Clinical and psychopathological features of patients with type II diabetes mellitus
Today, type II diabetes mellitus (T2DM) is considered to be the most important nosological cause of decreased cognitive functions. A number of studies have found that hyperglycemia and duration of diabetes are associated with cognitive deficits, with the prevalence of cognitive impairment in type 2...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2021-11-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/36371 |
| _version_ | 1811304000780238848 |
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| author | A. Kondratenko |
| author_facet | A. Kondratenko |
| author_sort | A. Kondratenko |
| collection | DOAJ |
| description |
Today, type II diabetes mellitus (T2DM) is considered to be the most important nosological cause of decreased cognitive functions. A number of studies have found that hyperglycemia and duration of diabetes are associated with cognitive deficits, with the prevalence of cognitive impairment in type 2 diabetes mellitus being 20% in men and 18% in women over 60 years of age.
To achieve this goal, it was conducted a comprehensive clinical-psychopathological and psychodiagnostic examination of 82 patients with moderate type 2 diabetes mellitus (46 women and 36 men) aged 35.9±10.1 years in accordance with the principles of bioethics and deontology. The mean duration of diabetes was 7.9±5.2 years. The severity of diabetes in most cases was defined as moderate (84.1%), and in 15.9% of cases corresponded to severe. 30.2% of patients used insulin as a basic hypoglycemic therapy, 69.8% - tablets.
According to the analysis of the emotional state of patients with T2DM were characterized by complaints of low, depressed mood (69.5% of examined patients), uncontrolled emotional reactions (46.2%), feelings of anxiety, constant internal tension (44.7%), paresthesias (29.1%), sleep-wake cycle disorders (56.2%), general weakness, lethargy and fatigue (58.2%), fatigue (90.0%), frequent mood swings, with a predominance of decreased mood background (23.3%), emotional lability with excessive vulnerability and sensitivity (16.6%), irritability (16.6%).
The clinical and psychopathological structure of emotional disorders is represented by anxious (43.4%), depressive (26.6%), astheno-hypochondriac (19.8%), hysteroform (10.2%) syndromes. Clinical examination of patients with DM showed that more often (in 95.0% of cases) in patients with T2DM there is a decrease in memory of auditory and visual modality, impaired intellectual abilities, slow thinking, lack of attention and information processing.
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| first_indexed | 2024-04-13T07:59:11Z |
| format | Article |
| id | doaj.art-7af50f14d97b4ba4b9dcef7e097125fc |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-13T07:59:11Z |
| publishDate | 2021-11-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-7af50f14d97b4ba4b9dcef7e097125fc2022-12-22T02:55:20ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062021-11-01111110.12775/JEHS.2021.11.11.016Clinical and psychopathological features of patients with type II diabetes mellitusA. Kondratenko 0Kharkiv National Medical University Today, type II diabetes mellitus (T2DM) is considered to be the most important nosological cause of decreased cognitive functions. A number of studies have found that hyperglycemia and duration of diabetes are associated with cognitive deficits, with the prevalence of cognitive impairment in type 2 diabetes mellitus being 20% in men and 18% in women over 60 years of age. To achieve this goal, it was conducted a comprehensive clinical-psychopathological and psychodiagnostic examination of 82 patients with moderate type 2 diabetes mellitus (46 women and 36 men) aged 35.9±10.1 years in accordance with the principles of bioethics and deontology. The mean duration of diabetes was 7.9±5.2 years. The severity of diabetes in most cases was defined as moderate (84.1%), and in 15.9% of cases corresponded to severe. 30.2% of patients used insulin as a basic hypoglycemic therapy, 69.8% - tablets. According to the analysis of the emotional state of patients with T2DM were characterized by complaints of low, depressed mood (69.5% of examined patients), uncontrolled emotional reactions (46.2%), feelings of anxiety, constant internal tension (44.7%), paresthesias (29.1%), sleep-wake cycle disorders (56.2%), general weakness, lethargy and fatigue (58.2%), fatigue (90.0%), frequent mood swings, with a predominance of decreased mood background (23.3%), emotional lability with excessive vulnerability and sensitivity (16.6%), irritability (16.6%). The clinical and psychopathological structure of emotional disorders is represented by anxious (43.4%), depressive (26.6%), astheno-hypochondriac (19.8%), hysteroform (10.2%) syndromes. Clinical examination of patients with DM showed that more often (in 95.0% of cases) in patients with T2DM there is a decrease in memory of auditory and visual modality, impaired intellectual abilities, slow thinking, lack of attention and information processing. https://apcz.umk.pl/JEHS/article/view/36371emotional disordertype 2 diabetes mellituscognitive disorderanxiety and depressive disorder |
| spellingShingle | A. Kondratenko Clinical and psychopathological features of patients with type II diabetes mellitus Journal of Education, Health and Sport emotional disorder type 2 diabetes mellitus cognitive disorder anxiety and depressive disorder |
| title | Clinical and psychopathological features of patients with type II diabetes mellitus |
| title_full | Clinical and psychopathological features of patients with type II diabetes mellitus |
| title_fullStr | Clinical and psychopathological features of patients with type II diabetes mellitus |
| title_full_unstemmed | Clinical and psychopathological features of patients with type II diabetes mellitus |
| title_short | Clinical and psychopathological features of patients with type II diabetes mellitus |
| title_sort | clinical and psychopathological features of patients with type ii diabetes mellitus |
| topic | emotional disorder type 2 diabetes mellitus cognitive disorder anxiety and depressive disorder |
| url | https://apcz.umk.pl/JEHS/article/view/36371 |
| work_keys_str_mv | AT akondratenko clinicalandpsychopathologicalfeaturesofpatientswithtypeiidiabetesmellitus |