The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale.
adherence to treatment
cardiovascular risk
cardiovascular risk factors
compliance
insulin-resistance
mental disorders
Journal
Diabetes, metabolic syndrome and obesity : targets and therapy
ISSN: 1178-7007
Titre abrégé: Diabetes Metab Syndr Obes
Pays: New Zealand
ID NLM: 101515585
Informations de publication
Date de publication:
2021
2021
Historique:
received:
11
02
2021
accepted:
19
03
2021
entrez:
6
5
2021
pubmed:
7
5
2021
medline:
7
5
2021
Statut:
epublish
Résumé
Diabetes mellitus (DM) is one of the most serious public health problems, involving increasing costs worldwide. The mental state of a person with DM is varied and ever-changing, such as stress, the pressure to always do everything by the book, sadness, anger, and even denial of the disease, all these are feelings patients with DM will experience throughout their life. The aim of our study was to assess the presence of mental and psychiatric disorders (anxiety, depressive states, paranoid ideation, phobia, obsessive-compulsive disorder) in a group of patients with DM after hospitalization in the Clinic for Diabetes, Nutrition, and Metabolic Diseases, for various exacerbations of the underlying condition, looking for possible correlations with other cardiovascular risk factors. Clinical and biological parameters, the presence of acute and chronic complications of the diabetic patients have been evaluated. To assess mental health, the symptom checklist (SCL)-90 questionnaire was conducted for all admitted patients. We observed that the number of patients with obsessive-compulsive disorders was relatively high (23.3%), while depression was present in 17.1% of the patients. Also, 10.6% of patients had hostility and 15.6% had delusional ideation. The presence of psychiatric disorders was associated with a higher age (62 vs. 46.5 years; Patients with DM represent a psychologically vulnerable population, which is why they should undergo early and regular screening for both psychological and psychiatric conditions, especially at admission.
Sections du résumé
BACKGROUND
BACKGROUND
Diabetes mellitus (DM) is one of the most serious public health problems, involving increasing costs worldwide. The mental state of a person with DM is varied and ever-changing, such as stress, the pressure to always do everything by the book, sadness, anger, and even denial of the disease, all these are feelings patients with DM will experience throughout their life.
AIM
OBJECTIVE
The aim of our study was to assess the presence of mental and psychiatric disorders (anxiety, depressive states, paranoid ideation, phobia, obsessive-compulsive disorder) in a group of patients with DM after hospitalization in the Clinic for Diabetes, Nutrition, and Metabolic Diseases, for various exacerbations of the underlying condition, looking for possible correlations with other cardiovascular risk factors.
PATIENTS AND METHODS
METHODS
Clinical and biological parameters, the presence of acute and chronic complications of the diabetic patients have been evaluated. To assess mental health, the symptom checklist (SCL)-90 questionnaire was conducted for all admitted patients.
RESULTS
RESULTS
We observed that the number of patients with obsessive-compulsive disorders was relatively high (23.3%), while depression was present in 17.1% of the patients. Also, 10.6% of patients had hostility and 15.6% had delusional ideation. The presence of psychiatric disorders was associated with a higher age (62 vs. 46.5 years;
CONCLUSION
CONCLUSIONS
Patients with DM represent a psychologically vulnerable population, which is why they should undergo early and regular screening for both psychological and psychiatric conditions, especially at admission.
Identifiants
pubmed: 33953583
doi: 10.2147/DMSO.S304904
pii: 304904
pmc: PMC8089080
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1833-1840Informations de copyright
© 2021 Albai et al.
Déclaration de conflit d'intérêts
The authors declared no conflicts of interest for this work.
Références
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Diabetes Care. 2000 Jul;23(7):934-42
pubmed: 10895843
Int J Psychiatry Med. 2002;32(3):235-47
pubmed: 12489699
Int J Psychiatry Med. 2015;49(4):309-20
pubmed: 26060262
Am Psychol. 2016 Oct;71(7):552-562
pubmed: 27690484
Arch Intern Med. 2006 Apr 24;166(8):876-83
pubmed: 16636213
Lancet. 2018 Aug 11;392(10146):477-486
pubmed: 30129464
Am J Prev Med. 2009 Apr;36(4):341-50
pubmed: 19285199
Diabetes Care. 2007 Oct;30(10):2433-40
pubmed: 17666457
BMC Psychiatry. 2013 Oct 14;13:260
pubmed: 24125027
Compr Psychiatry. 2014 Feb;55(2):233-47
pubmed: 24269193
Diabetol Metab Syndr. 2010 Dec 20;2:72
pubmed: 21171976
Circulation. 2002 Apr 16;105(15):1780-4
pubmed: 11956119
Diabetes Care. 2019 Jan;42(Suppl 1):S124-S138
pubmed: 30559237
Diabetes Care. 2012 May;35(5):1171-80
pubmed: 22517938
Arch Intern Med. 2005 Nov 28;165(21):2508-13
pubmed: 16314548
Neuropsychiatr Dis Treat. 2019 Jan 03;15:167-175
pubmed: 30655669
Diabetes Care. 2008 Dec;31(12):2398-403
pubmed: 19033420
Am J Epidemiol. 1977 Sep;106(3):203-14
pubmed: 900119
Med Care. 2011 Jun;49(6):599-604
pubmed: 21577183
J Diabetes Complications. 2016 Mar;30(2):312-7
pubmed: 26657725
Ann Intern Med. 2016 Oct 4;165(7):473-481
pubmed: 27479614
Lancet Glob Health. 2013 Dec;1(6):e339-49
pubmed: 25104599
J Gen Intern Med. 2006 Jan;21(1):30-8
pubmed: 16423120
PLoS One. 2010 Apr 01;5(4):e9971
pubmed: 20376307
J Am Coll Cardiol. 2008 Apr 1;51(13):1237-46
pubmed: 18371552
Diabetes Res Clin Pract. 2019 Nov;157:107843
pubmed: 31518657
Appl Nurs Res. 2000 Nov;13(4):209-13
pubmed: 11078787
Diabetes Care. 2001 Jun;24(6):1069-78
pubmed: 11375373
JAMA Psychiatry. 2015 Apr;72(4):334-41
pubmed: 25671328
Psychosomatics. 2012 Jan-Feb;53(1):1-12
pubmed: 22221716
Open Nurs J. 2018 Sep 17;12:205-214
pubmed: 30450145
Diabetes Care. 2000 Sep;23(9):1321-5
pubmed: 10977026
Gen Hosp Psychiatry. 2010 Nov-Dec;32(6):563-9
pubmed: 21112446
Diabetologia. 2019 Jan;62(1):3-16
pubmed: 30171279
Diabetes Care. 2014 Sep;37(9):2466-74
pubmed: 24973437
Diabet Med. 2009 Feb;26(2):153-61
pubmed: 19236618
Diabet Med. 2010 Aug;27(8):862-7
pubmed: 20653741
J Pak Med Assoc. 2013 Dec;63(12):1555-7
pubmed: 24397108
Curr Top Behav Neurosci. 2017;31:45-70
pubmed: 27830572
Diabetes Care. 2018 May;41(5):929-932
pubmed: 29678864
J Am Coll Cardiol. 2006 Dec 5;48(11):2218-22
pubmed: 17161249
Lancet. 2010 Jun 26;375(9733):2215-22
pubmed: 20609967
Arch Intern Med. 2000 Nov 27;160(21):3278-85
pubmed: 11088090
J Clin Psychiatry. 2013 Jan;74(1):31-7
pubmed: 23419223
Diabetes Care. 2018 May;41(5):917-928
pubmed: 29567642
Br J Psychiatry. 2011 Dec;199(6):453-8
pubmed: 21593516