This review and meta-analysis aimed to summarize the extent of the psychosocial burden among persons with diabetes (PWD) in Africa. A total of 83 relevant articles published between 2000 and 2024 which reported on the psychosocial burden of diabetes (depression, anxiety, diabetes distress, or mental quality of life) were identified through electronic searches in Medline, PsycINFO, PubMed, CINAHL, and African Journals Online. The pooled prevalence of depressive symptoms, anxiety symptoms, moderate-to-high diabetes distress, and low mental quality of life were 43.3% (95% CI: 37.7–49.1, n = 34 studies), 38.8% (95% CI: 27.4–51.5, n = 12 studies), 48.8% (95% CI: 34.2–63.6, n = 8 studies), and 43.9% (95% CI: 35.6–52.6, n = 8 studies) respectively. These findings emphasize the substantial psychosocial burden faced by PWD in Africa and the need for integrating mental health into diabetes care in the region.
AbateTWGedamuH (2020) Psychosocial and clinical factors associated with depression among individuals with diabetes in Bahir dar City administrative, northwest Ethiopia. Annals of General Psychiatry19(1): 18.
2.
Abd ElaatyTAIsmailAASheshtawyHA, et al. (2019) Assessment of comorbid mild cognitive impairment and depression in patients with type 2 diabetes mellitus. Diabetes & Metabolic Syndrome: Clinical Research & Reviews13(3): 1759–1764.
3.
AbdelgadirMShebeikaWEltomM, et al. (2009) Health related quality of life and sense of coherence in Sudanese diabetic subjects with lower limb amputation. The Tohoku Journal of Experimental Medicine217(1): 45–50.
4.
Abd-ElgawadMAbdelsattarNKGenedyGT, et al. (2023) Prevalence of depression and anxiety among diabetic patients in Egypt: A cross-sectional study. Medicine102(46): e35988.
5.
Abd El KaderAIIbrahimMEMohamedHS, et al. (2023) Diabetes distress and self-care activities among patients with diabetes type II: A correlation study. Sage Open Nursing9: 23779608231189944.
6.
AbdElmageedRMMohammed HusseinSM (2022) Risk of depression and suicide in diabetic patients. Cureus14(1): e20860.
7.
AbualhamaelSABaigMAlghamdiW, et al. (2023) Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in western region Saudi Arabia. Frontiers in Psychiatry14: 1282249.
8.
AdugnewMFeteneDAssefaT, et al. (2024) Diabetes-related distress and its associated factors among people with type 2 diabetes in Southeast Ethiopia: A cross-sectional study. BMJ Open14(1): e077693.
9.
AgbirTMAuduMDAdebowaleTO, et al. (2010) Depression among medical outpatients with diabetes: A cross-sectional study at Jos University Teaching Hospital, Jos, Nigeria. Annals of African Medicine9(1): 5–10.
10.
AkenaDKadamaPAshabaS, et al. (2015) The association between depression, quality of life, and the health care expenditure of patients with diabetes mellitus in Uganda. Journal of Affective Disorders174: 7–12.
11.
AkpaluJYorkeEAinuson-QuampahJ, et al. (2018) Depression and glycaemic control among type 2 diabetes patients: A cross-sectional study in a tertiary healthcare facility in Ghana. BMC Psychiatry18(1): 1–7.
12.
AlaofèHAmoussa HounkpatinWDjroloF, et al. (2022) Factors associated with quality of life in patients with type 2 diabetes of South benin: A cross-sectional study. International Journal of Environmental Research and Public Health19(4): 2360.
13.
AliSYSeidAMHassenK, et al. (2023) Depression and glycaemic control among adult patients with type 2 diabetes: A cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia. BMJ Open13(11): e073123.
14.
AndrianoLBehrmanJMondenC (2021) Husbands’ dominance in decision-making about women’s health: A spatial diffusion perspective in Sub-Saharan Africa. Demography58(5): 1955–1975.
15.
AschalewAYYitayalMMinyihunA (2020) Health-related quality of life and associated factors among patients with diabetes mellitus at the University of Gondar referral hospital. Health and quality of life outcomes18: 1–8.
16.
AschnerPGagliardinoJJIlkovaH, et al. (2021) High prevalence of depressive symptoms in patients with type 1 and type 2 diabetes in developing countries: Results from the International Diabetes Management Practices Study. Diabetes Care44(5): 1100–1107.
17.
AzuhDFayomiOAjayiL, et al. (2015) Socio-cultural factors of gender roles in women’s healthcare utilization in Southwest Nigeria. Open Journal of Social Sciences3(4): 105–117.
18.
BhatNAMuliyalaKPChaturvediSK (2020) Psychological Aspects of Diabetes. EMJ Diabetes8(1): 90–98.
19.
BirhanuHZenuSShelemeT, et al. (2022) Magnitude of depression and its associated factors among patients with diabetes mellitus at public hospitals in southwest Ethiopia, 2021. Scientific Reports12(1): 22134.
20.
BolarinwaOAAmeenHASanyaEO, et al. (2016) Pattern and predictive factors of health-related quality of life of patients with hypertension, diabetes and concomitant hypertension with diabetes in Ilorin, Nigeria. Nigerian Postgraduate Medical Journal23(4): 182–190.
21.
CamaraABaldéNMEnoruS, et al. (2015) Prevalence of anxiety and depression among diabetic African patients in Guinea: Association with HbA1c levels. Diabetes & Metabolism41(1): 62–68.
22.
ChoperaPMbamboSGMatsungoTM (2021) Relationships of depression and anxiety to readmission rates among patients with diabetes from Harare and Parirenyatwa referral hospitals in Zimbabwe. African Health Sciences21(3): 1291–1300.
23.
DayaRBayatZRaalFJ (2016) Effects of diabetes mellitus on health-related quality of life at a tertiary hospital in South Africa: A cross-sectional study. South African Medical Journal106(9): 918–928.
24.
DeguHWondimagegnehuAYifruYM, et al. (2019) Is health related quality of life influenced by diabetic neuropathic pain among type II diabetes mellitus patients in Ethiopia?PloS one14(2): e0211449.
25.
DiribaDCLeungDYSuenLK (2021) Cultural adaptation and psychometric properties of the diabetes quality of life scale in Afaan Oromoo among people living with type 2 diabetes in Ethiopia. International Journal of Environmental Research and Public Health18(14): 7435.
26.
DiribaDCLeungDYSuenLK (2023) Factors predicted quality of life of people with type 2 diabetes in western Ethiopia. Plos one18(2): e0281716.
27.
EdahJOGoarSGOdohG (2020) Undiagnosed depression among adults with diabetes mellitus in Jos. Nigerian Journal of Clinical Practice23(10): 1431–1436.
28.
EdmealemAOlisCS (2020) Factors associated with anxiety and depression among diabetes, hypertension, and heart failure patients at Dessie Referral Hospital, Northeast Ethiopia. Behavioural neurology2020(1): 3609873.
29.
EllouzeFDamakREl KarouiM, et al. (2017) Depression in tunisian type 2 diabetic patients: Prevalence and association to glycemic control and to treatment compliance Dépression chez les patients tunisiens diabétiques type 2: Prévalence et association au contrôle glycémique et à la compliance thérapeutique. La Tunisie medicale95(3): 210–214.
30.
EnangOOmoronyiaOAsibongU, et al. (2021) A case-control study of pattern and determinants of quality of life of patients with diabetes in a developing country. Journal of the Egyptian Public Health Association96: 1–11.
31.
EngidawNAWubetuADBashaEA (2020) Prevalence of depression and its associated factors among patients with diabetes mellitus at Tirunesh-Beijing general hospital, Addis Ababa, Ethiopia. BMC Public Health20(1): 266.
32.
ErkieMFelekeYDesalegneF, et al. (2013) Magnitude, clinical and sociodemographic correlate of depression in diabetic patients, Addis Ababa, Ethiopia. Ethiopian Medical Journal51(4): 249–259.
33.
FeyisaBRYilmaMTTolessaBE (2020) Predictors of health-related quality of life among patients with diabetes on follow-up at Nekemte specialised Hospital, Western Ethiopia: A cross-sectional study. BMJ Open10(7): e036106.
34.
FisherLGuzmanSPolonskyW, et al. (2024) Bringing the assessment and treatment of diabetes distress into the real world of clinical care: Time for a shift in perspective. Diabetic Medicine41: e15446.
35.
Frans ThobaneKMavis MulaudziFRobert LavhelaniN, et al. (2024) Enablers and barriers for task sharing of mental health care from nurses to community health workers: A scoping review. International Journal of Africa Nursing Sciences20: 100761.
36.
GebreBBAnandSAssefaZM (2020) Depression and its predictors among diabetes mellitus patients attending treatment in Hawassa University Comprehensive Specialized Hospital, southern Ethiopia. Journal of Diabetes Research2020: 1–9.
37.
GebremariamGTBiratuSAlemayehuM, et al. (2022) Health-related quality of life of patients with type 2 diabetes mellitus at a tertiary care hospital in Ethiopia. PloS One17(2): e0264199.
38.
GebremedhinTWorkichoAAngawDA (2019) Health-related quality of life and its associated factors among adult patients with type II diabetes attending Mizan Tepi University Teaching Hospital, Southwest Ethiopia. BMJ Open Diabetes Research & Care7(1): e000577.
39.
GodmanBBasuDPillayY, et al. (2020) Review of ongoing activities and challenges to improve the care of patients with type 2 diabetes across Africa and the implications for the future. Frontiers in Pharmacology11: 108.
40.
HabibMAdegnikaAAHonkpehedjiJ, et al. (2021) The challenges for women’s health in sub-Saharan Africa: Lessons learned from an integrative multistakeholder workshop in Gabon. Journal of Global Health11: 02002.
41.
HabibuRAUlokoAEGezawaID, et al. (2022) Health-related quality of life of persons with diabetic foot ulcers in a cosmopolitan city in northwestern Nigeria. Annals of African Medicine21(3): 250–254.
42.
HabtewoldTDAlemuSMHaileYG (2016) Sociodemographic, clinical, and psychosocial factors associated with depression among type 2 diabetic outpatients in Black Lion General Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study. BMC Psychiatry16(1): 103–107.
43.
HallCEHallABKokG, et al. (2016) A needs assessment of people living with diabetes and diabetic retinopathy. BMC Research Notes9: 1–14.
44.
HallKKTambekouJPennL, et al. (2017) Association between depression, glycaemic control and the prevalence of diabetic retinopathy in a diabetic population in Cameroon. South African Journal of Psychiatry23(1): 1–7 DOI: 10.4102/SAJPSYCHIATRY.V23I0.983.
45.
HapundaGAbubakarAPouwerF, et al. (2017) Depressive symptoms are negatively associated with glucose testing and eating meals on time among individuals with diabetes in Zambia. Diabetes & Metabolism Journal41(6): 440–448.
46.
HongQNPluyePFàbreguesS, et al. (2019) Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study. Journal of Clinical Epidemiology111: 49–59.e1.
47.
IgweMNUwakweRAhanotuCA, et al. (2013) Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital. African Health Sciences13(1): 68–77.
48.
International Diabetes Federation [IDF] (2021) IDF Diabetes Atlas, 10th edn. International Diabetes Federation [IDF].
49.
IturraldeEChiFWGrantRW, et al. (2019) Association of anxiety with high-cost health care use among individuals with type 2 diabetes. Diabetes Care42(9): 1669–1674.
50.
JacksonILIsahAArikpoAO (2023) Assessing health-related quality of life of people with diabetes in Nigeria using the EQ-5D-5L: A cross-sectional study. Scientific Reports13(1): 22536–22537.
51.
JacksonILOnungSIOiwohEP (2021) Self-care activities, glycaemic control and health-related quality of life of patients with type 2 diabetes in a tertiary hospital in Nigeria. Diabetes & Metabolic Syndrome15(1): 137–143.
52.
Jansen van VuurenJMPillayS (2019) Major depressive disorder in patients with diabetes mellitus in Pietermaritzburg, South Africa. SAMJ: South African Medical Journal109(1): 58–61.
53.
JarsoMHLikasaDD (2020) Prevalence and associated factors of depression among diabetic outpatients in Ethiopia. Primary Care Companion For CNS Disorders22(2): e1–e6.
54.
KalweitKLBriersN (2015) The success of various management techniques used in South African children with type 1 diabetes mellitus. South African Medical Journal105(5): 400–404.
55.
KarphaKBiswasJNathS, et al. (2022) Factors affecting depression and anxiety in diabetic patients: A cross sectional study from a tertiary care hospital in Eastern India. Annals of Medicine and Surgery84: 104945.
56.
KhanZDLutaleJMoledinaSM (2019) Prevalence of depression and associated factors among diabetic patients in an outpatient diabetes clinic. Psychiatry Journal2019: 1–6.
57.
KhaterDOmarM (2017) Frequency and risk factors of depression in type 1 diabetes in a developing country. Journal of Pediatric Endocrinology and Metabolism30(9): 917–922.
58.
KhemakhemRDridiYHamzaM, et al. (2020) Living with type 1 diabetes mellitus: How does the condition affect children’s and adolescents’ quality of life?Archives de Pédiatrie27(1): 24–28.
59.
KintzoglanakisKGkousiouAVontaP, et al. (2022) Depression, anxiety, and diabetes-related distress in type 2 diabetes in primary care in Greece: Different roles for glycemic control and self-care. Sage Open Medicine10: 20503121221096605.
60.
KolarićVSvirčevićVBijukR, et al. (2022) Chronic complications of diabetes and quality of life. Acta Clinica Croatica61(3): 520–527.
61.
KolawoleBAAbodundeOIkemRT, et al. (2004) A test of the reliability and validity of a diabetes specific quality of life scale in a Nigerian hospital. Quality of Life Research13: 1287–1295.
62.
KolawoleBAMosakuSKIkemRT (2009) A comparison of two measures of quality of life of Nigerian clinic patients with type 2 diabetes mellitus. African Health Sciences9(3): 161–166.
63.
KretchyIAKoduahAOhene-AgyeiT, et al. (2020) The association between diabetes-related distress and medication adherence in adult patients with type 2 diabetes mellitus: A cross-sectional study. Journal of Diabetes Research2020(1): 4760624.
64.
KunissNKramerGMüllerUA, et al. (2021) Diabetes related distress is high in inpatients with diabetes. Diabetology & Metabolic Syndrome13(1): 40–48.
65.
LinEHVon KorffM and WHO WMH survey consortium (2008) Mental disorders among persons with diabetes—results from the World Mental Health Surveys. Journal of Psychosomatic Research65(6): 571–580.
66.
LloydCENouwenASartoriusN, et al. (2018) Prevalence and correlates of depressive disorders in people with Type 2 diabetes: Results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) study, a collaborative study carried out in 14 countries. Diabetic Medicine35(6): 760–769.
67.
LygidakisCUwizihiweJPBiaM, et al. (2021a) Cultural adaptation and psychometric evaluation of the Kinyarwanda version of the problem areas in diabetes (PAID) questionnaire. Health and Quality of Life Outcomes19: 1–12.
68.
LygidakisCUwizihiweJPBiaM, et al. (2021b) Quality of life among adult patients living with diabetes in Rwanda: A cross-sectional study in outpatient clinics. BMJ Open11(2): e043997.
69.
MendenhallEMusauABosireE, et al. (2020) What drives distress? Rethinking the roles of emotion and diagnosis among people with diabetes in Nairobi, Kenya. Anthropology and Medicine27(3): 252–267.
70.
Missambou MandilouSVAtipo-Ibara OllandzoboLCKitemo MpoloFLG, et al. (2021) Psychosocial functioning and health related quality of life in children, adolescents and young adults with type 1 diabetes mellitus in Congo. Pediatric Diabetes22(4): 675–682.
71.
MngomezuluNYangCC (2015) Quality of life and its correlates in diabetic outpatients in Swaziland. International Health7(6): 464–471.
72.
MosakuKKolawoleBMumeC, et al. (2008) Depression, anxiety and quality of life among diabetic patients: A comparative study. Journal of the National Medical Association100(1): 73–78.
73.
MoshaTCERashidiH (2009) Evaluation of self-care practices and emotional distress among people with type 2 diabetes mellitus in dar es Salaam, Tanzania. Ecology of Food and Nutrition48(2): 89–111.
74.
MotalaAAMbanyaJCRamaiyaK, et al. (2022) Type 2 diabetes mellitus in sub-Saharan Africa: Challenges and opportunities. Nature Reviews Endocrinology18(4): 219–229.
75.
MoultonCDPickupJCIsmailK (2015) The link between depression and diabetes: The search for shared mechanisms. Lancet Diabetes & Endocrinology3(6): 461–471.
76.
MuhozaAIgiranezaPHabumugishaE, et al. (2022) Prevalence and associated factors of depression among Type 2 diabetes patients on follow-up at referral hospital in Rwanda. International Journal of Behavioral Sciences16(3): 198–203.
77.
MukeshimanaMChirondaAG (2019) Depression and associated factors among the patients with type 2 diabetes in Rwanda. Ethiopian Journal of Health Sciences29(6): 709–718.
78.
MussaMRIseseloMKTarimoEAM (2023) Depression and its associated factors among patients with diabetes: A cross-sectional survey at Mnazi Mmoja Referral Hospital in Zanzibar, Tanzania. PLoS One18(4): e0284566.
79.
NamisangoEPowellRATaylorS, et al. (2023) Depressive symptoms and palliative care concerns among patients with non-communicable diseases in two Southern African countries. Journal of Pain and Symptom Management65(1): 26–37.
80.
NegashZTadiwosAUrgessaEM, et al. (2023) Insulin injection practice and health related quality of life among individuals with diabetes at Tikur Anbessa Specialized Hospital, Ethiopia: A cross-sectional study. Health and Quality of Life Outcomes21(1): 38.
81.
NicholasAJoshuaOElizabethO (2022) Accessing mental health services in Africa: Current state, efforts, challenges and recommendation. Annals of Medicine and Surgery81: 104421.
82.
NigussieKSertsuAAyanaGM, et al. (2023) Determinants of depression and anxiety among type 2 diabetes patients in governments’ hospitals at Harari regional state, Eastern Ethiopia: A multi-center cross-sectional study. BMC Psychiatry23(1): 13.
83.
NyoniAMChiwaridzoMTadyanemhanduC, et al. (2018) Profiling the mental health of diabetic patients: A cross-sectional survey of Zimbabwean patients. BMC Research Notes11(1): 772–777.
84.
OgunsakinREOlugbaraOOMoyoS, et al. (2021) Meta-analysis of studies on depression prevalence among diabetes mellitus patients in Africa. Heliyon7(5): e07085.
85.
OkaforCNAkosileCONkechiCE, et al. (2023) Effect of educational intervention programme on the health-related quality of life (HRQOL) of individuals with type 2 diabetes mellitus in South-East, Nigeria. BMC Endocrine Disorders23(1): 75.
86.
OleribeOOMomohJUzochukwuBS, et al. (2019) Identifying key challenges facing healthcare systems in Africa and potential solutions. International Journal of General Medicine12: 395–403.
87.
OmarSMMusaIRIdreesMB, et al. (2021) Prevalence of depression and associated factors among patients with type 2 diabetes mellitus in eastern Sudan. BMC Psychiatry21: 1–8.
88.
OnyenekweBMYoungEENwatuCB, et al. (2020) Diabetes distress and associated factors in patients with diabetes mellitus in south east Nigeria. Dubai Diabetes and Endocrinology Journal26(1): 31–37.
89.
OppongSAsanteKOAnumA (2022) Psychological Assessment in West Africa. International Histories of Psychological Assessment, 59–81. https://doi.org/10.1017/9781108755078.005
90.
OyefabiAMOyefabiBOEjembiC, et al. (2023) Mean quality of life of hypertensive and diabetic patients: A comparative study of patients in secondary and tertiary health facilities in Kaduna State, Nigeria. Nigerian Postgraduate Medical Journal30(2): 167–174.
91.
OyewoleOOOdusanOAleAO, et al. (2023) Effect of short-term glycemic control and physical activity on health-related quality of life among type 2 diabetes receiving care in a tertiary health facility in Ogun State, Nigeria: A cross-sectional study. Pan African Medical Journal44(1): 47.
92.
PageMJMcKenzieJEBossuytPM, et al. (2021) The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ (Clinical Research Ed.)134: 178–189.
93.
PolonskyWHFisherLEarlesJ, et al. (2005) Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care28(3): 626–631.
94.
QubekileYParukSParukF (2022) Prevalence of depressive symptoms and quality of life among patients with diabetes mellitus with and without HIV infection: A South African study. South African Journal of Psychiatry28: 1762.
95.
RamkissonSPillayBJSartoriusB (2016a) Anxiety, depression and psychological well-being in a cohort of South African adults with type 2 diabetes mellitus. South African Journal of Psychiatry22(1): 935.
96.
RamkissonSPillayBJSartoriusB (2016b) Diabetes distress and related factors in South African adults with type 2 diabetes. Journal of Endocrinology, Metabolism and Diabetes of South Africa21(2): 35–39.
97.
RebaKBirhaneBWGutemaH (2019) Validity and reliability of the Amharic version of the World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF) in patients with diagnosed type 2 diabetes in Felege Hiwot Referral Hospital, Ethiopia. Journal of Diabetes Research2019(1): 3513159.
98.
Sayed AhmedHAMohamedSFMostafaM, et al. (2022) Psychometric evaluation of the Arabic version of the 5-item Problem Areas in Diabetes (AR-PAID-5) scale. BMC Primary Care23(1): 148.
99.
SendekieAKDagnewEMTeferaBB, et al. (2023) Health-related quality of life and its determinants among patients with diabetes mellitus: A multicentre cross-sectional study in northwest Ethiopia. BMJ Open13(1): e068518.
100.
ShireyKManyaraSMAtwoliL, et al. (2015) Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya. Journal of Clinical & Translational Endocrinology2(2): 51–54.
101.
SharmaKDhunganaGAdhikariS, et al. (2021) Depression and anxiety among patients with type II diabetes mellitus in Chitwan Medical College Teaching Hospital, Nepal. Nursing Research and Practice2021: 1–8.
102.
SimonGEMoiseNMohrDC (2024) Management of depression in adults: A review. Journal of the American Medical Association332(2): 141–152.
103.
StephaniVOpokuDBeranD (2018) Self-management of diabetes in Sub-Saharan Africa: A systematic review. BMC Public Health18(1): 1148.
104.
SuleimanANyanjaNNgugiA, et al. (2021) Prevalence and factors associated with comorbid diabetes and depression among patients attending a private hospital in Nairobi, Kenya. East African Medical Journal98(7): 3926–3935. https://www.ajol.info/index.php/eamj/article/view/213024
105.
TegegneKMDemekeSMLemmaMT, et al. (2023) Prevalence of depression and its associated factors among prisoners in North Wollo Zone, northeastern Ethiopia: A cross-sectional study. Depression Research and Treatment2023: 1–8.
106.
TeshomeHMAyalewGDShiferawFW, et al. (2018) The prevalence of depression among diabetic patients in Ethiopia: A systematic review and meta-analysis, 2018. Depression Research and Treatment2018: 1–8.
107.
TusaBSGeremewBMTeferaMA (2020) Heath related quality of life and associated factors among adults with and without diabetes in Adama city East Shewa, Ethiopia 2019; using generalized structural equation modeling. Health and Quality of Life Outcomes18(1): 83.
108.
UdediMPenceBWStewartRC, et al. (2020) Detection and prevalence of depression among adult type 2 diabetes mellitus patients attending non-communicable diseases clinics in Lilongwe, Malawi. International Journal of Mental Health Systems14: 1–8.
109.
WestawayMSRheederP (2001) The effect of type 2 diabetes mellitus on health-related quality of life (HRQOL). Curationis24(1): 74–78.
110.
WoldeAK (2023) Diabetic distress among diabetic patients in the Amhara Regional State, Ethiopia. Community Health Equity Research & Policy43(2): 171–181.
YousifMAbdelrahmanAAl JameaLH, et al. (2022) Psychosocial impact of sickle cell disease and diabetes mellitus on affected children and their parents in Khartoum State, Sudan. Journal of Tropical Pediatrics68(3): fmac042.
113.
ZeitounMHReheemAAAKharboushIF, et al. (2023) Relationship between depressive and anxiety symptoms and fear of hypoglycemia among adolescents and adults with type 1 diabetes mellitus. Primary Care Diabetes17(3): 255–259.
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