14 | | Cross-sectional | 201 patients of an indigent clinic of an academic medical center. | Depression-CES-D | DSES | Significant inverse relationship between spirituality and depression. |
15 | | Cross-sectional | 223 patients. | Patient Health Questionnaire-2 (PHQ-2). | Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) Scale. | The results of this study showed poor QOL and spiritual well-being and high prevalence of depression in Iranian patients with type 2 diabetes. |
16 | | Qualitative | 18 patients, all with type 2 diabetes mellitus. | Focus-group participants. Hope questions for spiritual assessment. |
| In general, participants thought of spirituality more as a source of strength than as a specific motivator for diabetes self-management. |
17 | | Qualitative | 30 women with type 2 diabetes. | Focus group participants. | Through the performance of submission, participants demonstrated spirituality and religiosity as essential elements of health. | |
18 | | Qualitative | 10 male Mexican religious leaders. | Qualitative semi-structured key-informant interviews. |
| Religious leaders can support the health promotion of elderly people with diabetes. |
19 | | Qualitative | 12 diabetic Black men. | In-depth interviews. Semi-structured interviews. |
| Religion and spirituality as a coping strategy for diabetes management. These coping strategies are: prayer and faith in God, the reading of the Bible and the help of religious or spiritual people. |
20 | | Cross-sectional | 112 participants with diabetes and depression. | Brief RCOPE, Mental Adjustment to Cancer Scale (MAC), Disability Scale (SDS), Sheehan’s Disability Scale (SDS), Becks Depression Inventory-II (BDI-II). | ROS-R | High intrinsic and extrinsic religiosities are associated with better treatment outcome in both diabetes mellitus and depression. |
21 | | Qualitative | 52 participants, most were female and all Gullah and/or African Americans. | Interviews |
| Spirituality is a multidimensional cultural resource and coping strategy for African Americans diabetics. |
22 | | Cross-sectional | 364 diabetic Mexican older adults. | A questionnaire that included several variables, such as socio demographic data, health, religion, health care, social support, housing, income, assets and pensions. |
| Religion has a positive correlation with the care, control of diabetes and the behavior of self-care. |
23 | | Cross-sectional | 112 participants with diabetes mellitus. | Sociodemographic Questionnaire. | Religious Orientation Scale (ROS), Religious Orientation Scale-Revised (ROS-R) or Intrinsic/ Extrinsic-revised (I/E-R), Brief Religious Coping Scale (Brief RCOPE). | Religion is a reliable coping method, which is commonly used by the elderly and depressed women. Positive religious coping is more common among diabetic who are in the low occupational status. |
24 | | Cross-sectional | 183 Jewish adults with severe diabetes. | Self-administered questionnaires assessed diabetes management behaviors and demographic/personal characteristics, HbA1c laboratory tests. | Fatalism Diabetes Scale (DFS), Self-reported religiosity. | Addressing fatalistic attitudes may be a viable strategy for improving diabetes management, but call for a better understanding of the interplay between religiosity and fatalism in this context |
25 | | Cohort study | 100 patients diagnosed with type 2 diabetes mellitus | Problem Areas in Diabetes Scale (PAID), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Audit of Diabetes-Dependent Quality of Life (ADDQoL), blood glucose and HbA1c test results. | Scale of Forgiveness and Religiosity (SFR). | Forgiveness by patient himself or others reduced the emotional problems which were experienced related to diabetes by reducing stress levels and could increase QOL. |
26 | | Cross-sectional | 154 Iranian diabetic patients. | Demographic questionnaire, diabetes self-care activities questionnaires. | Private and public religious practices. | A relationship between religious practices and self-care in diabetic patients. |