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 clinic...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Brazilian Society of Endocrinology and Metabolism
2021-07-01
|
| Series: | Archives of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972021000600684&tlng=en |
| _version_ | 1818988474990067712 |
|---|---|
| author | Thiago Malaquias Fritzen Letícia Schwerz Weinert Isabele Beatris Denk João Alberto Succolotti Deuschle Isabel Conte Maurício Picolo Menegolla Ticiana da Costa Rodrigues |
| author_facet | Thiago Malaquias Fritzen Letícia Schwerz Weinert Isabele Beatris Denk João Alberto Succolotti Deuschle Isabel Conte Maurício Picolo Menegolla Ticiana da Costa Rodrigues |
| author_sort | Thiago Malaquias Fritzen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T19:23:10Z |
| format | Article |
| id | doaj.art-9d3428ce2aa243cba12b0672b8d46fb0 |
| institution | Directory Open Access Journal |
| issn | 2359-4292 |
| language | English |
| last_indexed | 2024-12-20T19:23:10Z |
| publishDate | 2021-07-01 |
| publisher | Brazilian Society of Endocrinology and Metabolism |
| record_format | Article |
| series | Archives of Endocrinology and Metabolism |
| spelling | doaj.art-9d3428ce2aa243cba12b0672b8d46fb02022-12-21T19:28:56ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922021-07-0165668469410.20945/2359-3997000000386Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjectsThiago Malaquias Fritzenhttps://orcid.org/0000-0003-1995-0746Letícia Schwerz Weinerthttps://orcid.org/0000-0002-2215-4743Isabele Beatris Denkhttps://orcid.org/0000-0003-1854-0286João Alberto Succolotti Deuschlehttps://orcid.org/0000-0002-2822-6891Isabel Contehttps://orcid.org/0000-0003-4176-9505Maurício Picolo Menegollahttps://orcid.org/0000-0002-4318-5194Ticiana da Costa Rodrigueshttps://orcid.org/0000-0001-9254-3712ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972021000600684&tlng=enType 1 diabetespsychiatric disordersanxietydepressiondiabetes complication |
| spellingShingle | Thiago Malaquias Fritzen Letícia Schwerz Weinert Isabele Beatris Denk João Alberto Succolotti Deuschle Isabel Conte Maurício Picolo Menegolla Ticiana da Costa Rodrigues Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects Archives of Endocrinology and Metabolism Type 1 diabetes psychiatric disorders anxiety depression diabetes complication |
| title | Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects |
| title_full | Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects |
| title_fullStr | Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects |
| title_full_unstemmed | Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects |
| title_short | Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects |
| title_sort | psychiatric illness emotional distress glycemic control and chronic complications in type 1 diabetes subjects |
| topic | Type 1 diabetes psychiatric disorders anxiety depression diabetes complication |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972021000600684&tlng=en |
| work_keys_str_mv | AT thiagomalaquiasfritzen psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects AT leticiaschwerzweinert psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects AT isabelebeatrisdenk psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects AT joaoalbertosuccolottideuschle psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects AT isabelconte psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects AT mauriciopicolomenegolla psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects AT ticianadacostarodrigues psychiatricillnessemotionaldistressglycemiccontrolandchroniccomplicationsintype1diabetessubjects |