The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality
Introduction According to our national data based on PREDATORR study, the point prevalence of diabetes mellitus in Romania was 11.6 % in adults between 20 and 79 years old. Unequivocally, type 2 diabetes mellitus is highly correlated with psychological and personality factors. Objectives The obj...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821006611/type/journal_article |
| _version_ | 1827753617709334528 |
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| author | R. Kalinovic B. Tinca O. Neda-Stepan M. Dinescu C. Giurgi-Oncu I. Enatescu V.R. Enatescu |
| author_facet | R. Kalinovic B. Tinca O. Neda-Stepan M. Dinescu C. Giurgi-Oncu I. Enatescu V.R. Enatescu |
| author_sort | R. Kalinovic |
| collection | DOAJ |
| description |
Introduction
According to our national data based on PREDATORR study, the point prevalence of diabetes mellitus in Romania was 11.6 % in adults between 20 and 79 years old. Unequivocally, type 2 diabetes mellitus is highly correlated with psychological and personality factors.
Objectives
The objective of our research was to evaluate the frequency of type D personality in patients suffering from type 2 diabetes and its influence on angiopathic complications.
Methods
A cross-sectional study was conducted in 173 patients with type 2 diabetes who were self-assessed by using Beck Depression Inventory I, STAI-Y scale and DS 14 scale for detection of type D personality.
Results
Both depression (p = 0.012) and state and trait anxiety (p = 0.019 and 0.023 respectively) scores were significantly higher in diabetic patients with type D personality compared with non-type D diabetic patients. Lower limb complications were more frequent in non-type D personality diabetics (p = 0.018) while diabetic retinopathy and diabetic polyneuropathy (p = 0.004 and p = 0.010 respectively).
Conclusions
The presence of type D personality has a supplementary negative impact on type 2 diabetic patients’ affectivity and emotions. On the one hand, the more frequent microangiopathic complications in type D personality diabetic patients confirm that diabetes, at least in part, is an endovascular disease. On the other hand, some factors such as pro-inflammatory biomarkers may be more expressed in type 2 diabetic patients with concomitantly type D personality than those without this type of personality, leading to premature microangiopathic complications.
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| first_indexed | 2024-03-11T07:37:58Z |
| format | Article |
| id | doaj.art-4cf64c05b1204f23b3d5556b61a35a93 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:37:58Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-4cf64c05b1204f23b3d5556b61a35a932023-11-17T05:09:07ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S246S24710.1192/j.eurpsy.2021.661The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personalityR. Kalinovic0B. Tinca1O. Neda-Stepan2M. Dinescu3C. Giurgi-Oncu4I. Enatescu5V.R. Enatescu6Psychiatry I, “Pius Brinzeu” Emergency County Hospital-Psychiatric Clinic, Timisoara, RomaniaPsychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, RomaniaPsychiatry I, “Pius Brinzeu” Emergency County Hospital-Psychiatric Clinic, Timisoara, RomaniaPsychiatry I, “Pius Brinzeu” Emergency County Hospital-Psychiatric Clinic, Timisoara, RomaniaPsychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, RomaniaNeonatology And Childcare, “Victor Babes” University of Medicine and Pharmacy, Timisoara, RomaniaPsychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Introduction According to our national data based on PREDATORR study, the point prevalence of diabetes mellitus in Romania was 11.6 % in adults between 20 and 79 years old. Unequivocally, type 2 diabetes mellitus is highly correlated with psychological and personality factors. Objectives The objective of our research was to evaluate the frequency of type D personality in patients suffering from type 2 diabetes and its influence on angiopathic complications. Methods A cross-sectional study was conducted in 173 patients with type 2 diabetes who were self-assessed by using Beck Depression Inventory I, STAI-Y scale and DS 14 scale for detection of type D personality. Results Both depression (p = 0.012) and state and trait anxiety (p = 0.019 and 0.023 respectively) scores were significantly higher in diabetic patients with type D personality compared with non-type D diabetic patients. Lower limb complications were more frequent in non-type D personality diabetics (p = 0.018) while diabetic retinopathy and diabetic polyneuropathy (p = 0.004 and p = 0.010 respectively). Conclusions The presence of type D personality has a supplementary negative impact on type 2 diabetic patients’ affectivity and emotions. On the one hand, the more frequent microangiopathic complications in type D personality diabetic patients confirm that diabetes, at least in part, is an endovascular disease. On the other hand, some factors such as pro-inflammatory biomarkers may be more expressed in type 2 diabetic patients with concomitantly type D personality than those without this type of personality, leading to premature microangiopathic complications. https://www.cambridge.org/core/product/identifier/S0924933821006611/type/journal_articletype D personalitydepressionanxietydiabetes mellitus |
| spellingShingle | R. Kalinovic B. Tinca O. Neda-Stepan M. Dinescu C. Giurgi-Oncu I. Enatescu V.R. Enatescu The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality European Psychiatry type D personality depression anxiety diabetes mellitus |
| title | The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality |
| title_full | The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality |
| title_fullStr | The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality |
| title_full_unstemmed | The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality |
| title_short | The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality |
| title_sort | particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type d personality |
| topic | type D personality depression anxiety diabetes mellitus |
| url | https://www.cambridge.org/core/product/identifier/S0924933821006611/type/journal_article |
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