Anxiety and depression symptoms in patients with diabetes type 2

Abstract

The aim of the study is to find out the frequency of emotional dissociations, and determine the rate of evidence of changes at psychological state in dependence of sex, age, duration of diabetes, frequency of glycaemic control, body mass index. Materials and methods: 60 patients with diabetes type 2 have been investigated, which included 29 women and 31 men at the age from 41 to 70 (the average age is 55 years; SD 5.88) with the duration of illness from 2 up to 18 years (the average is 7.8 years; SD 4.05) in conditions of Department of Endocrinology, Municipal Clinic Hospital “Sf.Treime”, Republic of Moldova. It was used the Hospital Anxiety and Depression Scale (HADS). Based on data of HADS, the high levels of anxiety (mean 8.73±0.39; SD 3.08) and depressing symptoms (mean 6.45±0.39; SD 3.06) were revealed in patients with diabetes type 2; and the true correlation r=0.97 depression^.871 l+0.4098*anxiety; p<0.05) was found out. Clinically evident features (HADS score > or=ll) of anxiety and depression were 28% and 11% correspondingly. Subclinical forms of anxiety and depression (HADS score 8-10) were 42% and 25% correspondingly. Such as anxiety, depression was met more often in women. It was shown that the frequency of depression is picking up with the age in men but in women these regularities were not found out. With the raising of duration of disease significantly goes up frequency of anxiety (p<0.05) and depression ( p<0.05) in men. It has been found out much higher level of anxiety (p<0.01), but not depression, in patients who had made a daily glucose blood control. More evident it can be seen in women (p<0.001). In patients who made such control very seldom and not regular was found out higher level of anxiety (mean 9.65±0.21, p<0.01) and depression (mean 7.59±0.15, p<0.01) regardless the sex. A high body mass index corresponds (r=0.95, p<0.01) to the level of depression in women. These diagnoses have been showed that the anxiety and depression in patients with type 2 diabetes were significantly higher than the real published data. The discovered regularities of psychological changes in patients with diabetes are necessary to reveal and to treat.