Prevalence of Stress, Anxiety and Depression and Their Associations with Spiritual Well-being in Patients with Diabetes

Patients with diabetes may have many mental and psychological problems. These problems may lead them to spirituality. The aim of this study was to determine the prevalence of stress, anxiety, and depression in patients with diabetes and their associations with spiritual health.
This cross-sectional study was performed on 200 adults with diabetes. Convenience sampling was used. Data were collected by stress, anxiety and depression scales (DASS-21) and spiritual well-being scale. The results were analyzed using SPSS software and ANOVA and linear regression tests.
The prevalence of stress was 44.1% (15.5% mild, 20.2% moderate, 8.3 severe, and 1% extremely severe). Anxiety comprised 62.8% (24.5% mild, 22.9% moderate, 12.2 severe, and 3.2% extremely severe). Moreover, the prevalence of depression was 31.3 (12.8% mild, 18.4% moderate, and 6.1 severe). The mean score of spiritual well-being was 92.28 (SD=12.53). There was an association between spiritual well-being and anxiety (F=5.64, P The results of this study showed that more than one third of patients with diabetes suffered from stress and depression. More than half of the participants experienced anxiety. There was an association between spiritual well-being and anxiety and depression. Therefore, screening patients with diabetes in order to identify their mental and psychological problems and provide spiritual health interventions in order to reduce the probability of these problems is suggested.