Health-related quality of life related to diabetes multisensory deficits and derealization

Abstract Two hundred and one adults aged 28 to 80 years (100 without/101 with type 2 diabetes) participated in a cross sectional study to assess the correlation among sensory deficits, depersonalization/derealization, and anxiety/depression symptoms and their contribution to health-related quality o...

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Main Authors: Kathrine Jáuregui-Renaud, José Adan Miguel-Puga, Aida García-López, María de Lourdes Tirado-Mondragón, Ignacio Figueroa-Padilla, Nayeli Scarlett Lara-Angeles, Olimpia Chávez-Navarrete
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Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-13356-x
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author Kathrine Jáuregui-Renaud
José Adan Miguel-Puga
Aida García-López
María de Lourdes Tirado-Mondragón
Ignacio Figueroa-Padilla
Nayeli Scarlett Lara-Angeles
Olimpia Chávez-Navarrete
author_facet Kathrine Jáuregui-Renaud
José Adan Miguel-Puga
Aida García-López
María de Lourdes Tirado-Mondragón
Ignacio Figueroa-Padilla
Nayeli Scarlett Lara-Angeles
Olimpia Chávez-Navarrete
author_sort Kathrine Jáuregui-Renaud
collection DOAJ
description Abstract Two hundred and one adults aged 28 to 80 years (100 without/101 with type 2 diabetes) participated in a cross sectional study to assess the correlation among sensory deficits, depersonalization/derealization, and anxiety/depression symptoms and their contribution to health-related quality of life, considering individual characteristics (age, sex, obesity, COVID-19 history). Assessments included: general health, body mass index, sensory deficits (vision/neuropathy/hearing/vestibular), symptoms related to balance, dissociative experiences, depersonalization/derealization and anxiety/depression symptoms, and health-related quality of life. Analyses were performed by bivariate and covariance tests (p ≤ 0.05). Participants with diabetes exhibited multisensory deficits and increased mental symptoms, with reduced health-related quality of life. Anxiety/depression symptoms were mainly related to balance symptoms, significant dissociative experiences and obesity (adjusted R2 = 0.20, p < 0.000001); depersonalization/derealization symptoms were mainly related to sensory deficits, balance and anxiety/depression symptoms (adjusted R2 = 0.48, p < 0.000001). The majority of these variables, along with age contributed to the variance on health-related quality of life (adjusted R2 = 0.43, p < 0.000001). The results support that the sensory deficits related to diabetes may reduce the perceived health-related quality of life by both physical and mental aftereffects, including unreality perceptions; the multisensory integration required for balance may have a particular role on mental health and functioning; assessment of depersonalization/derealization symptoms requires considering sensory deficits.
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spelling doaj-art-690b85a160ef42cd8d4edc851af761212025-08-20T03:42:31ZengNature PortfolioScientific Reports2045-23222025-08-0115111310.1038/s41598-025-13356-xHealth-related quality of life related to diabetes multisensory deficits and derealizationKathrine Jáuregui-Renaud0José Adan Miguel-Puga1Aida García-López2María de Lourdes Tirado-Mondragón3Ignacio Figueroa-Padilla4Nayeli Scarlett Lara-Angeles5Olimpia Chávez-Navarrete6Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro SocialUnidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro SocialUnidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro SocialHospital General de Zona 8, Instituto Mexicano del Seguro SocialHospital Regional 72, Instituto Mexicano del Seguro Social,Unidad de Medicina Física y de Rehabilitación Siglo XXI, Instituto Mexicano del Seguro SocialHospital General de Zona 32, Instituto Mexicano del Seguro SocialAbstract Two hundred and one adults aged 28 to 80 years (100 without/101 with type 2 diabetes) participated in a cross sectional study to assess the correlation among sensory deficits, depersonalization/derealization, and anxiety/depression symptoms and their contribution to health-related quality of life, considering individual characteristics (age, sex, obesity, COVID-19 history). Assessments included: general health, body mass index, sensory deficits (vision/neuropathy/hearing/vestibular), symptoms related to balance, dissociative experiences, depersonalization/derealization and anxiety/depression symptoms, and health-related quality of life. Analyses were performed by bivariate and covariance tests (p ≤ 0.05). Participants with diabetes exhibited multisensory deficits and increased mental symptoms, with reduced health-related quality of life. Anxiety/depression symptoms were mainly related to balance symptoms, significant dissociative experiences and obesity (adjusted R2 = 0.20, p < 0.000001); depersonalization/derealization symptoms were mainly related to sensory deficits, balance and anxiety/depression symptoms (adjusted R2 = 0.48, p < 0.000001). The majority of these variables, along with age contributed to the variance on health-related quality of life (adjusted R2 = 0.43, p < 0.000001). The results support that the sensory deficits related to diabetes may reduce the perceived health-related quality of life by both physical and mental aftereffects, including unreality perceptions; the multisensory integration required for balance may have a particular role on mental health and functioning; assessment of depersonalization/derealization symptoms requires considering sensory deficits.https://doi.org/10.1038/s41598-025-13356-xDiabetesSensory deficitQuality of lifeDepersonalizationAnxietyDepression
spellingShingle Kathrine Jáuregui-Renaud
José Adan Miguel-Puga
Aida García-López
María de Lourdes Tirado-Mondragón
Ignacio Figueroa-Padilla
Nayeli Scarlett Lara-Angeles
Olimpia Chávez-Navarrete
Health-related quality of life related to diabetes multisensory deficits and derealization
Scientific Reports
Diabetes
Sensory deficit
Quality of life
Depersonalization
Anxiety
Depression
title Health-related quality of life related to diabetes multisensory deficits and derealization
title_full Health-related quality of life related to diabetes multisensory deficits and derealization
title_fullStr Health-related quality of life related to diabetes multisensory deficits and derealization
title_full_unstemmed Health-related quality of life related to diabetes multisensory deficits and derealization
title_short Health-related quality of life related to diabetes multisensory deficits and derealization
title_sort health related quality of life related to diabetes multisensory deficits and derealization
topic Diabetes
Sensory deficit
Quality of life
Depersonalization
Anxiety
Depression
url https://doi.org/10.1038/s41598-025-13356-x
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