title: Spiritual well-being and quality of life of Iranian adults with type 2 diabetes.
abstract: Introduction. Diabetes is a major public health problem. Little is known about the spiritual well-being and its relationship with quality of life (QOL) in Iranian Muslim patients with diabetes. This study investigated the spiritual well-being and QOL of Iranian adults with type 2 diabetes and the association between spiritual well-being, QOL, and depression. Methods. A cross-sectional study was done among 203 patients with type 2 diabetes mellitus in Isfahan, Iran. Quality of life and spiritual well-being were measured using the functional assessment of chronic illness therapy-spiritual well-being (FACIT-Sp). Depression was assessed using the Patient Health Questionnaire-2 (PHQ-2). Descriptive analysis, Pearson's correlation, and multiple regression analysis were performed for statistical assessment. Results. The mean QOL was 61.00 (SD = 9.97) and the mean spiritual well-being was 30.59 (SD = 6.14). Sixty-four percent of our studied population had depressive disorders. There was a significant positive correlation between all QOL subscales and meaning, peace, and total spiritual well-being score. Conclusion. The results of this study showed poor QOL and spiritual well-being and high prevalence of depression in Iranian patients with type 2 diabetes compared to other studies' findings especially western studies. This indicates the need for psychosocial and spiritual support in caring for Iranian patients with diabetes.
authors.affiliation: George Washington Institute for Spirituality and Health, School of Medicine and Health Sciences, George Washington University, Washington, DC 20036, USA ; Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81745-313, Iran.
authors.forename: Najmeh
authors.initials: N
authors.lastname: Jafari
authors.affiliation: Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81745-313, Iran.
authors.forename: Ziba
authors.initials: Z
authors.lastname: Farajzadegan
authors.affiliation: Community Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81745-313, Iran.
authors.forename: Amir
authors.initials: A
authors.lastname: Loghmani
authors.affiliation: Vice-Chancellery for Treatment, Isfahan University of Medical Sciences (IUMS), Isfahan 81656-47194, Iran.
authors.forename: Mansoureh
authors.initials: M
authors.lastname: Majlesi
authors.affiliation: Anesthesiology Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81745-313, Iran.
authors.forename: Noushin
authors.initials: N
authors.lastname: Jafari