{
  "abstract": "Background: Diabetes mellitus is associated with an increased risk of mental health problems, but evidence on its association with positive mental health is limited. Maintaining good quality of life is a key treatment goal in the German ‘National Care Guideline for Type 2 Diabetes’, highlighting the relevance of well-being for successful diabetes management. This study examines the association between diabetes status and mental well-being in a nationwide sample of adults in Germany.\n\nMethods: Data is based on the 2025 annual survey from the panel Health in Germany of the Robert Koch Institute (cross-sectional analyses; 28,153 adults ≥18 years). Diabetes was defined as physician-diagnosed diabetes (excluding gestational diabetes only). Well-being was assessed using the World Health Organization-Five Well-Being Index (WHO-5; range 0-25). Age-adjusted means (M) and proportions of poor well-being (<13) are reported. Weighted prevalence ratios (PR) with 95% confidence intervals (CI) for poor well-being were estimated using Poisson regression, adjusted for age (model 1) and additionally for sex, education, smoking, physical activity, and body mass index (model 2).\n\nResults: In 2025, the average mental well-being of people with diabetes was exactly at the cut-off for poor well-being (n = 2,580; M = 13.1, 95% CI 12.8-13.5), unlike that of people without diabetes (n = 25,573; 14.6, 14.5-14.7). People with diabetes had a higher prevalence of poor well-being than those without diabetes (43.9% vs. 33.8%). In age-adjusted model 1, diabetes was associated with a 1.3-fold (PR 1.30, 95% CI 1.20-1.41) higher prevalence of poor well-being, which was attenuated, but remained statistically significant in model 2 (1.19, 1.10-1.30).\n\nConclusions: Almost half of the people with diabetes reported poor well-being, indicating a need for mental health conditions to be clarified. To track changes over time, continuous population-based monitoring of well-being among people with diabetes is necessary.\n\nKey messages: • The findings highlight the importance of considering subjective well-being as an integral part of needs-based diabetes care.\n\n• Further research is required to elucidate the determinants of well-being in people with diabetes.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "abstract",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "name": "L Neuperdt"
    },
    {
      "name": "V Birgel"
    },
    {
      "name": "Y Du"
    },
    {
      "name": "C Cohrdes"
    },
    {
      "name": "H Neuhauser"
    },
    {
      "name": "C Heidemann"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/by0rx49g43qwf.bib",
  "cited_by": 0,
  "doi": "10.1093/eurpub/ckag169.1081",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13698486/",
  "id": "by0rx49g43qwf",
  "issns": [
    "1101-1262",
    "1464-360X"
  ],
  "landing_url": "https://doi.org/10.1093/eurpub/ckag169.1081",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "6. Poster Displays"
    ],
    [
      "heading",
      "AcademicSubjects/MED00860"
    ],
    [
      "heading",
      "AcademicSubjects/SOC01210"
    ],
    [
      "heading",
      "AcademicSubjects/SOC02610"
    ],
    [
      "heading",
      "DB. Chronic diseases, multimorbidity and non-communicable diseases"
    ],
    [
      "openalex",
      "2712|Diabetes Management and Education"
    ]
  ],
  "openalex": "W7223678243",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13698486/pdf/?tool=EBI",
  "pmcid": "PMC13698486",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/by0rx49g43qwf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:21Z",
      "native_id": "PMC13698486",
      "source": "pmc",
      "url": "https://doi.org/10.1093/eurpub/ckag169.1081"
    },
    {
      "first_seen": "2026-10-30T12:21:48Z",
      "native_id": "PMC:PMC13698486",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13698486"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Diabetes Management and Education",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Mental well-being in people with and without diabetes: Results from the Health in Germany panel 2025",
  "title_text": "Mental well-being in people with and without diabetes: Results from the Health in Germany panel 2025",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:35:20Z",
  "url": "https://research.draconitic.com/paper/by0rx49g43qwf",
  "venue": "The European Journal of Public Health",
  "versions": []
}