Anxiety disorders are associated with quality of life impairment in patients with insulin-dependent type 2 diabetes: a case-control study

Abstract

Objective: To assess the presence of anxiety disorders and quality of life in patients with insulindependent type 2 diabetes. Methods: Case-control study of 996 patients with type 2 diabetes and 2,145 individuals without diabetes. The sole inclusion criterion for the case group was insulin-dependent type 2 diabetes. We compared the case and control groups for sociodemographic variables, laboratory and clinical data, and presence of anxiety disorders. Quality of life was evaluated using the WHOQOL-BREF instrument, and the prevalence of anxiety disorder was evaluated by the Mini International Neuropsychiatric Interview (MINI). Results: Patients with diabetes had a higher prevalence of generalized anxiety disorder, panic disorder, and obsessive-compulsive disorder. The presence of these disorders in combination with type 2 diabetes was associated with worse quality of life in the physical, social, psychological, and environmental domains. Conclusions: This study demonstrates the importance of diagnosing and treating anxiety disorders in patients with diabetes, so as to prevent more serious complications associated with these comorbidities.

Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study

“…The determination that patients with DM2 present low HRQoL coincides with previously published results in which DM2 had a negative impact on QoL, mediated by factors such as the need for a strict dietary plan, exercise and a specific treatment regimen [29, 30]. The findings in the literature regarding the QoL of patients with DM2 and its association with sociodemographic factors have been variable.…”

Mental Disorders in Subjects with Diabetes: A Systematic Review

“…Type 1 population with diabetes appears since childhood and it possible that increase in glucose and indicated as predictive of high anxiety [18,[23][24][25][26][27][28][29][30]. Also, they must have frequent self-monitoring and reasonable application of injectable insulin by the glucose level may contribute to this higher prevalence of anxiety present in type 1 patients [30,31]. As the results of this study showed, both types require a warning for the treatment of that emotional disturbance [14,15,26,32].…”

“…There was a high prevalence in social phobia, panic disorders or agoraphobia, psychological distress, OCD and GAD in type 1 patients with diabetes compared with type 2 [14][15][16]21,31,32]. Type 1 population with diabetes appears since childhood and it possible that increase in glucose and indicated as predictive of high anxiety [18,[23][24][25][26][27][28][29][30].…”

“…As the results of this study showed, both types require a warning for the treatment of that emotional disturbance [14,15,26,32]. Worry about the future is common in patients with diabetes [14][15][16]21,31,32,33]. All of the time, they can get in troubles with effort, money, and stress have an emotional influence on individual stability and introduce psychiatry disorders.…”

“…Distress, somatic symptoms, health beliefs, social support and personality traits, can have a direct or indirect impact on individual life with diabetes. Studies were surprising about the overall quality of life in the population with diabetes and their domains physical, psychological, social relationship and environmental [16,19,20,28,29,31,42]. There are other factors affecting recurrent life course in those patients with diabetes included severe depression and anxiety [9,11].…”