[Prevalence of anxiety and depressive symptoms in patients with type 1 and 2 diabetes].
The authors studied data on psychiatric disorders in 34 insulin-dependent and 27 non-insulin dependent diabetic patients by comparison with 25 patients suffering from hypertension. Analysis was performed following clinical diagnosis (according to DSM III-R criteria), Hamilton Anxiety Inventory, Hopkins Symptom Check List 58 and Beck Anxiety Inventory. In all groups the two major psychiatric clinical diagnoses were anxiety disorders (respectively, 53, 59 and 60%, NS) and depressive disorders (respectively 21, 22 and 20%, NS). These disorders were more common in women. The influence of degenerative complications was studied. Insulin-dependent diabetics with objective nephropathy had significantly higher anxiety scores. In non-insulin-dependent diabetic patients, microangiopathy, diabetic foot and poor control (HbA1c > or = 10%) were also associated with depressive disorders. We conclude that diabetics present with high prevalences of anxiety and depressive disorders and we suggest specific therapeutic approaches.
Service de psychiatrie A Groupe hospitalier Saint-Jacques, Clermont-Ferrand.
I
I
Jalenques
I
I
Tauveron
E
E
Albuisson
D
D
Lonjaret
P
P
Thieblot
A J
AJ
Coudert
D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis*; D003866:Depressive Disorder / Q000175:diagnosis*; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D003925:Diabetic Angiopathies / Q000523:psychology; D003928:Diabetic Nephropathies / Q000523:psychology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests