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Psychiatric morbidity in young adults with insulin-dependent diabetes mellitus

Published online by Cambridge University Press:  09 July 2009

Richard Mayou ,
Robert Peveler ,
Beverley Davies ,
Jim Mann  and
Christopher Fairburn
Richard Mayou*
Affiliation:
University Department of Psychiatry, Warneford Hospital, John Radcliffe Hospital, Oxford
Robert Peveler
Affiliation:
University Department of Psychiatry, Warneford Hospital, John Radcliffe Hospital, Oxford
Beverley Davies
Affiliation:
University Department of Psychiatry, Warneford Hospital, John Radcliffe Hospital, Oxford
Jim Mann
Affiliation:
University Department of Psychiatry, Warneford Hospital, John Radcliffe Hospital, Oxford
Christopher Fairburn
Affiliation:
University Department of Psychiatry, Warneford Hospital, John Radcliffe Hospital, Oxford
*
1 Address for correspondence: Dr R. A. Mayou, University Department of Psychiatry, Warneford Hospital, Oxford 0X3 7JX.
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Synopsis

Psychiatric disorder and sub-threshold psychological distress were more common in 113 young men and women with insulin-dependent diabetes living in a defined area than in comparable general population samples. Twelve per cent of men and 19% of women were classified by the PSE as psychiatric ‘cases’. Forty per cent of women and 47% of men reported at least one major social problem; effects of diabetes on everyday activities were common.

There were associations between medical and social variables. The clinical implications are discussed.

Type
Original Articles
Information
Psychological Medicine , Volume 21 , Issue 3 , August 1991 , pp. 639 - 645
Copyright
Copyright © Cambridge University Press 1991

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References

Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981). Epidemiology of mental disorders in Camberwell. Psychological Medicine 11, 561–579.CrossRefGoogle ScholarPubMed
Corney, R. H. & Clare, A. W. (1985). The construction, development and testing of a self-report questionnaire to identify social problems. Psychological Medicine 15, 637–649.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Peveler, R. C., Davies, B., Mann, J. T. & Mayou, R. A. (1991). Eating disorders in young adults with insulin-dependent diabetes mellitus: a controlled study. British Medical Journal (in the press).CrossRefGoogle Scholar
Feldman, E., Mayou, R., Hawton, K., Ardern, M. & Smith, E. B. O. (1987). Psychiatric disorder in medical inpatients. Quarterly Journal of Medicine 241, 405–412.Google Scholar
Hawton, K. E., Mayou, A. R. & Feldman, J. E. (1990). The significance of psychiatric symptoms in medical patients with mood disorders. General Hospital Psychiatry 12, 296–302.CrossRefGoogle ScholarPubMed
Henderson, S., Duncan-Jones, P., Byrne, D. E., Scott, R. & Adcock, S. (1979). Psychiatric disorder in Canberra: a standardized study of prevalence. Acta Psychiatrica Scandinavica 60, 355–374.CrossRefGoogle ScholarPubMed
Hodiamont, P., Peer, N. & Syben, N. (1987). Epidemiological aspects of psychiatric disorder in a Dutch health area. Psychological Medicine 17, 495–505.CrossRefGoogle Scholar
Isacson, D. & Stalhammer, J. (1987). Prescription drug use among diabetics – a population study. Journal of Chronic Diseases 40, 651–660.CrossRefGoogle ScholarPubMed
Lustman, P. J., Amado, H. & Wetzel, R. D. (1983). Depression in diabetes: a critical appraisal. Comprehensive Psychiatry 24, 65–74.CrossRefGoogle ScholarPubMed
Lustman, P. J., Griffith, L. S., Clarke, R. E. & Gruyer, P. E. (1986). Psychiatric illness in diabetes mellitus: relationship to symptoms and glucose control. Journal of Nervous and Mental Disease 174, 736–742.CrossRefGoogle ScholarPubMed
Mayou, R., Bryant, B. & Turner, R. (1990). Quality of life in non-insulin-dependent diabetes and a comparison with insulin-dependent diabetes. Journal of Psychosomatic Research 34, 1–11.CrossRefGoogle Scholar
Mayou, R., Seagroatt, V. & Goldacre, M. (1991). Use of psychiatric services before and after admission to a general hospital. (Submitted.)Google Scholar
Mitchell, B. D., Stern, M. P., Haffner, S. M., Hazuda, H. P. & Patterson, J. K. (1990). Functional impairment in Mexican American and non-Hispanic whites with diabetes. Journal of Clinical Epidemiology 43, 319–327.CrossRefGoogle ScholarPubMed
Nathan, D. M., Singer, D. E., Hurxthal, K. & Goodson, J. D. (1984). The clinical information value of the glycosylated haemoglobin assay. New England Journal of Medicine 310, 341–346.CrossRefGoogle Scholar
Pickup, J. C. (1985). Clinical features of patients unresponsive to continuous subcutaneous insulin infusion. In Brittle Diabetes (ed. Pickup, J. C.), pp. 41–46. Blackwell Scientific Publications: Oxford.Google Scholar
Robinson, N., Fuller, J. H. & Edmeades, S. P. (1988). Depression and diabetes. Diabetic Medicine 5, 268–274.CrossRefGoogle ScholarPubMed
Rodgers, B. & Mann, S. A. (1986). The reliability and validity of PSE assessments by lay interviewers: a national population survey. Psychological Medicine 16, 689–700.CrossRefGoogle ScholarPubMed
Surridge, D. H. C., Williams Erdahl, D. L., Lawson, J. S., Donald, M. W., Monga, T. N., Bird, C. E. & Letemendia, F. J. J. (1984). Psychiatric aspects of diabetes mellitus. British Journal of Psychiatry 145, 269–276.CrossRefGoogle ScholarPubMed
Surtees, P. G., Sashidharan, S. P. & Dean, C. (1986). Affective disorder amongst women in the general population: a longitudinal study. British Journal of Psychiatry 148, 176–186.CrossRefGoogle ScholarPubMed
Tallroth, G., Karlson, B., Nilsson, A. & Agardh, C. (1989). The influence of different insulin regimes on quality of life and metabolic control in insulin-dependent diabetes. Diabetes Research and Clinical Practice 6, 37–43.CrossRefGoogle Scholar
Tattersall, R. B. (1981). Psychiatric aspects of diabetes – a physician's view. British Journal of Psychiatry 137, 163–172.Google Scholar
Tattersall, R. B. (1985). Brittle diabetes. British Medical Journal 291, 555–557.CrossRefGoogle ScholarPubMed
Wells, K. B., Golding, J. M. & Burnam, M. A. (1988). Psychiatric disorder and limitations in physical functioning in a sample of the Los Angeles general population. American Journal of Psychiatry 145, 712–717.Google Scholar
Weyerer, S., Hewer, W., Pfeifer-Kurda, M. & Dilling, H. (1989). Psychiatric disorders and diabetes – results from a community study. Journal of Psychosomatic Research 33, 633–640.CrossRefGoogle ScholarPubMed
Wilkinson, G., Borsey, D. Q., Leslie, P., Newton, R. W., Lind, C. & Ballinger, C. B. (1988). Psychiatric morbidity and social problems in patients with insulin-dependent diabetes mellitus. British Journal of Psychiatry 153, 38–43.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.Google Scholar
Wrigley, M. & Mayou, R. (1991). Psychosocial factors and admission for poor glycaemic control. Journal of Psychosomatic Research 35, 335–344.CrossRefGoogle ScholarPubMed
Wulsin, L. R., Jacobson, A. M. & Rand, L. I. (1987). Psychosocial aspects of diabetic retinopathy. Diabetes Care 10, 367–373.CrossRefGoogle ScholarPubMed