Effects of Personality on Metabolic Control in IDDM Patients

Orlandini, Alvise; Pastore, M. R.; Fossati, Andrea; Clerici, Stefano Piatto; Sergi, Alessandro; Balini, Annalisa; Parlangeli, Maria A; Maffei, Cesare; Secchi, Antonio; Pozza, G.

doi:10.2337/diacare.18.2.206

Cited by 14 publications

(5 citation statements)

References 19 publications

(19 reference statements)

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“…Sexuality is an important aspect of health, quality of life, and general well‐being [23]. Diabetes is known to cause multiple medical, psychologic, and sexual problems [24–27], and erectile dysfunction is a well‐established complication of diabetes [28]. The sexual functioning of diabetic women has received much less attention in the past [17], but there is now an agreement that diabetic women are at increased risk for sexual problems [17,29].…”

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction Is Frequent in Premenopausal Women with Diabetes, Obesity, and Hypothyroidism, and Correlates with Markers of Increased Cardiovascular Risk. A Preliminary Report

Veronelli

Mauri

Zecchini

et al. 2009

The Journal of Sexual Medicine

101

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Introduction Female sexual dysfunction (FSD) is characterized by reduced sexual appetite and altered psychologic and physiologic response to sexual intercourse; it is reported to be frequent in diabetes mellitus, but no data have been reported in thyroid disorders. Aims To compare the prevalence of FSD in diabetic, in obese, and in hypothyroid women vs. healthy women, and to correlate FSD with endocrine and metabolic profiles. Methods We evaluated, through a questionnaire (Female Sexual Function Index [FSFI]), the prevalence of FSD in 91 women affected by diabetes mellitus, obesity, or hypothyroidism, and in 36 healthy women, all aged 22–51 years and in premenopausal state. Main Outcome Measures FSFI score, endocrine and metabolic parameters (triglycerides, high-density lipoprotein [HDL] and low-density lipoprotein [LDL] cholesterol, free-triiodothyronine (FT3), free-thyroxine (FT4), thyroid stimulating hormone [TSH], 17-beta-estradiol, testosterone, glycated hemoglobin 1c (HbA1c), thyroid autoantibodies, E-selectin, P-selectin, intercellular adhesion molecule-1 [ICAM-1], plasminogen-activator inhibitor-1 [PAI-1]), and anthropometric parameters (body mass index, waist, blood pressure [BP]). Results A reduced FSFI score was more frequent in diabetic, obese, and hypothyroid women vs. healthy women (P < 0.01). In the different groups of women, FSFI score was inversely correlated (pairwise correlation) with at least one of the following: HbA1c, TSH, LDL-cholesterol, PAI-1, diastolic BP, presence of thyroid Ab, and directly correlated with HDL-cholesterol (always P < 0.05 or less). At stepwise regression analysis, HDL-cholesterol (protective) and HbA1c, LDL-cholesterol, PAI-1, and diastolic BP (negatively) predicted reduced FSFI score. Conclusion These data indicate an increased prevalence of sexual dysfunction in diabetic, in obese, and in hypothyroid women, associated with markers of cardiovascular risk.

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Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction Is Frequent in Premenopausal Women with Diabetes, Obesity, and Hypothyroidism, and Correlates with Markers of Increased Cardiovascular Risk. A Preliminary Report

Veronelli

Mauri

Zecchini

et al. 2009

The Journal of Sexual Medicine

101

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“…In prior studies, A1C has been associated with certain psychological characteristics that may affect disease detection and management [10][11][12][13][14][15]. Of the many personality dimensions examined thus far, neuroticism-the propensity to feel generalized anxiety and other negative emotions-is the most consistent predictor of glycemia, as indexed by A1C [10,16,17]. Specifically, those with T2DM who have higher levels of neuroticism tend to have lower A1C.…”

Section: Introductionmentioning

confidence: 95%

The consequences of anxious temperament for disease detection, self-management behavior, and quality of life in Type 2 diabetes mellitus

Hall

Rodin

Vallis

et al. 2009

Journal of Psychosomatic Research

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“…iabetes is known to cause multiple medical, psychological, and sexual problems (1)(2)(3)(4)(5). Erectile dysfunction is a well-established complication of diabetes (6).…”

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confidence: 99%

Sexual Dysfunction in Women With Type 1 Diabetes

et al. 2002

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OBJECTIVE -This study aimed to 1) examine the prevalence of sexual problems in women with type 1 diabetes, 2) compare this prevalence rate with that of an age-matched control group, 3) study the influence of diabetes-related somatic factors on female sexuality, and 4) study the influence of psychological variables on the sexual functioning of both groups. RESEARCH DESIGN AND METHODS-A total of 120 women with diabetes visiting the outpatient diabetes clinic completed questionnaires evaluating psychological adjustment to diabetes, marital satisfaction, depression, and sexual functioning. Medical records were used to obtain data on HbA 1c , use of medication, BMI, and early-onset microvascular complications. An age-matched control group of 180 healthy women attending an outpatient gynecological clinic for preventive routine gynecological assessment also completed the non-diabetes-related questionnaires.RESULTS -More women with diabetes than control subjects reported sexual dysfunction (27 vs. 15%; P ϭ 0.04), but a significant difference was found only for decreased lubrication. No association was found between sexual dysfunction and age, BMI, duration of diabetes, HbA 1c , use of medication, menopausal status, or complications. Women with more complications, however, reported significantly more sexual dysfunctions, and the presence of complications altered treatment satisfaction. Both diabetic and control women with sexual dysfunction mentioned lower overall quality of the marital relation and more depressive symptoms than their respective counterparts without sexual problems. Depression was a significant predictor for sexual dysfunction in both women with diabetes and control subjects.CONCLUSIONS -Sexual problems are frequent in women with diabetes. They affect the overall quality of life and deserve more attention in clinical practice and research. Diabetes Care 25:672-677, 2002D iabetes is known to cause multiple medical, psychological, and sexual problems (1-5). Erectile dysfunction is a well-established complication of diabetes (6). The sexual functioning of women with diabetes has received much less attention in clinical research (7). However, a recent review about diabetes and female sexuality indicated that diabetes slightly increases the risk of female sexual dysfunction (8). The most common sexual dysfunction in women with diabetes is decreased sexual arousal with slow and/or inadequate lubrication. Women with diabetes may, however, also experience a decreased sexual desire and more pain on sexual intercourse, whereas problems with orgasm are not more frequent (8).Research on diabetes and female sexual dysfunction is not only scarce, it also has been plagued by methodological flaws such as small sample size, absence of a control group, and noncharacterization as to diabetes type, presence and number of diabetic complications, psychological adjustment to diabetes, quality of the partner relation, and depression (5,8).The present study aimed to 1) examine the prevalence of sexual problems in women with type...

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Effects of Personality on Metabolic Control in IDDM Patients

Abstract: These data suggest that a P2 personality profile is a significant predictor of poor metabolic control.

Cited by 14 publications

References 19 publications

Sexual Dysfunction Is Frequent in Premenopausal Women with Diabetes, Obesity, and Hypothyroidism, and Correlates with Markers of Increased Cardiovascular Risk. A Preliminary Report

Sexual Dysfunction Is Frequent in Premenopausal Women with Diabetes, Obesity, and Hypothyroidism, and Correlates with Markers of Increased Cardiovascular Risk. A Preliminary Report

The consequences of anxious temperament for disease detection, self-management behavior, and quality of life in Type 2 diabetes mellitus

Sexual Dysfunction in Women With Type 1 Diabetes

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