全球精神障碍患病率正在上升，对个人（尤其是糖尿病患者）的护理质量和治疗结果产生不利影响。本研究调查了生产年龄的糖尿病患者（年龄 30-59 岁）精神障碍危险因素的关联），考虑社会人口特征和共存疾病。考虑的危险因素包括社会人口因素（例如居住地、年龄、性别、婚姻状况、教育和职业）和共存疾病（例如高血压、心脏病、中风、肾衰竭、风湿病、哮喘和癌症）。这项横断面研究利用了 2018 年印度尼西亚国家健康调查 (Riskesdas) 的数据。研究人群包括年龄在 30 岁至 59 岁之间、患有糖尿病并已完成包含 20 个问题的自我报告问卷 (SRQ-20) 的受访者。排除不完整的 SRQ-20 数据后，样本包括 8,917 名受访者。使用逻辑回归分析数据。大约 18.29% 的糖尿病患者表现出精神障碍的症状。在调整年龄、性别、教育水平、职业、婚姻状况和居住地等社会人口统计学因素后，患有高血压、心脏病、风湿性疾病、哮喘或癌症等共存疾病的糖尿病患者的患病率更高。与单纯糖尿病患者相比，发生精神障碍的风险更高（调整后的比值比，6.67；95%置信区间，4.481-9.928；p<0.001）。有合并症的糖尿病患者发生精神障碍的风险升高，强调了解决精神障碍的重要性。糖尿病管理中的健康问题，特别是患有并发疾病的患者。

The global prevalence of psychiatric disturbances is rising, detrimentally affecting the quality of care and treatment outcomes for individuals, particularly those with diabetes.This study investigated the association of risk factors for psychiatric disturbances among productive-age patients with diabetes (ages 30-59 years), considering sociodemographic characteristics and co-existing diseases. The risk factors considered included sociodemographic factors (e.g., residence, age, sex, marital status, education, and occupation) and co-existing diseases (e.g., hypertension, heart disease, stroke, renal failure, rheumatism, asthma, and cancer).This cross-sectional study utilized data from the 2018 Indonesian National Health Survey (Riskesdas). The study population comprised respondents aged between 30 and 59 years who had diabetes and had completed the 20-question self-reporting questionnaire (SRQ-20). After the exclusion of incomplete SRQ-20 data, the sample included 8,917 respondents. Data were analyzed using logistic regression.Approximately 18.29% of individuals with diabetes displayed symptoms indicative of psychiatric disturbances. After adjusting for sociodemographic factors such as age, sex, education level, occupation, marital status, and place of residence, patients with diabetes who had co-existing conditions such as hypertension, heart diseases, rheumatic disorders, asthma, or cancer had a higher risk for developing psychiatric disturbances than those with diabetes alone (adjusted odds ratio, 6.67; 95% confidence interval, 4.481-9.928; p<0.001).The elevated risk of psychiatric disturbances among patients with diabetes who had comorbidities underscores the importance of addressing mental health issues in the management of diabetes, especially in patients with concurrent disease conditions.