Psychosocial Factors And Anxiety Symptoms Associated With Sleep Disturbances In Adults With Type 2 Diabetes

Abstract

Goal: Adults with type 2 diabetes mellitus (T2DM) frequently experience sleep disturbances, although related psychosocial aspects may differ depending on the presence of anxiety symptoms. We looked at the frequency of sleep disturbances and related variables in persons with type 2 diabetes. Patients and Procedures: 1200 people with clinician-confirmed type 2 diabetes were recruited from the endocrinology departments of eight tertiary institutions for this multicenter cross-sectional study. Sleep disturbance was defined as an Athens Insomnia Scale score of at least six, and anxiety symptoms as a Generalized Anxiety Disorder-7 score of at least five.

Conclusion: Participants with anxiety symptoms were more likely to experience sleep disturbances. Several exploratory patterns of related components were found using anxiety-stratified analyzes. Although these cross-sectional results do not demonstrate causative linkages, validated clinical subtypes, or therapy recommendations, they may enable more focused sleep and psychosocial examination.