Psychiatric comorbidity in diabetes type 1: a cross-sectional observational study

Abstract

Psychiatric comorbidity in diabetes tyPe 1: a cross-sectional observational study rev assoc med bras 2014; 60 (1) Conflict of interest: noneObjective: This study aims to investigate the prevalence of psychiatric disorders, i.e., the presence of signs and symptoms of anxiety and depression in type 1 diabetic patients, as well as to investigate the prevalence of psychiatric disorders in insulin dependent patients. Methods: A cross-sectional observational study of 110 diabetic outpatients (mean = 58.3, SD = 14.5; 50 male and 60 female) was conducted in a public health clinic with patients diagnosed with diabetes mellitus who were under the medical supervision of an endocrinologist. The patients were evaluated through the Mini International Neuropsychiatric Interview and the Hospital Anxiety and Depression Scale (HADS). Results: With respect to anxiety symptoms, we found a prevalence of 60% (n = 66) among patients, while in depression symptoms we found a prevalence of 53.6% (n = 59) concerning the 110 patients evaluated. More specifically, we found 28.2% (n = 31) of patients without depression or anxiety, 13.6% (n = 15) of patients with depression, 16.4% (n = 18) of patients with anxiety and 41.8% (n = 46) of patients with depression combined with anxiety. The most remarkable data were generalized anxiety disorder (22.7%), dysthymia (18.2%), panic disorder (8.2%) and social phobia (5.5%). Conclusion:The need for accurate assessments about the presence of symptoms related to psychopathology in patients with type 1 diabetes is evident.

Mental Disorders in Subjects with Diabetes: A Systematic Review

“…These findings of anxiety generalized disorder and dysthymia in this population were highlighted in this study [17]. Tüzün et al [18] observed in 74 patients poor quality of life when means were described 65.6 physical; 61.9 psychological; 61 social relationship and 58.9 environmental domains.…”

“…When insulin is not working well, high blood sugar levels build in the body and the consequence of that is comorbidity in several areas, eyes, heart and mental disorders. The association between depression symptoms and mood disorders with diabetes was found in several studies [14][15][16][17][18][20][21][22][23]26,28,30,32,42]. Specifically were cited in studies there were 18.2% participants with Dysthymia [14,17,18].…”

“…Specifically were cited in studies there were 18.2% participants with Dysthymia [14,17,18]. Current 8.2% with depression 52% with Major depression as comorbidity in diabetes [14,17,23]. Risk of suicide appears as a consequence of those mental disorders in some of those studies [14,15,17,18,30].…”

“…Current 8.2% with depression 52% with Major depression as comorbidity in diabetes [14,17,23]. Risk of suicide appears as a consequence of those mental disorders in some of those studies [14,15,17,18,30]. Several studies suggest that diabetes doubles the risk of depression compared to those without the disorder [1- 4,36,[39][40][41][42].…”

“…In other research, 110 individuals with type 1 diabetes, Maia et al [17] found 22.7% GAD; 18.2% Dysthymia; 8.2% Current Depression; 5.5% Panic Disorder; 5.5% Social Phobia and 4.5% life-long depression as psychiatric comorbidity. These findings of anxiety generalized disorder and dysthymia in this population were highlighted in this study [17].…”