RT Journal Article T1 Mental Health among Spanish Adults with Diabetes: Findings from a Population-Based Case–Controlled Study A1 López Herranz, Marta A1 Jiménez García, Rodrigo A1 Ji, Zichen A1 Miguel Díez, Javier De A1 Carabantes Alarcón, David A1 Maestre Miquel, Clara A1 Zamorano León, José Javier A1 López De Andrés, Ana Isabel AB Background: The purpose of this study was to assess and compare the prevalence of self-reported mental disorders, psychological distress, and psychotropic drug consumption among people with diabetes mellitus (DM) and matched non-DM controls. Methods: A case–controlled study using data from the Spanish National Health Interview Survey was conducted in 2017. We identified 2116 DM adults (aged ≥35 years). Non-DM controls were matched 1:1 by age, sex, and province of residence. Results: Prevalence of mental disorders (25.0% vs. 19.2%; p < 0.001), psychological distress (29% vs. 19.5%; p < 0.001), and consumption of psychiatric medications (29.7% vs. 23.5%; p < 0.001) among DM cases were higher than those among matched non-DM controls. The DM patient variables associated with experiencing a mental disorder, psychological distress, and consumption of psychiatric medications were: being a woman, worse self-rated health, and a visit to a psychologist within the last year. Older age (≥80 years) was associated with a lower probability of reporting mental disorders and psychological distress among DM cases. Not practicing physical exercise was significantly associated with experiencing psychological distress. Conclusions: Adults with DM included in our investigation have a significantly higher prevalence of mental disorders, psychological distress, and consumption of psychiatric medications than non-DM controls. It is necessary to implement screening strategies and psychological interventions to improve the mental health of DM patients in Spain, focusing especially on women and those aged 35 to 59 years. PB MDPI SN 1660-4601 YR 2021 FD 2021-06-04 LK https://hdl.handle.net/20.500.14352/7451 UL https://hdl.handle.net/20.500.14352/7451 LA eng NO López Herranz, M., Jiménez García, R., Ji, Z. et al. «Mental Health among Spanish Adults with Diabetes: Findings from a Population-Based Case–Controlled Study». International Journal of Environmental Research and Public Health, vol. 18, n.o 11, junio de 2021, p. 6088. DOI.org (Crossref), https://doi.org/10.3390/ijerph18116088. NO Instituto de Salud Carlos III: Fondo de Investigaciones Sanitarias NO Fondo Europeo de Desarrollo Regional DS Docta Complutense RD 9 abr 2025