Objective: To determine the severity of fear and anxiety of COVID-19 in diabetic patients and to evaluate their relationship with HbA1c.
Materials and methods: Between December 2020 and March 2021, a total of 249 patients were included in the study. Demographic characteristics, duration of diabetes, glycosylated hemoglobin A1c (HbA1c) values of the patients were recorded. Fear and anxiety related to COVID-19 were evaluated with the validated Turkish version of the Fear of COVID Scale (FCS) and Coronavirus Anxiety Scale (CAS). FCS and CAS were compared between the diabetic group and the control group. The relationship between FCS and CAS and HbA1c, diabetes year, age, gender, educational status, place of residence, and employment status was investigated.
Results: Median level of HbA1c and duration of diabetes mellitus were 7.65% (range 5.4-13.6) and 10 years (range 1-32) respectively. FCS was higher in the diabetic group compared to the control group (p=0.025). There was no significant difference between the diabetic and control groups regarding CAS. There was no relationship between HbA1c and FCS and CAS (p=0.919, r=0.008, p=0.725, r=0.027, respectively). Anxiety was higher in females than males in diabetic groups (p=0.009).
Conclusions: The fear of COVID-19 is higher in diabetic patients compared to the general population. There was no relationship between fear and anxiety of COVID-19 and HbA1c. However, to protect long-term mental health, there should be strategies to detect and reduce the anxiety and fear caused by the pandemic in the services for diabetic patients.
ÖZETParkinson hastalığı ve delüzyonel parazitoz birlikteliği: Bir olgu sunumu Delüzyonel parazitoz kişide, vücudunun parazitler ya da küçük canlılar tarafından sarıldığına dair hatalı ve değiş-tirilemez bir inancın olduğu, az rastlanılan psikiyatrik bir hastalıktır. Her ne kadar her yaşta delüzyonel parazitoz görülebilse de, bazı araştırmalar yaşla birlikte, özellikle kadın cinsiyetinde görülme sıklığının arttığını öne sür-mektedir. Hastalık, genellikle birincil ve ikincil delüzyonel parazitoz olarak sınıflandırılmaktadır. İlki, saptanabilen herhangi bir hastalık sebebi olmayan hastaları kapsarken, ikincil delüzyonel parazitoz grubu genel organik durumla, diğer psikiyatrik hastalıklarla ve bazı maddelerle ilişkilidir. Bu olgu bildiriminde, 15 yıllık Parkinson hastalığı öyküsü bulunan 57 yaşında bir kadın hasta sunulmaktadır. Hastanın, vücudunun parazitler tarafından sarıldı-ğı düşüncesine sahip olduğu, psikiyatrik görüşme sırasında fark edilmiştir. Bu yazıda, Parkinson hastalığı ve delüzyonel parazitoz birlikteliği tartışılmaktadır. Anahtar kelimeler: Delüzyonel parazitoz, Parkinson hastalığı, dopamin
ABSTRACT
Comorbidity of Parkinson's disease and delusional parasitosis: a case reportDelusional parasitosis is a rare psychiatric disorder in which a person has the false and persistent belief of being infested with parasites or small living creatures. Although delusional parasitosis may occur at any age, some researchers suggest an increase in frequency in the elderly, especially in women gender. The disorder usually classified as primary and secondary delusional parasitosis. The first one contains patients without a detectable cause while the secondary delusional parasitosis group is associated with general organic conditions, other psychiatric illnesses and some drugs. In this case report, we present a 57 years-old woman who has Parkinson's disease for 15 years. Her psychiatric interview revealed her persistent thoughts about being infested by parasites. In this paper, we discussed delusional parasitosis comorbidity in Parkinson's disease.
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