Management of chronic cardiometabolic conditions and mental health during COVID-19

Farooqi, Aaisha; Snoek, Frank J.; Khunti, Kamlesh

doi:10.1016/j.pcd.2020.08.016

Cited by 10 publications

(12 citation statements)

References 11 publications

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“… 7 However, a proactive management of diabetes and mental health comorbidities during the COVID-19 crisis has been acknowledged and implemented through remote counseling and monitoring. 50 Other limitations involve the selection biases resulting from face-to-face consultation and exclusion of participants with missing data. The negative association of UA with PHQ-9 levels should have been corrected for the use of antidepressants that interfere with the levels of UA, and this is also a limitation.…”

Section: Discussionmentioning

confidence: 99%

Depression, anxiety, and diabetes-related distress in type 2 diabetes in primary care in Greece: Different roles for glycemic control and self-care

Kintzoglanakis¹,

Gkousiou²,

Vonta³

et al. 2022

SAGE Open Medicine

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Objectives: The psychological distress of people living with diabetes is increased and associated with poorer glycemic outcomes and self-care. We aimed to examine the frequency of depression, anxiety, and diabetes-related distress (DRD) of individuals with type 2 diabetes (T2D) in primary care (PC) and their comparative associations with clinical, self-care, and socio-demographic characteristics, testing for possible different roles on glycemic control and self-care. Methods: This is a cross-sectional study of 182 adults with a T2D diagnosis of at least six months, recruited between August 2019-March 2020 and May-October 2020, from an urban PC unit. Participants were screened for symptoms of depression (Patient Health Questionnaire-9 (PHQ-9)), anxiety (Generalized Anxiety Disorder-7 (GAD-7)), and DRD (Diabetes Distress Scale (DDS)). Clinical, self-care, and socio-demographic parameters were recorded. Results: The frequency of clinically significant symptoms of depression was 16.6%, (PHQ-9 score ⩾10), anxiety 17.7% (GAD-7 score ⩾10), and DRD 22.6% (DDS score ⩾2). All PHQ-9, GAD-7, and DDS scores intercorrelated, and higher scores were found to be associated with female gender, lower income, and prior diagnosis of depression. Higher PHQ-9 and GAD-7 scores were found to be associated with lower education, more hypoglycemia episodes, more blood glucose self-tests and antidepressant or benzodiazepine use. The retired/housewives scored significantly lower in GAD-7 and DDS compared to the unemployed participants. Higher DDS scores were associated with higher glycated hemoglobin, higher fasting plasma glucose, and insulin use. It was also noted that higher PHQ-9 scores were associated with lower uric acid levels and were significantly higher in the sedentary lifestyle group. Conclusion: DRD was associated with poorer glycemic outcomes while depressive symptoms were associated with lower physical activity perhaps sharing different roles for glycemic control and self-care. The psychological burden of individuals with T2D may be considered in PC.

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Section: Discussionmentioning

confidence: 99%

Depression, anxiety, and diabetes-related distress in type 2 diabetes in primary care in Greece: Different roles for glycemic control and self-care

Kintzoglanakis¹,

Gkousiou²,

Vonta³

et al. 2022

SAGE Open Medicine

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“…[ 17 18 21 ] Comorbid medical conditions at baseline when infected with COVID-19 have also been reported to be essential for the development of depression. [ 9 22 ] Hypertension, cardiovascular disease, diabetes mellitus, and chronic obstructive pulmonary disease are the most common comorbid diseases in patients hospitalized with COVID-19. [ 22 ] A recent meta-analysis found that people with diabetes and comorbid depression had a 47.9% increase in cardiovascular mortality, 36.8% increase in coronary heart disease, and 32.9% increase in stroke.…”

Section: Discussionmentioning

confidence: 99%

Immediate and short-term prevalence of depression in covid-19 patients and its correlation with continued symptoms experience

Shah

Bhattad²

2022

Indian Journal of Psychiatry

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Background: The COVID-19 infection can result in prolonged illness in those infected irrespective of disease severity. Infectious diseases are associated with a higher risk of mood disorders. A better understanding of convalescence, symptom duration, as well as the prevalence of depression among recovering patients, could help plan better care for the survivors of COVID-19. Aim: The study aimed to estimate the immediate and short-term prevalence of major depressive disorder and its correlation with continued symptom experience. Methods: In this non-interventional, observational, and cross-sectional telephone survey study, 273 participants were included from January 2021 to April 2021 and 261 completed follow-up by July 2021. The symptoms at the time of RT-PCR testing and during the two phone calls were captured and the Patient Health Questionnaire 9 item (PHQ-9) version was administered. Results: During the immediate and short-term period following COVID-19, 144/261 (55.1%) and 71/261 (27.2%) patients had not returned to usual health, respectively, and 33/261 (12.8%) and 13/261 (5%) of the patients developed depression, respectively. The binary logistic regression analysis revealed that the independent predictors of depression in short-term period following COVID-19 were comorbid diabetes mellitus (OR = 32.99, 95% CI- 2.19-496, P = 0.011), number of symptoms at the time of RT-PCR testing (OR = 1.89, 95% CI 1.23-1.92, P = 0.018), and number of symptoms at short-term period following COVID-19 (OR = 2.85, 95% CI 1.47-5.51, P = 0.002). Conclusions: Individuals with a greater number of symptoms at the time of RT-PCR testing, with post-COVID symptoms persisting 3 months later, and those who have comorbid diabetes mellitus, are at greater odds to have comorbid depression.

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“…Additionally, population anxiety, social distancing and isolation exacerbate further chronic diseases through changes in dietary and physical activity habits, while increasing psychological stress. 11 Indeed, it has been reported that since the onset of COVID-19, the mental health burden among the populations has heightened. 12 Although it is still early to quantify the exact impact of these measures, it is envisaged that there will be major negative repercussions to population health following these actions.…”

Section: Impact Of Covid-19 and Its Care On Chronic Diseasesmentioning

confidence: 99%

“…It could reduce the occurrence of chronic disease’s related complications as well as decrease the susceptibility for complex negative outcomes, should sufferers acquire COVID-19. 11 There are multiple action strategies that can be followed for an effective management plan. In the era of digital health, virtual healthcare can be the key to improve chronic diseases management while abiding with the COVID-19 preventive measures.…”

Section: Preparing For the Futurementioning

confidence: 99%

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Taking care of the ordinary in extraordinary times—delayed routine care means more morbidity and pre-mature mortality

Cuschieri

Mamo

2021

European Journal of Public Health

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Individuals with chronic diseases are more susceptible to its grave complications and negative outcomes if infected by COVID-19. Furthermore, mandatory isolation and cancellations of routine healthcare services led to the disruption of the screening and management plans for chronic diseases. Fear of attending health services as well as disruptions to public transport are other factors increasing health risks among persons with chronic conditions during the pandemic. Ensuring access to universal healthcare services, increasing use of digital services, targeted interventions to risk groups are examples of measures that need to be taken when reviewing health systems preparedness for future pandemics and other disasters.

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Management of chronic cardiometabolic conditions and mental health during COVID-19

Cited by 10 publications

References 11 publications

Depression, anxiety, and diabetes-related distress in type 2 diabetes in primary care in Greece: Different roles for glycemic control and self-care

Depression, anxiety, and diabetes-related distress in type 2 diabetes in primary care in Greece: Different roles for glycemic control and self-care

Immediate and short-term prevalence of depression in covid-19 patients and its correlation with continued symptoms experience

Taking care of the ordinary in extraordinary times—delayed routine care means more morbidity and pre-mature mortality

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