Understanding the Relationship between Environmental Factors and Mental Health Status among Type 2 Diabetes Mellitus Patients: A Scoping Review
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Abstract
Background: Type 2 diabetes mellitus (T2DM) is associated with a wide range of health outcomes, including an increased risk of depression and anxiety and a decline in quality of life. Even though the significance of biopsychological factors in the mental health status of T2DM patients has been discussed in other studies, the role of environmental factors has been lacking. Therefore, this review aimed to identify the relationship between environmental factors and mental health status among T2DM patients.
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews was utilized in this study. Using predetermined keywords, a systematic search was conducted on three electronic databases from 2005 to 2023, namely, Web of Science, Scopus, and PubMed. Articles written in English, and studies focusing on the research question are among the inclusion criteria. Ten articles were extracted that were relevant to the research question.
Results: Poor socioeconomic status, urban areas, the influence of neighborhood, greenness, and air pollution had associations with mental health status among T2DM patients.
Conclusion: The possible implications of these factors for mental health demand further research and policy consideration.
1. Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. (2017). IDF Diabetes At-las: Global Estimates for the Prevalence of Diabetes for 2015 and 2040. Diabetes Res Clin Pract, 128:40–50.
2. International Diabetes Federation Type 2 Diabetes. Available at: https://idf.org/about-diabetes/type-2-diabetes/
3. van Duinkerken E, Moreno AB, Eto FN, et al. (2020). Biopsychosocial Factors Asso-ciated with a Current Depressive Epi-sode in Diabetes: The ELSA-Brasil Study. Diabet Med, 37:1742–1751.
4. Chireh B, Li M, D’Arcy C. (2019). Diabetes Increases the Risk of Depression: A Sys-tematic Review, Meta-Analysis and Es-timates of Population Attributable Frac-tions Based on Prospective Studies. Prev Med Rep, 14: 100822.
5. Huang MC, Lin K Der, Chen HJ, et al. (2018). Validity of a Short Food Fre-quency Questionnaire Assessing Macro-nutrient and Fiber Intakes in Patients of Han Chinese Descent with Type 2 Dia-betes. Int J Environ Res Public Health, 15(6):1142.
6. Feng X, Astell-burt T (2017). Impact of a Type 2 Diabetes Diagnosis on Mental Health, Quality of Life, and Social Con-tacts : A Longitudinal Study. BMJ Open Diabetes Res Care, 5(1):e000198.
7. Jeon EJ. (2018). Diabetes and Depression. Yeungnam Univ J Med, 35:27–35.
8. Holt RIG, De Groot M, Golden SH. (2014). Diabetes and Depression. Curr Diab Rep, 4(6):491.
9. Abbafati C, Abbas KM, Abbasi-Kangevari M, et al. (2020). Global Burden of 369 Diseases and Injuries in 204 Countries and Territories, 1990–2019: A Systematic Analysis for the Global Burden of Dis-ease Study 2019. Lancet, 396(10258):1204-1222.
10. Verma SK, Luo N, Subramaniam M, et al. (2010). Impact of Depression on Health Related Quality of Life in Patients with Diabetes. Ann Acad Med Singap, 39(12):913–917.
11. Farooqi A, Khunti K, Abner S, et al. (2019). Comorbid Depression and Risk of Car-diac Events and Cardiac Mortality in People with Diabetes: A Systematic Re-view and Meta-Analysis. Diabetes Res Clin Pract, 156:107816.
12. Alhunayni NM, Mohamed AE, Hammad SM. (2020). Prevalence of Depression among Type-II Diabetic Patients At-tending the Diabetic Clinic at Arar Na-tional Guard Primary Health Care Cen-ter, Saudi Arabia. Psychiatry J, 2020: 9174818.
13. Vos T, Allen C, Arora M, et al. (2016). Global, Regional, and National Inci-dence, Prevalence, and Years Lived with Disability for 310 Diseases and Injuries, 1990–2015: A Systematic Analysis for the Global Burden of Disease Study 2015. Lancet, 388(10053):1545-1602.
14. Amsah N, Isa Z, Ahmad, N. (2022). Biopsy-chosocial and Nutritional Factors of Depression among Type 2 Diabetes Mellitus Patients : A Systematic Review. Int J Environ Res Public Health, 19(8):4888.
15. James P, Banay RF, Hart JE, et al. (2015). A Review of the Health Benefits of Greenness. Curr Epidemiol Rep, 2(2):131-142.
16. Weimann H, Rylander L, Albin M, et al. (2015). Effects of Changing Exposure to Neighbourhood Greenness on General and Mental Health: A Longitudinal Study. Health Place, 33:48–56.
17. Moola S, Munn Z, Sears K, et al. (2015). Conducting Systematic Reviews of Asso-ciation (Etiology): The Joanna Briggs Institute’s Approach. Int J Evid Based Healthc, 13:163–169.
18. Camara A, Baldé NM, Enoru S, et al. (2015). Prevalence of Anxiety and Depression among Diabetic African Patients in Guinea: Association with HbA1c Levels. Diabetes Metab, 41:62–68.
19. Asefa A, Zewudie A, Henok A, et al. (2020). Depression and Its Associated Factors among Diabetes Mellitus Patients At-tending Selected Hospitals in Southwest Ethiopia: A Cross-Sectional Study. Psy-chiatry J, 2020: 6486030.
20. Lin CH, Lee YY, Liu CC, et al. (2012). Ur-banization and Prevalence of Depres-sion in Diabetes. Public Health, 126:104–111.
21. Akter N, Latif ZA. (2021). Assessment of Depression and Its Associated Factors among Patients with Type 2 Diabetes. Sri Lanka J Diabetes Endocrinol Metab, 11:14.
22. Cho J, Choi YJ, Suh M, et al. (2014). Air Pol-lution as a Risk Factor for Depressive Episode in Patients with Cardiovascular Disease, Diabetes Mellitus, or Asthma. J Affect Disord, 157:45–51.
23. De Groot M, Doyle T, Hockman E, et al. (2007). Depression Among Type 2 Dia-betes Rural Appalachian Clinic At-tendees. Diabetes Care, 30:1602–1604.
24. Osborn CY, Patel KA, Liu J, et al. (2011). Diabetes and Co-Morbid Depression among Racially Diverse, Low-Income Adults. Ann Behav Med, 41:300–309.
25. Ganasegeran K, Renganathan P, Manaf RA, et al. (2014). Factors Associated with Anxiety and Depression among Type 2 Diabetes Outpatients in Malaysia: A De-scriptive Cross-Sectional Single-Centre Study. BMJ Open, 4(4):e004794.
26. Donnell AO, Vries, HF De, Wiebe DJ, et al. (2015). Neighborhood Social Envi-ronment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus. Community Ment Health J, 51(8):978-86.
27. Gariepy G, Kaufman JS, Blair A, et al. (2015). Place and Health in Diabetes : The Neighbourhood Environment and Risk of Depression in Adults with Type 2 Diabetes. Diabet Med, 32(7):944-50.
28. Barnett E, Casper M. (2001). A Definition of "Social Environment". Am J Public Health, 91(3):465.
29. Lund C, Breen A, Flisher AJ, et al. (2010). Poverty and Common Mental Disorders in Low and Middle Income Countries: A Systematic Review. Soc Sci Med, 71(3):517–528.
30. Hsu CC, Lee CH, Wahlqvist ML, et al. (2012). Poverty Increases Type 2 Diabe-tes Incidence and Inequality of Care Despite Universal Health Coverage. Di-abetes Care, 35(11):2286-92.
31. Kuruvilla A, Jacob KS. (2007). Poverty, So-cial Stress & Mental Health. Indian J Med Res, 126(4):273-8.
32. Knifton L, Inglis G. (2020). Poverty and Mental Health: Policy, Practice and Re-search Implications. BJPsych Bull, 44(5):193–196.
33. De Groot M, Anderson R, Freedland KE, et al. (2001). Association of Depression and Diabetes Complications: A Meta-Analysis. Psychosom Med, 63(4):619-30.
34. Mendenhall E, Kohrt BA, Norris SA, et al. (2017). Non-Communicable Disease Syndemics: Poverty, Depression, and Diabetes among Low-Income Popula-tions. Lancet, 389(10072):951-963.
35. Evans GW. (2003). The Built Environment and Mental Health. J Urban Health, 80(4):536–55.
36. Cutrona CE, Wallace G, Wesner KA. (2006). Neighborhood Characteristics and De-pression: An Examination of Stress Pro-cesses. Curr Dir Psychol Sci, 15(4):188-192.
37. Bhugra D, Castaldelli-Maia JM, Torales J, et al. (2019). Megacities, Migration, and Mental Health. Lancet Psychiatry, 6(11):884-885.
38. Ventriglio A, Torales J, Castaldelli-Maia JM, et al. (2021). Urbanization and Emerging Mental Health Issues. CNS Spectr, 26(1):43–50.
39. Wang R, Xue D, Liu Y, et al. (2018). The Re-lationship between Urbanization and Depression in China: The Mediating Role of Neighborhood Social Capital. Int J Equity Health, 17(1):105.
40. Geng C, Shaikh AS, Han W, et al. (2019). Vitamin D and Depression: Mecha-nisms, Determination and Application. Asia Pac J Clin Nutr, 28(4):689–694.
41. Alcock I, White MP, Wheeler BW, et al. (2014). Longitudinal Effects on Mental Health of Moving to Greener and Less Green Urban Areas. Environ Sci Technol, 48(2):1247–1255.
42. Chen J, Chen S, Landry PF. (2015). Urbani-zation and Mental Health in China: Linking the 2010 Population Census with a Cross-Sectional Survey. Int J Environ Res Public Health, 12(8):9012-24.
43. Song H, Lane KJ, Kim H, et al. (2019). As-sociation between Urban Greenness and Depressive Symptoms : Evaluation of Greenness Using Various Indicators. Int J Environ Res Public Health, 16(2):173.
44. Beyer KMM, Kaltenbach A, Szabo A, et al. (2014). Exposure to Neighborhood Green Space and Mental Health : Evi-dence from the Survey of the Health of Wisconsin. Int J Environ Res Public Health, 11(3):3453-72.
45. Barton J, Rogerson M. (2017). The Im-portance of Greenspace for Mental Health. BJPsych Int, 14(4):79-81.
46. Zeng Y, Lin R, Liu L, et al. (2019). Ambient Air Pollution Exposure and Risk of De-pression: A Systematic Review and Meta-Analysis of Observational Studies. Psy-chiatry Res, 276:69–78.
47. Chen C, Liu C, Chen R, et al. (2018). Ambi-ent Air Pollution and Daily Hospital Admissions for Mental Disorders in Shanghai, China. Sci Total Environ, 613-614:324-330.
48. Sun J, Lu C, Xie J. (2022). The Impact of Sustained Exposure to Air Pollutant on the Mental Health: Evidence from Chi-na. Sustainability, 14(11):6693.
49. Wang R, Xue D, Liu Y, et al. (2018). The Re-lationship between Air Pollution and Depression in China: Is Neighbourhood Social Capital Protective? Int J Environ Res Public Health, 15(6):1160.
50. Pun VC, Manjourides J, Suh H. (2017). Asso-ciation of Ambient Air Pollution with Depressive and Anxiety Symptoms in Older Adults: Results from the NSHAP Study. Environ Health Perspect, 125(3):342–348.
51. Block ML, Calderón-Garcidueñas L. (2009). Air Pollution: Mechanisms of Neuroin-flammation and CNS Disease. Trends Neurosci, 32(9):506–516.
52. Ard K, Colen C, Becerra M, et al. (2016). Two Mechanisms: The Role of Social Capital and Industrial Pollution Expo-sure in Explaining Racial Disparities in Self-Rated Health. Int J Environ Res Public Health, 13(10):1025.
53. Tomei F, Rosati MV, Ciarrocca M, et al. (2003). Plasma Cortisol Levels and Workers Exposed to Urban Pollutants. Ind Health, 41(4):320–326.
2. International Diabetes Federation Type 2 Diabetes. Available at: https://idf.org/about-diabetes/type-2-diabetes/
3. van Duinkerken E, Moreno AB, Eto FN, et al. (2020). Biopsychosocial Factors Asso-ciated with a Current Depressive Epi-sode in Diabetes: The ELSA-Brasil Study. Diabet Med, 37:1742–1751.
4. Chireh B, Li M, D’Arcy C. (2019). Diabetes Increases the Risk of Depression: A Sys-tematic Review, Meta-Analysis and Es-timates of Population Attributable Frac-tions Based on Prospective Studies. Prev Med Rep, 14: 100822.
5. Huang MC, Lin K Der, Chen HJ, et al. (2018). Validity of a Short Food Fre-quency Questionnaire Assessing Macro-nutrient and Fiber Intakes in Patients of Han Chinese Descent with Type 2 Dia-betes. Int J Environ Res Public Health, 15(6):1142.
6. Feng X, Astell-burt T (2017). Impact of a Type 2 Diabetes Diagnosis on Mental Health, Quality of Life, and Social Con-tacts : A Longitudinal Study. BMJ Open Diabetes Res Care, 5(1):e000198.
7. Jeon EJ. (2018). Diabetes and Depression. Yeungnam Univ J Med, 35:27–35.
8. Holt RIG, De Groot M, Golden SH. (2014). Diabetes and Depression. Curr Diab Rep, 4(6):491.
9. Abbafati C, Abbas KM, Abbasi-Kangevari M, et al. (2020). Global Burden of 369 Diseases and Injuries in 204 Countries and Territories, 1990–2019: A Systematic Analysis for the Global Burden of Dis-ease Study 2019. Lancet, 396(10258):1204-1222.
10. Verma SK, Luo N, Subramaniam M, et al. (2010). Impact of Depression on Health Related Quality of Life in Patients with Diabetes. Ann Acad Med Singap, 39(12):913–917.
11. Farooqi A, Khunti K, Abner S, et al. (2019). Comorbid Depression and Risk of Car-diac Events and Cardiac Mortality in People with Diabetes: A Systematic Re-view and Meta-Analysis. Diabetes Res Clin Pract, 156:107816.
12. Alhunayni NM, Mohamed AE, Hammad SM. (2020). Prevalence of Depression among Type-II Diabetic Patients At-tending the Diabetic Clinic at Arar Na-tional Guard Primary Health Care Cen-ter, Saudi Arabia. Psychiatry J, 2020: 9174818.
13. Vos T, Allen C, Arora M, et al. (2016). Global, Regional, and National Inci-dence, Prevalence, and Years Lived with Disability for 310 Diseases and Injuries, 1990–2015: A Systematic Analysis for the Global Burden of Disease Study 2015. Lancet, 388(10053):1545-1602.
14. Amsah N, Isa Z, Ahmad, N. (2022). Biopsy-chosocial and Nutritional Factors of Depression among Type 2 Diabetes Mellitus Patients : A Systematic Review. Int J Environ Res Public Health, 19(8):4888.
15. James P, Banay RF, Hart JE, et al. (2015). A Review of the Health Benefits of Greenness. Curr Epidemiol Rep, 2(2):131-142.
16. Weimann H, Rylander L, Albin M, et al. (2015). Effects of Changing Exposure to Neighbourhood Greenness on General and Mental Health: A Longitudinal Study. Health Place, 33:48–56.
17. Moola S, Munn Z, Sears K, et al. (2015). Conducting Systematic Reviews of Asso-ciation (Etiology): The Joanna Briggs Institute’s Approach. Int J Evid Based Healthc, 13:163–169.
18. Camara A, Baldé NM, Enoru S, et al. (2015). Prevalence of Anxiety and Depression among Diabetic African Patients in Guinea: Association with HbA1c Levels. Diabetes Metab, 41:62–68.
19. Asefa A, Zewudie A, Henok A, et al. (2020). Depression and Its Associated Factors among Diabetes Mellitus Patients At-tending Selected Hospitals in Southwest Ethiopia: A Cross-Sectional Study. Psy-chiatry J, 2020: 6486030.
20. Lin CH, Lee YY, Liu CC, et al. (2012). Ur-banization and Prevalence of Depres-sion in Diabetes. Public Health, 126:104–111.
21. Akter N, Latif ZA. (2021). Assessment of Depression and Its Associated Factors among Patients with Type 2 Diabetes. Sri Lanka J Diabetes Endocrinol Metab, 11:14.
22. Cho J, Choi YJ, Suh M, et al. (2014). Air Pol-lution as a Risk Factor for Depressive Episode in Patients with Cardiovascular Disease, Diabetes Mellitus, or Asthma. J Affect Disord, 157:45–51.
23. De Groot M, Doyle T, Hockman E, et al. (2007). Depression Among Type 2 Dia-betes Rural Appalachian Clinic At-tendees. Diabetes Care, 30:1602–1604.
24. Osborn CY, Patel KA, Liu J, et al. (2011). Diabetes and Co-Morbid Depression among Racially Diverse, Low-Income Adults. Ann Behav Med, 41:300–309.
25. Ganasegeran K, Renganathan P, Manaf RA, et al. (2014). Factors Associated with Anxiety and Depression among Type 2 Diabetes Outpatients in Malaysia: A De-scriptive Cross-Sectional Single-Centre Study. BMJ Open, 4(4):e004794.
26. Donnell AO, Vries, HF De, Wiebe DJ, et al. (2015). Neighborhood Social Envi-ronment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus. Community Ment Health J, 51(8):978-86.
27. Gariepy G, Kaufman JS, Blair A, et al. (2015). Place and Health in Diabetes : The Neighbourhood Environment and Risk of Depression in Adults with Type 2 Diabetes. Diabet Med, 32(7):944-50.
28. Barnett E, Casper M. (2001). A Definition of "Social Environment". Am J Public Health, 91(3):465.
29. Lund C, Breen A, Flisher AJ, et al. (2010). Poverty and Common Mental Disorders in Low and Middle Income Countries: A Systematic Review. Soc Sci Med, 71(3):517–528.
30. Hsu CC, Lee CH, Wahlqvist ML, et al. (2012). Poverty Increases Type 2 Diabe-tes Incidence and Inequality of Care Despite Universal Health Coverage. Di-abetes Care, 35(11):2286-92.
31. Kuruvilla A, Jacob KS. (2007). Poverty, So-cial Stress & Mental Health. Indian J Med Res, 126(4):273-8.
32. Knifton L, Inglis G. (2020). Poverty and Mental Health: Policy, Practice and Re-search Implications. BJPsych Bull, 44(5):193–196.
33. De Groot M, Anderson R, Freedland KE, et al. (2001). Association of Depression and Diabetes Complications: A Meta-Analysis. Psychosom Med, 63(4):619-30.
34. Mendenhall E, Kohrt BA, Norris SA, et al. (2017). Non-Communicable Disease Syndemics: Poverty, Depression, and Diabetes among Low-Income Popula-tions. Lancet, 389(10072):951-963.
35. Evans GW. (2003). The Built Environment and Mental Health. J Urban Health, 80(4):536–55.
36. Cutrona CE, Wallace G, Wesner KA. (2006). Neighborhood Characteristics and De-pression: An Examination of Stress Pro-cesses. Curr Dir Psychol Sci, 15(4):188-192.
37. Bhugra D, Castaldelli-Maia JM, Torales J, et al. (2019). Megacities, Migration, and Mental Health. Lancet Psychiatry, 6(11):884-885.
38. Ventriglio A, Torales J, Castaldelli-Maia JM, et al. (2021). Urbanization and Emerging Mental Health Issues. CNS Spectr, 26(1):43–50.
39. Wang R, Xue D, Liu Y, et al. (2018). The Re-lationship between Urbanization and Depression in China: The Mediating Role of Neighborhood Social Capital. Int J Equity Health, 17(1):105.
40. Geng C, Shaikh AS, Han W, et al. (2019). Vitamin D and Depression: Mecha-nisms, Determination and Application. Asia Pac J Clin Nutr, 28(4):689–694.
41. Alcock I, White MP, Wheeler BW, et al. (2014). Longitudinal Effects on Mental Health of Moving to Greener and Less Green Urban Areas. Environ Sci Technol, 48(2):1247–1255.
42. Chen J, Chen S, Landry PF. (2015). Urbani-zation and Mental Health in China: Linking the 2010 Population Census with a Cross-Sectional Survey. Int J Environ Res Public Health, 12(8):9012-24.
43. Song H, Lane KJ, Kim H, et al. (2019). As-sociation between Urban Greenness and Depressive Symptoms : Evaluation of Greenness Using Various Indicators. Int J Environ Res Public Health, 16(2):173.
44. Beyer KMM, Kaltenbach A, Szabo A, et al. (2014). Exposure to Neighborhood Green Space and Mental Health : Evi-dence from the Survey of the Health of Wisconsin. Int J Environ Res Public Health, 11(3):3453-72.
45. Barton J, Rogerson M. (2017). The Im-portance of Greenspace for Mental Health. BJPsych Int, 14(4):79-81.
46. Zeng Y, Lin R, Liu L, et al. (2019). Ambient Air Pollution Exposure and Risk of De-pression: A Systematic Review and Meta-Analysis of Observational Studies. Psy-chiatry Res, 276:69–78.
47. Chen C, Liu C, Chen R, et al. (2018). Ambi-ent Air Pollution and Daily Hospital Admissions for Mental Disorders in Shanghai, China. Sci Total Environ, 613-614:324-330.
48. Sun J, Lu C, Xie J. (2022). The Impact of Sustained Exposure to Air Pollutant on the Mental Health: Evidence from Chi-na. Sustainability, 14(11):6693.
49. Wang R, Xue D, Liu Y, et al. (2018). The Re-lationship between Air Pollution and Depression in China: Is Neighbourhood Social Capital Protective? Int J Environ Res Public Health, 15(6):1160.
50. Pun VC, Manjourides J, Suh H. (2017). Asso-ciation of Ambient Air Pollution with Depressive and Anxiety Symptoms in Older Adults: Results from the NSHAP Study. Environ Health Perspect, 125(3):342–348.
51. Block ML, Calderón-Garcidueñas L. (2009). Air Pollution: Mechanisms of Neuroin-flammation and CNS Disease. Trends Neurosci, 32(9):506–516.
52. Ard K, Colen C, Becerra M, et al. (2016). Two Mechanisms: The Role of Social Capital and Industrial Pollution Expo-sure in Explaining Racial Disparities in Self-Rated Health. Int J Environ Res Public Health, 13(10):1025.
53. Tomei F, Rosati MV, Ciarrocca M, et al. (2003). Plasma Cortisol Levels and Workers Exposed to Urban Pollutants. Ind Health, 41(4):320–326.
| Files | ||
| Issue | Vol 53 No 9 (2024) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v53i9.16448 | |
| Keywords | ||
| Mental health Diabetes mellitus Environmental factors Risk factor | ||
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How to Cite
1.
Amsah N, Md Isa Z, Ahmad N. Understanding the Relationship between Environmental Factors and Mental Health Status among Type 2 Diabetes Mellitus Patients: A Scoping Review. Iran J Public Health. 2024;53(9):1924-1934.
