Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates
María Teresa Alcántara-Garcés, Alejandra Monserrat Rodríguez-Ramírez, Ana Cristina García-Ulloa, Sergio Hernández-Jiménez On behalf of the Group of Study CAIPaDiCentro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexic...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-06-01
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| Series: | Neuropsychiatric Disease and Treatment |
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| Online Access: | https://www.dovepress.com/comorbidity-between-recent-diagnosis-of-type-2-diabetes-and-non-psycho-peer-reviewed-fulltext-article-NDT |
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| author | Alcántara-Garcés MT Rodríguez-Ramírez AM García-Ulloa AC Hernández-Jiménez S |
| author_facet | Alcántara-Garcés MT Rodríguez-Ramírez AM García-Ulloa AC Hernández-Jiménez S |
| author_sort | Alcántara-Garcés MT |
| collection | DOAJ |
| description | María Teresa Alcántara-Garcés, Alejandra Monserrat Rodríguez-Ramírez, Ana Cristina García-Ulloa, Sergio Hernández-Jiménez On behalf of the Group of Study CAIPaDiCentro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoCorrespondence: Alejandra Monserrat Rodríguez-Ramírez, Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga No. 15, Colonia Sección XVI, Tlalpan, Mexico City, 14080, Mexico, Tel +1 52 55 54870900 5045 ; +1 52 55 55737378, Email alemones.rdz@gmail.comPurpose: To describe the metabolic status and clinical characteristics associated with NPPD in patients with less than five years of T2D diagnosis and explore the role of age in the presentation of psychiatric comorbidities.Patients and Methods: This was a cross-sectional study of subjects who attended a comprehensive care program. Patients were assessed using the Mini-International Neuropsychiatric Interview, and clinical and metabolic characteristics were registered. Multivariate logistic regression analyses were conducted to identify risk and protective factors for psychiatric disorders. We performed an analysis to further explore age’s influence on our results.Results: We included 1953 patients, and 40.1% had any psychiatric disorder. Younger age, female sex, and personal psychiatric history were associated with NPPD. The use of insulin was reported as a protective factor for eating disorders. Body mass index was associated with any psychiatric disorders and eating disorders. The analysis of age reported that patients younger than 45 years had the worst metabolic parameters and increased odds for NPPD, while patients older than 65 years had the best metabolic measures and decreased odds for psychiatric comorbidity.Conclusion: NPPD were frequent comorbidities in our sample; younger age, female sex, and personal psychiatric history were the most important factors associated with psychiatric comorbidities. Younger subjects experience a higher risk for psychiatric disorders and worst metabolic control.Keywords: diabetic care, psychiatric comorbidity, psychopathology |
| first_indexed | 2024-04-13T21:11:00Z |
| format | Article |
| id | doaj.art-0ef81098815b42fd8e4f69aa2c967f78 |
| institution | Directory Open Access Journal |
| issn | 1178-2021 |
| language | English |
| last_indexed | 2024-04-13T21:11:00Z |
| publishDate | 2022-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj.art-0ef81098815b42fd8e4f69aa2c967f782022-12-22T02:29:50ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212022-06-01Volume 181151116375902Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical CorrelatesAlcántara-Garcés MTRodríguez-Ramírez AMGarcía-Ulloa ACHernández-Jiménez SMaría Teresa Alcántara-Garcés, Alejandra Monserrat Rodríguez-Ramírez, Ana Cristina García-Ulloa, Sergio Hernández-Jiménez On behalf of the Group of Study CAIPaDiCentro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, MexicoCorrespondence: Alejandra Monserrat Rodríguez-Ramírez, Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga No. 15, Colonia Sección XVI, Tlalpan, Mexico City, 14080, Mexico, Tel +1 52 55 54870900 5045 ; +1 52 55 55737378, Email alemones.rdz@gmail.comPurpose: To describe the metabolic status and clinical characteristics associated with NPPD in patients with less than five years of T2D diagnosis and explore the role of age in the presentation of psychiatric comorbidities.Patients and Methods: This was a cross-sectional study of subjects who attended a comprehensive care program. Patients were assessed using the Mini-International Neuropsychiatric Interview, and clinical and metabolic characteristics were registered. Multivariate logistic regression analyses were conducted to identify risk and protective factors for psychiatric disorders. We performed an analysis to further explore age’s influence on our results.Results: We included 1953 patients, and 40.1% had any psychiatric disorder. Younger age, female sex, and personal psychiatric history were associated with NPPD. The use of insulin was reported as a protective factor for eating disorders. Body mass index was associated with any psychiatric disorders and eating disorders. The analysis of age reported that patients younger than 45 years had the worst metabolic parameters and increased odds for NPPD, while patients older than 65 years had the best metabolic measures and decreased odds for psychiatric comorbidity.Conclusion: NPPD were frequent comorbidities in our sample; younger age, female sex, and personal psychiatric history were the most important factors associated with psychiatric comorbidities. Younger subjects experience a higher risk for psychiatric disorders and worst metabolic control.Keywords: diabetic care, psychiatric comorbidity, psychopathologyhttps://www.dovepress.com/comorbidity-between-recent-diagnosis-of-type-2-diabetes-and-non-psycho-peer-reviewed-fulltext-article-NDTdiabetic carepsychiatric comorbiditypsychopathology |
| spellingShingle | Alcántara-Garcés MT Rodríguez-Ramírez AM García-Ulloa AC Hernández-Jiménez S Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates Neuropsychiatric Disease and Treatment diabetic care psychiatric comorbidity psychopathology |
| title | Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates |
| title_full | Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates |
| title_fullStr | Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates |
| title_full_unstemmed | Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates |
| title_short | Comorbidity Between Recent Diagnosis of Type 2 Diabetes and Non-Psychotic Psychiatric Disorders: Metabolic Characteristics and Clinical Correlates |
| title_sort | comorbidity between recent diagnosis of type 2 diabetes and non psychotic psychiatric disorders metabolic characteristics and clinical correlates |
| topic | diabetic care psychiatric comorbidity psychopathology |
| url | https://www.dovepress.com/comorbidity-between-recent-diagnosis-of-type-2-diabetes-and-non-psycho-peer-reviewed-fulltext-article-NDT |
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