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Psychological and clinical factors associated with emotional distress related to type 2 diabetes mellitus
Published online by Cambridge University Press: 23 March 2020
Abstract
Stress and coping with diabetes can affect the severity of disease directly, through pathophysiological processes or indirectly, through the patient's own perception of disease by deteriorating adherence to therapy and daily functioning.
To investigate emotional distress related to T2DM according to demographic, clinical, psychological, metabolic and anthropometric characteristics.
Eighty-two in- and outpatients of both sexes (<65 years) with endocrinologist-diagnosed T2DM, duration ≥5 years, treated with either oral therapy, insulin or both, were included in this cross-sectional study. The Beck Depression Inventory (BDI) was employed for assessment of severity of depressive symptoms. The Mini Mental State Examination (MMSE) was used for assessment of cognitive status. The Problem Areas in Diabetes (PAID) (subscale related to emotional problems associated with T2DM) was applied for assessment of emotional distress. Clinical characteristics of the illness were obtained from medical records. Laboratory and anthropometric measures (Body mass index, Waist circumference) were also performed. The level of significance in statistical analyses (Student's t-test, Pearson's correlation) was P = 0.05.
The PAID (emotional distress) subscore was significantly higher in patients with psychiatric heredity (P = 0.028) in relation to these without (Student's t-test). Considerable positive correlation between PAID subscore and BDI score (r = 0.588) (P = 0.000), and negative correlation between PAID subscore and MMSE score (r = −0.201) (P = 0.050) were also found (Pearson's correlation).
Psychological factors: psychiatric heredity, higher intensity of depression and poor cognitive functioning were significantly associated with emotional distress related to the illness in patients with type 2 diabetes mellitus.
The authors have not supplied their declaration of competing interest.
- Type
- e-Poster Walk: Consultation liaison psychiatry and psychosomatics - Part 2
- Information
- European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S320
- Copyright
- Copyright © European Psychiatric Association 2017
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