Depressive symptoms in acromegaly: factors that affect their incidence and severity?

Aim. The study aimed to evaluate the influence of acromegaly on the prevalence and the severity of depressive symptoms in patients with active and inactive disease. Material and Methods. The study group comprised 56 patients with acromegaly, which were divided into two groups based on growth hormon...

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Main Authors: Adam Malicki, Joanna Malicka, Emilia Potembska, Agnieszka Zwolak, Dariusz Malicki, Patrycja Rogowska
Format: Article
Language:English
Published: Poznan University of Medical Sciences 2020-09-01
Series:Journal of Medical Science
Subjects:
Online Access:https://jms.ump.edu.pl/index.php/JMS/article/view/453
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author Adam Malicki
Joanna Malicka
Emilia Potembska
Agnieszka Zwolak
Dariusz Malicki
Patrycja Rogowska
author_facet Adam Malicki
Joanna Malicka
Emilia Potembska
Agnieszka Zwolak
Dariusz Malicki
Patrycja Rogowska
author_sort Adam Malicki
collection DOAJ
description Aim. The study aimed to evaluate the influence of acromegaly on the prevalence and the severity of depressive symptoms in patients with active and inactive disease. Material and Methods. The study group comprised 56 patients with acromegaly, which were divided into two groups based on growth hormone (GH) and insulin-like growth factor (IGF-1) levels, with controlled/cured and with uncontrolled acromegaly. The presence and severity of depressive symptoms were assessed using the Beck Depression Inventory-II (BDI-II). Results. The mean score of BDI-II in the whole group of patients was 13.43±10.41, with no significant difference in the severity of depressive symptoms between patients with cured/controlled and uncontrolled acromegaly (p=0.620). Similarly, the lack of statistically significant differences was confirmed in patients with micro- and macroadenomas, as well as with and without hypopituitarism. There were no significant correlations between BDI-II scores and GH or IGF-1 levels, patient age or duration of the illness. Conclusions. Depressive symptoms are common in acromegalic patients even if remission has been attained. They are most likely caused by psychological, non-organic causes. Patients diagnosed with acromegaly should undergo a screening BDI test as a part of comprehensive care, and in the event of elevated levels should be provided with a psychiatric consultation and psychological care.
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spelling doaj.art-e0446a66259a45f78591cb86c0a1ddea2022-12-22T04:07:21ZengPoznan University of Medical SciencesJournal of Medical Science2353-97982353-98012020-09-0189310.20883/medical.e453Depressive symptoms in acromegaly: factors that affect their incidence and severity?Adam Malicki0Joanna Malicka1Emilia Potembska2Agnieszka Zwolak3Dariusz Malicki4Patrycja Rogowska5Student of Medical University of Lublin, PolandDepartment of Endocrinology, Medical University of Lublin, PolandDepartment of Psychiatric Nursing, Medical University of Lublin, PolandChair of Internal Medicine and Department of Internal Medicine in Nursing, Medical University of Lublin, PolandAlcohol Dependence Treatment Ward, Neuropsychiatric Hospital of Lublin, PolandStudent of Medical University of Lublin, PolandAim. The study aimed to evaluate the influence of acromegaly on the prevalence and the severity of depressive symptoms in patients with active and inactive disease. Material and Methods. The study group comprised 56 patients with acromegaly, which were divided into two groups based on growth hormone (GH) and insulin-like growth factor (IGF-1) levels, with controlled/cured and with uncontrolled acromegaly. The presence and severity of depressive symptoms were assessed using the Beck Depression Inventory-II (BDI-II). Results. The mean score of BDI-II in the whole group of patients was 13.43±10.41, with no significant difference in the severity of depressive symptoms between patients with cured/controlled and uncontrolled acromegaly (p=0.620). Similarly, the lack of statistically significant differences was confirmed in patients with micro- and macroadenomas, as well as with and without hypopituitarism. There were no significant correlations between BDI-II scores and GH or IGF-1 levels, patient age or duration of the illness. Conclusions. Depressive symptoms are common in acromegalic patients even if remission has been attained. They are most likely caused by psychological, non-organic causes. Patients diagnosed with acromegaly should undergo a screening BDI test as a part of comprehensive care, and in the event of elevated levels should be provided with a psychiatric consultation and psychological care.https://jms.ump.edu.pl/index.php/JMS/article/view/453depressionacromegalyBDI-IIBeck Depression Inventory-II
spellingShingle Adam Malicki
Joanna Malicka
Emilia Potembska
Agnieszka Zwolak
Dariusz Malicki
Patrycja Rogowska
Depressive symptoms in acromegaly: factors that affect their incidence and severity?
Journal of Medical Science
depression
acromegaly
BDI-II
Beck Depression Inventory-II
title Depressive symptoms in acromegaly: factors that affect their incidence and severity?
title_full Depressive symptoms in acromegaly: factors that affect their incidence and severity?
title_fullStr Depressive symptoms in acromegaly: factors that affect their incidence and severity?
title_full_unstemmed Depressive symptoms in acromegaly: factors that affect their incidence and severity?
title_short Depressive symptoms in acromegaly: factors that affect their incidence and severity?
title_sort depressive symptoms in acromegaly factors that affect their incidence and severity
topic depression
acromegaly
BDI-II
Beck Depression Inventory-II
url https://jms.ump.edu.pl/index.php/JMS/article/view/453
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