RT Journal Article T1 Anxiety, Distress and Stress among Patients with Diabetes during COVID-19 Pandemic: A Systematic Review and Meta-Analysis. A1 Garcia-Lara, Ruben A A1 Gomez-Urquiza, Jose L A1 Membrive-Jimenez, Maria Jose A1 Velando-Soriano, Almudena A1 Granados-Bolivar, Monserrat E A1 Romero-Bejar, Jose L A1 Suleiman-Martos, Nora K1 COVID-19 K1 anxiety K1 diabetes K1 distress K1 meta-analysis K1 stress K1 Área de Gestión Sanitaria Sur de Granada AB The prevalence of mental health disorders has increased during the COVID-19 pandemic. Patients with chronic diseases, such as diabetes, are a particularly vulnerable risk group. This study aims to assess the levels and prevalence of anxiety, distress, and stress in patients with diabetes during the COVID-19 pandemic. A systematic review was conducted in CINAHL, Cochrane, LILACS, Medline, SciELO, and Scopus in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Thirty-seven articles with a total of 13,932 diabetic patients were included. Five meta-analyses were performed. The prevalence of anxiety was 23% (95% CI = 19-28) in T1DM and 20% (95% CI = 6-40) in T2DM patients. For diabetes distress it was 41% (95% CI = 24-60) for T1DM and 36% in T2DM patients (95% CI = 2-84). For stress, the prevalence was 79% (95% CI = 49-98) in T1DM patients. People with diabetes have significant psychiatric comorbidity as well as psychological factors that negatively affect disease management, increasing their vulnerability in an emergency situation. To establish comprehensive care in diabetic patients addressing mental health is essential, as well as including specific policy interventions to reduce the potential psychological harm of the COVID-19 pandemic. PB MDPI AG SN 2075-4426 YR 2022 FD 2022-08-29 LK http://hdl.handle.net/10668/21386 UL http://hdl.handle.net/10668/21386 LA en NO García-Lara RA, Gómez-Urquiza JL, Membrive-Jiménez MJ, Velando-Soriano A, Granados-Bolivar ME, Romero-Béjar JL, et al. Distress and Stress among Patients with Diabetes during COVID-19 Pandemic: A Systematic Review and Meta-Analysis. J Pers Med. 2022 Aug 30;12(9):1412. DS RISalud RD Apr 19, 2025