Results:DM patients were diagnosed as having neurotic, stress-related (44%), and affective (14%), organic (35%), personality (7%) disorders. Method of logistic regression has identified totality of prognostic signs in values (Concordant; Somers'D) of Hosmer and Lemeshow's test (0,7-0,9). We studied significance of psychogenic factors (life events, medical, working, family-housing ones) in formation of mental disorders. Predictors were as follows: level of glycemia (p=0.0001), body mass index (p=0.0001), diabetic retinal angiopathy (p=0.02), family history (p=0.044). Psychosocial predictors: duration of MD (p=0.0001), age of onset of MD (p=0.0001), ratio of age of onset and duration of MD and DM (p=0.0001), disorders of neurotic and affective level (p=0.0001). Anosognosia DM was combined with anxiety, fears and fear of death, inappropriate assessment of their abilities, hypothymia, anxiousness, and vegetative dysfunctions.
Two-factor disperse analysis has identified relationship between level of glycemia on an empty stomach, MD (p=0.0001; p=0.007) and DM (p=0.003). Instability of blood glucose (4.63-19.3 mmol/l) was observed in 40% of patients with leading syndrome of depression. Depressive disorders contributed to quicker development or decompensation of DM 2 for the first six months.
Conclusions:High risk of complications of DM was associated with influence of psychostressors and depressive disorders. Treatment of patients requires interaction of therapist (endocrinologist), psychiatrist, and psychotherapist.