonucunda, anksiyete semptomları ile ilişkili faktörlerin algılanan engel ve yanlış yönlendirme davranışları olduğu bulunmuştur. Ayrıca, algılanan engel, algılanan hastalık ciddiyeti ve sonuç beklentilerinin depresif semptomların ortaya çıkmasına anlamlı düzeyde katkıda bulunduğu belirlenmiştir (p<0,05). Sonuç: Daha etkili diyabet yönetimi sağlanabilmesi için aile sağlığı merkezlerinin güçlendirilmesi ve bu merkezlerde kapsamlı diyabete özgü hizmetler ile eğitimlerin güvence altına alınması gereklidir. Ayrıca, diyabete yönelik hizmetlerin planlanmasında hastalığın çok boyutlu faktörleri ve psikolojik yönleri dikkate alınmalıdır.

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Cite This Article

Tekin, Ç. S., Uğurlu, Y., Güzel, A. (2025). Anxiety, Depression, and Associated Psychosocial Factors in Individuals with Type 2 Diabetes Attending Family Health Centers. Türkiye Diyabet ve Obezite Dergisi, Cilt: 9 Sayı: 2, 212–223. https://doi.org/10.25048/tudod.1698454

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