Journal of
Diabetes Nursing
Volume 14, Issue 1 (1-2026)
J Diabetes Nurs 2026, 14(1): 159-169 |
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Khalili Dehkalbali H, Khalili J, Jouzi M. Diabetes Burnout and Its Impact on Mental Health in Individuals with Type I Diabetes: A Systematic Review. , J Diabetes Nurs. 2026; 14 (1) :159-169
URL: http://jdn.zbmu.ac.ir/article-1-717-en.html
URL: http://jdn.zbmu.ac.ir/article-1-717-en.html
Department of Nursing, Nursing and Midwifery Sciences Development Research Center, Na.C., Islamic Azad University, Najafabad, Iran , minajouzi@gmail.com
Abstract: (655 Views)
Introduction: Type I diabetes requires lifelong self-management, and the ongoing burden of disease management may contribute to diabetes burnout and impaired mental health. This study aimed to systematically review the available evidence on diabetes burnout and its associated psychological consequences in individuals with type I diabetes.
Methods: This systematic review was conducted in accordance with the PRISMA guidelines. Literature searches were performed in Persian databases (SID, Magiran, Noormags, and Civilica) and international databases (PubMed, Scopus, Web of Science, ScienceDirect, SpringerLink, and Google Scholar). Persian keywords included "diabetes burnout," "diabetes distress," "type 1 diabetes," "mental health," "anxiety," "depression," and "self-care," along with their English equivalents. A total of 482 records (95 Persian and 387 English) were identified. After removing 87 duplicates and completing title and abstract screening and full-text eligibility assessment, 30 studies (20 English-language and 10 Persian-language studies) were included in the final review.
Results: diabetes burnout was associated with increased symptoms of depression and anxiety in 70% of the included studies and with reduced treatment adherence and suboptimal glycemic control in 63.3%. Children, adolescents, and young adults were identified as particularly vulnerable groups in 40% of the included studies.Self-compassion and social support were reported as protective factors in 50% of the studies. Mindfulness-based interventions and digital health tools were also associated with improvements in mental health indicators in 46.7% of the studies.
Conclusion: Diabetes burnout is an underrecognized challenge in type I diabetes management that may adversely affect self-management and quality of life. Integrating psychological screening into routine clinical care and implementing multidisciplinary interventions tailored to individuals' psychological needs may help address this challenge.
Methods: This systematic review was conducted in accordance with the PRISMA guidelines. Literature searches were performed in Persian databases (SID, Magiran, Noormags, and Civilica) and international databases (PubMed, Scopus, Web of Science, ScienceDirect, SpringerLink, and Google Scholar). Persian keywords included "diabetes burnout," "diabetes distress," "type 1 diabetes," "mental health," "anxiety," "depression," and "self-care," along with their English equivalents. A total of 482 records (95 Persian and 387 English) were identified. After removing 87 duplicates and completing title and abstract screening and full-text eligibility assessment, 30 studies (20 English-language and 10 Persian-language studies) were included in the final review.
Results: diabetes burnout was associated with increased symptoms of depression and anxiety in 70% of the included studies and with reduced treatment adherence and suboptimal glycemic control in 63.3%. Children, adolescents, and young adults were identified as particularly vulnerable groups in 40% of the included studies.Self-compassion and social support were reported as protective factors in 50% of the studies. Mindfulness-based interventions and digital health tools were also associated with improvements in mental health indicators in 46.7% of the studies.
Conclusion: Diabetes burnout is an underrecognized challenge in type I diabetes management that may adversely affect self-management and quality of life. Integrating psychological screening into routine clinical care and implementing multidisciplinary interventions tailored to individuals' psychological needs may help address this challenge.
Type of Study: Review of Article |
Subject:
Diabetic nursing in Home
Received: 2026/08/15 | Accepted: 2026/10/5 | Published: 2026/10/5
Received: 2026/08/15 | Accepted: 2026/10/5 | Published: 2026/10/5
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