Diagnosis of co-morbid axis-I psychiatric disorders among women with newly diagnosed, untreated endocrine disorders

Fornaro, Michele; Iovieno, Nadia; Clementi, Nicoletta; Boscaro, Marco; Paggi, Francesca; Balercia, Giancarlo; Fava, Maurizio; Papakostas, George I.

doi:10.3109/15622975.2010.491126

Cited by 18 publications

(9 citation statements)

References 33 publications

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“…In support of these findings, recent studies observed that the coexistence of DM and depression was associated with a much higher risk factor for SI (12, 23) and suicide attempts (13) than with DM alone. In fact, it has also been reported that subjects with an increased prevalence of endocrine abnormalities such as diabetes may be at increased risk of depression and/or anxiety disorders (27). Major depression is also correlated with well-known deficiency in serotonergic neurotransmission, as reported by Müller et al (28).…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Diabetes Mellitus and Suicide Risk

et al. 2017

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BackgroundDiabetes mellitus (DM) is a chronic illness with impaired health-related quality of life and a high risk of psychiatric disorders. We carried out a systematic review analyzing the relationship between DM and suicide by providing a qualitative data synthesis of the studies.MethodsWe conducted, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic search of the literature in PubMed, Scopus, ISI Web of Science, PsycINFO, Google Scholar, and ScienceDirect. Search terms were “suicid*” combined with the Boolean “AND” operator with “diabetes.”ResultsThe initial search identified 568 citations. A total of 17 research reports met the predefined inclusion criteria and were analyzed. DM was found to be significantly associated with a marked increase in suicidal behaviors and suicidal ideation (SI), especially in patients with depressive symptoms. Insulin therapy, DM of long duration, and unsatisfactory glycemic control were identified as risk factors for SI in Type 1 (T1DM) and Type 2 (T2DM).ConclusionHealth-care professionals need to be aware of the higher suicidal risk in patient subgroups based on the clinical characteristics of DM; thus, patients with these characteristics warrant special attention. In this regard, clinical management should include efforts to manage emotional distress in DM care.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Diabetes Mellitus and Suicide Risk

et al. 2017

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“…In our study, hypothyroidism is another one of the most common comorbidity. In many studies it was shown that hypothyroidism makes predisposition to mental illness (55,56). Psychatric disorders occur in patients with somatic diseases frequently (57,58).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural area

Üçkardeş¹

2015

Dusunen Adam

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Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural areaObjective: There is little published literature about the characteristics of patients with mental disorders in rural hospitals. The aim of this study is to determine the mental illness and the demographics of the patients who admit to the outpatient policlinic that offers psychiatric health service for the first time in a rural state hospital. Method:The semi-structured interview consisting DSM-IV diagnostic criterias were used for the patients who admitted to the psychiatry policlinic of Kutahya Gediz State Hospital in a 6-month-period.Sociodemographic data were collected from 555 people aged over 18.Results: Mean age of the patients was 44.7. The rate of women was 67.2% (n=373) and male was 32.8% (n=182). The most frequent DSM-IV diagnoses were mood disorders (n=249, 44%), anxiety disorders (n=179, 32.5%), psychotic disorders (n=52, 9.4%), adjustment disorders (n=26, 4.7%) and somatoform disorders (n=21, 3.8%). Twenty of people had subthreshold symptoms and could not be diagnosed.Comorbidities including diabetes mellitus, hypertension and hypothyroid were frequently observed in psychiatric patients (n=163, 29.4%). Adjustment disorders were mostly seen at younger ages. Psychiatric disorders were most common in married people. Conclusion:The mean age of the patients were found older than previous studies. Women were more commonly admitting to the outpatient psychiatric policlinic. It's remarkable that marriage and psychiatric disorders have a strong association in the rural setting. Clinicians also should consider about comorbid somatic diseases.Key words: Psychiatric disorders, rural area, sociodemographic features, somatic comorbidity ÖZET Kırsal bir bölgede psikiyatri polikliniğine başvuran olguların psikiyatrik tanı dağılımı ve sosyo-demografik özellikleri Amaç: Ülkemizde kırsal bölgelerde bulunan hastanelere başvuran psikiyatri hastalarının özellikleri hakkında yapılmış araştırma sayısı çok azdır. Çalışmamızda, ilk kez psikiyatri polikliniği hizmeti alan kırsal bir bölgede psikiyatrik bozuklukların tanı dağılımları ve tanıların sosyo-demografik özelliklerle ilişkisini saptamak amaçlanmıştır.Yöntem: 6 aylık bir süreçte Kütahya Gediz İlçe Devlet Hastanesi psikiyatri polikliniğine ilk başvurusu olan hastaların DSM-IV tanı ölçütlerini kapsayan yarı-yapılandırılmış görüşme ile muayeneleri yapılmış, hastaların sosyo-demografik verileri toplanmıştır. 18 yaş üstü 555 kişi değerlendirilmeye alınmıştır.Bulgular: Polikliniğe başvuranların yaş ortalaması 44.7 olarak bulunmuştur. Başvuranların %67.2'si (n=373) kadın, %32.8'i erkektir (n=182). Başvuran hastaların 20'sine ilk başvuruda tanı konulamamış olup belirtiler eşik altı olarak değerlendirilmiştir. Kalan 535 kişide ise en sık konulan tanı duygudurum bozukluklarıdır (n=249, %44).Bundan sonra en sık görülen psikiyatrik rahatsızlıklar sırasıyla anksiyete bozuklukları (n=179, %32.5), psikotik bozukluklar (n=52, %9.4), uyum bozuklukları (n=26, %4.7...

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“…Yapılan bir çalışmada, endokrinolojik hastalığı bulunan 218 kadın hastada %14 oranında depresyon saptanmıştır. 10 Endokrinolojik hastalık-larda görülen ruhsal belirtiler, hastalığa özgü belirtiler ortaya çıkmadan önce görülebilmektedir.…”

Section: Discussionunclassified