title: [Mental disorders and diabetes mellitus].
abstract: Psychiatric disorders and psychological problems are common in patients with diabetes mellitus. There is a twofold increase in depression which is associated with suboptimal glycemic control and increased morbidity and mortality. Other psychiatric disorders with a higher incidence of diabetes mellitus are cognitive impairment, dementia, disturbed eating behaviour, anxiety disorders, schizophrenia, bipolar disorders and borderline personality disorder. The coincidence of mental disorders and diabetes mellitus has unfavourable influences on metabolic control and micro- and macroangiopathic late complications. Improvement of therapeutic outcome is a challenge in the modern health care system. The intentions behind this position paper are to rise awareness of this special set of problems, to intensify cooperation between involved health care providers and to reduce incidence of diabetes mellitus as well as morbidity and mortality from diabetes in this patient group.
authors.affiliation: Internistisches Zentrum, Sozialmedizinisches Zentrum Baumgartner Höhe, Otto-Wagner-Spital, Baumgartner Höhe 1, 1140, Wien, Österreich. heidemarie.abrahamian@wienkav.at.
authors.forename: Heidemarie
authors.initials: H
authors.lastname: Abrahamian
authors.affiliation: Klinische Abteilung für Endokrinologie und Stoffwechsel, Universitätsklinik für Innere Medizin III, Medizinische Universität Wien, Wien, Österreich.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kautzky-Willer
authors.affiliation: 1. Psychiatrische Abteilung mit Zentrum für Psychotherapie und Psychosomatik, Sozialmedizinisches Zentrum Baumgartner Höhe, Otto-Wagner-Spital, Wien, Österreich.
authors.forename: Angelika
authors.initials: A
authors.lastname: Rießland-Seifert
authors.affiliation: 5. Medizinische Abteilung Wilhelminenspital der Stadt Wien, Wien, Österreich.
authors.forename: Peter
authors.initials: P
authors.lastname: Fasching
authors.affiliation: Universitätsklinik für Innere Medizin I, Medizinische Universität Innsbruck, Innsbruck, Österreich.
authors.forename: Christoph
authors.initials: C
authors.lastname: Ebenbichler
authors.affiliation: Universitätsklinik für Psychiatrie, Medizinische Universität Graz, Graz, Österreich.
authors.forename: Peter
authors.initials: P
authors.lastname: Hofmann
authors.affiliation: Lipidstoffwechselambulanz, Universitätsklinik für Innere Medizin, Medizinische Universität Graz, Graz, Österreich.
authors.forename: Hermann
authors.initials: H
authors.lastname: Toplak
mesh_terms: D001317:Austria; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D019317:Evidence-Based Medicine; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D055118:Medication Adherence / Q000523:psychology*; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
chemical_list: D007004:Hypoglycemic Agents
keywords: Adherence; Cognitive impairment; Depression; Diabetes mellitus; Mental disorders; Psychotropic drugs