The relationship between family support and the level of distress in type 2 diabetes mellitus patients

DOI: https://doi.org/10.56922/mhc.v4i5.2115

Authors

  • Yuli Susanti Universitas Muhammadiyah Karanganyar

Diabetes Distress Family Support Type 2 Diabetes Mellitus

Abstract

Background: Diabetes mellitus is a chronic disease with an increasing number of sufferers each year. Diabetes without comprehensive treatment not only affects physical health but also affects the mental health of sufferers, including diabetes distress. Diabetes distress can affect the quality of life of sufferers if not treated properly. Education on self-care management and social support, especially from family, can improve patients' clinical outcomes, psychosocial well-being, and decision-making abilities. The role of family support as a support system and collaborator in healthcare contributes to increased self-efficacy in self-care and can reduce distress levels for diabetes patients.

Purpose: To determine the relationship between family support and distress levels in patients with type 2 diabetes mellitus.

Method: This study was conducted in July 2025 using descriptive quantitative research. The respondents in this study consisted of 30 type 2 diabetes mellitus patients who visited the Lesteri Mulyo 3 Health Center in Dukuh Joholor Triyagan Mojolaban Sukoharjo, Central Java. The technique used in this study was accidental sampling, and the instruments used were a demographic data questionnaire, a diabetes distress scale questionnaire, and a Hensarling Diabetes Family Support Scale (HDFSS) questionnaire. Data analysis in this study used the Chi-Square test.

Results: Most respondents received good family support. Based on the results of the family support relationship analysis test, a p-value of 0.01 was obtained. A significance value of less than 0.05 means that the research hypothesis states that there is a significant relationship between family support and the level of distress in diabetes patients.

Conclusion: Family support significantly affects the level of distress in patients with type 2 diabetes mellitus.

Keywords: Diabetes Distress; Family Support; Type 2 Diabetes Mellitus.

Downloads

Download data is not yet available.

References

Ajele, K. W., & Idemudia, E. S. (2025). The role of depression and diabetes distress in glycemic control: A meta-analysis. Diabetes Research and Clinical Practice, 112014.

Amani, N., Nazari, A. M., Sanaie, N., Abbasi, A., & Borhani, F. (2025). Effects of family-centered empowerment program on illness acceptance and self-management of patients with type 2 diabetes: a randomized controlled trial. Scientific Reports, 15(1), 21615.

Bhaskara, G., Budhiarta, A. A. G., Gotera, W., Saraswati, M. R., Dwipayana, I. M. P., Semadi, I. M. S., & Suastika, K. (2022). Factors associated with diabetes-related distress in type 2 diabetes mellitus patients. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2077-2085.

Bolton, D. (2023). A revitalized biopsychosocial model: core theory, research paradigms, and clinical implications. Psychological medicine, 53(16), 7504-7511.

Farm, B. A. S., Perwitasari, D. A., Thobari, J. A., Cao, Q., Krabbe, P. F., & Postma, M. J. (2017). Translation, revision, and validation of the diabetes distress scale for Indonesian type 2 diabetic outpatients with various types of complications. Value in health regional issues, 12, 63-73.

Leukel, P. J., Kollin, S. R., Lewis, B. R., & Lee, A. A. (2022). The influence of emotion regulation and family involvement on diabetes distress among adults with type 2 diabetes. Journal of Behavioral Medicine, 45(6), 904-913.

Lu, X., Yang, H., Ying, X., & Lin, S. (2025). Enhancing outcomes in type 2 diabetes: the role of psychological interventions within multidisciplinary rehabilitation care. BMC nursing, 24(1), 1221.

Nugraha, M. D., Ramdhani, Y. N., & Utami, M. (2023). Hubungan dukungan keluarga dengan tingkat distres pada lansia penderita diabetes melitus tipe 2 di wilayah kerja Puskesmas Kuningan Tahun 2023. Journal of Nursing Practice and Education, 4(1), 177-184.

Pamungkas, R. A., Chamroonsawasdi, K., & Vatanasomboon, P. (2017). A systematic review: family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behavioral sciences, 7(3), 62.

Parviniannasab, A. M., Faramarzian, Z., Hosseini, S. A., Hamidizadeh, S., & Bijani, M. (2024). The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: a moderated mediation analysis. BMC public health, 24(1), 477.

Perrin, N., Bodicoat, D. H., Davies, M. J., Robertson, N., Snoek, F. J., & Khunti, K. (2019). Effectiveness of psychoeducational interventions for the treatment of diabetes-specific emotional distress and glycaemic control in people with type 2 diabetes: a systematic review and meta-analysis. Primary care diabetes, 13(6), 556-567.

Rahmi, H., Malini, H., & Huriani, E. (2019). Peran dukungan keluarga dalam menurunkan diabetes distress pada pasien diabetes mellitus tipe II. Jurnal Kesehatan Andalas, 8(4).

Schmidt, C. B., van Loon, B. P., Vergouwen, A. C. M., Snoek, F. J., & Honig, A. (2018). Systematic review and meta‐analysis of psychological interventions in people with diabetes and elevated diabetes‐distress. Diabetic Medicine, 35(9), 1157-1172.

Shimu, S. J., Akter, S., Rahman, M. M., Arbee, S., Mohiuddin, M. S., Sazzad, S., & Uddin, M. B. (2025). Integrating Mental Health into Diabetes Care: Closing the Treatment Gap for Better Outcomes—A Systematic Review. Medical Sciences, 13(4), 259.

Sinabutar, N. A., Suri, O. I., & Ariada, K. E. (2022). Hubungan Diabetes Melitus Tipe 2 Dengan Penurunan Fungsi Kognitif Pada Lansia Di Puskesmas Rawa Buntu Tangerang Selatan Tahun 2021. Jurnal Kesehatan STIKes IMC Bintaro, 5(2), 87-98.

Sinha, R., Priya, A., Sinha, A., & Hifz Ur Rahman, M. (2024). Prevalence of diabetes distress among type 2 diabetes mellitus patients in India: a systematic review and meta-analysis. Health Psychology and Behavioral Medicine, 12(1), 2324091.

Sundari, S., Suhartini, I., Solikin, S., & Fitrikasari, A. (2024). The effect of family-centered care on glycemic control in patients with type 2 diabetes. J Info Kesehatan, 22(4), 756-68.

Wei, Y., Zhang, J., Tai, X., Weng, S., Wang, Y., & Zhu, G. (2025). Diabetes Distress and Self-Efficacy Mediate the Relationship Between Family Function and Coping in Young and Middle-Aged Patients with Type 2 Diabetes Mellitus. Diabetes, Metabolic Syndrome and Obesity, 3283-3295.

Yusra, A. (2021). Hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus tipe 2 di poliklinik penyakit dalam rumah sakit umum pusat fatmawati jakarta. Universitas Indonesia, 1.

Zu, W., Zhang, S., Du, L., Huang, X., Nie, W., & Wang, L. (2024). The effectiveness of psychological interventions on diabetes distress and glycemic level in adults with type 2 diabetes: a systematic review and meta-analysis. BMC psychiatry, 24(1), 660.

Downloads

Published

2026-01-20