Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects

Abstract

Objectives: To assess the prevalence of psychiatric disorders in patients with type 1 diabetes mellitus (T1D) and to compare patients with and without psychiatric disorder. Materials and methods: We made a cross-sectional study including patients with T1D assisted in the outpatient clinics of the Brazilian National Health System. To assess depression and anxiety, we used the PHQ-9 questionnaire and the DSM-5th edition criteria, respectively. B-PAID evaluated the level of emotional distress associated with diabetes; EAT-26, eating disorders; SCI-R, adherence to the proposed clinical treatment. Results: We analyzed 166 patients aged 33 (22-45.2) years, 53.6% female. The prevalence of depression and anxiety was 20.5% and 40.4%, respectively. HbA1c was worse in the depressed (9.0% vs. 8.4%, p = 0.008), in the anxious ones (9.0% vs. 8.3%, p = 0.012) and in the patients with high levels of B-PAID (8.8 % vs. 8.3 %, p = 0.009). There was no difference in the prevalence of complications related to diabetes. Conclusions: The prevalence of psychiatric disorders and emotional distress related to diabetes was high in our population of T1D patients, and depression and high levels of B-PAID were associated with the worse glycemic control.

Assessment of the spectrum of depression and bipolarity in patients with type 1 diabetes

“…Depression prevalence among children and adolescents was 27%. Fritzen et al 7 . analysed 166 patients aged 33 (22–45.2) years, 53.6% female.…”

“…Depression prevalence among children and adolescents was 27%. Fritzen et al 7 analysed 166 patients aged 33 (22-45.2) years, 53.6% female. The prevalence of depression and anxiety was 20.5% and 40.4%, respectively.…”

Prevalencia, factores de riesgo y terapias psicológicas asociados a la diabulimia: revisión sistemática en adolescentes y adultos

“…Otro factor de riesgo identificado en varios de los artículos revisados es la pertenencia ser mujer (Nilsson et al, 2020;Smith et al, 2020;Ribeiro et al, 2021;Fritzen et al, 2021;Watt et al, 2022). Sin embargo, el estudio correlacional prospectivo de Salah et al (2022), llevado a cabo con 60 adolescentes egipcios, no encontró asociación significativa entre el género y la presencia de DB.…”

“…En la presente revisión bibliográfica, se constató que el 47% de los artículos, recomendaron iniciar terapias psicoeducativas posterior al diagnóstico (Gibbings et al, 2021;Smith et al, 2020;Costa et al, 2017;Grigolon et al, 2019;Ribeiro et al, 2021;Fritzen et al, 2021;Troncone et al, 2018;Troncone et al, 2021;Brewster et al, 2020;Verbist & Condon, 2021;Şahin-Bodur et al, 2021;Lica et al, 2021;Watt et al, 2022;Nilsson et al, 2020;Al Hourani et al, 2020). Estos resultados evidencian su importancia, ISSN: 2773-7330 Vol.…”

O Pentáculo Do Bem Estar Como Instrumento De Avaliação Do Modo De Vida Na Atenção Primária a Saúde

“…Foi identificado alta prevalência de sofrimento mental na população de pacientes com DM1. Pacientes deprimidos são mais propensos a comportamento suicida significativo ou ideação, principalmente em mulheres(FRITZEN, 2021).MÉTODO CLÍNICO CENTRADO NA PESSOA COM DM1O uso do Método Clínico Centrado na Pessoa (MCCP) na abordagem do paciente com Diabetes Mellitus deve ser encorajado(CARDOSO, 2017; CARARA, 2015). Dentre os benefícios do MCCP no manejo do paciente portador de DM estão: potencial redução nos níveis glicêmicos, o incremento da informação ao paciente, a monitorização mais atenta da evolução da doença, na perspectiva do diabético sobre o conhecimento da sua própria doença.…”