# Psychological Resilience in Individuals with Type 2 Diabetes Mellitus in Jordan Is Associated with Insomnia Severity: A Cross-Sectional Analysis

## TL;DR

This study in Jordan finds that people with type 2 diabetes who experience severe insomnia tend to have lower psychological resilience.

## Contribution

The study is one of the first to explore psychological resilience and insomnia in Jordanian individuals with type 2 diabetes.

## Key findings

- 18.3% of participants with type 2 diabetes reported low psychological resilience.
- Moderate–severe insomnia was negatively correlated with psychological resilience.
- Being married was positively associated with higher resilience levels.

## Abstract

Background/Objectives: Although psychological resilience is an important factor related to mental health outcomes, it is understudied in patients with long-term health conditions in developing countries such as Jordan. Type 2 diabetes mellitus (T2DM) is rapidly increasing in Jordan; thus, its prevalence and correlation with psychological resilience are worth investigating. Through this study, we aimed to estimate the prevalence of psychological resilience levels and identify their associated factors in people with T2DM in Jordan based on demographic data, clinical data, and insomnia severity. Methods: Participants were sampled from the patient register of the Royal Health Awareness Society (RHAS), which permitted access to people receiving T2DM-related services. Results: Data from 350 individuals with T2DM were analyzed; 185 (52.9%) were female, 276 (78.9%) were over 50 years of age, and 308 (88%) were married. In total, 56 (16%) people reported moderate–severe insomnia, and 64 (18.3%) reported low resilience. Being more resilient was found to correlate with “being married” (OR = 3.33, 95% CI (1.60–6.89), p = 0.001) but was negatively correlated with “moderate–severe insomnia” (OR = 0.21, 95% CI (0.11–0.40), p < 0.001). Conclusions: Addressing insomnia in individuals with T2DM is warranted to improve their resilience levels, thus promoting their mental health.