{"title":"病态和非病态 2 型糖尿病患者的进食障碍和自杀意念:横断面研究","authors":"Amin Soltani Esmaeli, Hamid Owliaey, H. Ghasemirad, Shadi Talebi, Reyhane soltaninezhad, Hossein Toreyhi, Zahra Pournasiri, Mehrnoush Giahi Yazdi, Saeed Rahmani, Reza Bidaki, Meraj Kargar","doi":"10.5812/ijpbs-144042","DOIUrl":null,"url":null,"abstract":"Background: Patients with chronic illnesses like type 2 diabetes mellitus (T2DM) are at a higher risk of depression and psychiatric disorders, potentially leading to adverse outcomes. Eating disorders appear to be one of the factors contributing to T2DM and resulting in poor glycemic control and complications. Objectives: This study aimed to compare the prevalence of eating disorders and suicidal ideation between morbid and non-morbid T2DM patients. Methods: A cross-sectional questionnaire was conducted at the Yazd Diabetes Research Center from August 2021 to March 2022. A total of 232 T2DM patients aged between 30 and 65 were included in the study. Through convenience sampling, data were collected using structured questionnaires to assess eating disorders, suicidal ideation, and demographic information. Statistical analyses were performed to evaluate the associations between variables. Results: The study revealed that there was no statistically significant difference in the prevalence of eating disorders between the two groups of T2DM patients (P = 0.083). However, upon considering age as a contributing factor, it was observed that younger patients afflicted with morbid T2DM exhibited a markedly higher incidence of eating disorders when compared to their non-morbid counterparts (P = 0.019). In contrast, a significant distinction emerged in terms of suicidal ideation between the two groups (P = 0.015), with patients suffering from morbid T2DM reporting elevated rates of contemplating suicide. Subgroup analyses further underscored a heightened prevalence of suicidal ideation among female patients and those aged 30 - 59 who were afflicted with morbid T2DM. Conclusions: This study highlights the importance of mental health assessment in T2DM patients, particularly those with morbid disease, younger age, higher Body Mass Index (BMI), and poor glycemic control. Early detection and intervention for eating disorders and suicidal ideation could significantly improve the overall well-being and outcomes of T2DM patients.","PeriodicalId":46644,"journal":{"name":"Iranian Journal of Psychiatry and Behavioral Sciences","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Eating Disorders and Suicidal Ideation in Morbid and Non-morbid Type 2 Diabetes Mellitus: A Cross-sectional Study\",\"authors\":\"Amin Soltani Esmaeli, Hamid Owliaey, H. Ghasemirad, Shadi Talebi, Reyhane soltaninezhad, Hossein Toreyhi, Zahra Pournasiri, Mehrnoush Giahi Yazdi, Saeed Rahmani, Reza Bidaki, Meraj Kargar\",\"doi\":\"10.5812/ijpbs-144042\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Patients with chronic illnesses like type 2 diabetes mellitus (T2DM) are at a higher risk of depression and psychiatric disorders, potentially leading to adverse outcomes. Eating disorders appear to be one of the factors contributing to T2DM and resulting in poor glycemic control and complications. Objectives: This study aimed to compare the prevalence of eating disorders and suicidal ideation between morbid and non-morbid T2DM patients. Methods: A cross-sectional questionnaire was conducted at the Yazd Diabetes Research Center from August 2021 to March 2022. A total of 232 T2DM patients aged between 30 and 65 were included in the study. Through convenience sampling, data were collected using structured questionnaires to assess eating disorders, suicidal ideation, and demographic information. Statistical analyses were performed to evaluate the associations between variables. Results: The study revealed that there was no statistically significant difference in the prevalence of eating disorders between the two groups of T2DM patients (P = 0.083). However, upon considering age as a contributing factor, it was observed that younger patients afflicted with morbid T2DM exhibited a markedly higher incidence of eating disorders when compared to their non-morbid counterparts (P = 0.019). In contrast, a significant distinction emerged in terms of suicidal ideation between the two groups (P = 0.015), with patients suffering from morbid T2DM reporting elevated rates of contemplating suicide. Subgroup analyses further underscored a heightened prevalence of suicidal ideation among female patients and those aged 30 - 59 who were afflicted with morbid T2DM. Conclusions: This study highlights the importance of mental health assessment in T2DM patients, particularly those with morbid disease, younger age, higher Body Mass Index (BMI), and poor glycemic control. Early detection and intervention for eating disorders and suicidal ideation could significantly improve the overall well-being and outcomes of T2DM patients.\",\"PeriodicalId\":46644,\"journal\":{\"name\":\"Iranian Journal of Psychiatry and Behavioral Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2024-03-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Iranian Journal of Psychiatry and Behavioral Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5812/ijpbs-144042\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Psychiatry and Behavioral Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5812/ijpbs-144042","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Eating Disorders and Suicidal Ideation in Morbid and Non-morbid Type 2 Diabetes Mellitus: A Cross-sectional Study
Background: Patients with chronic illnesses like type 2 diabetes mellitus (T2DM) are at a higher risk of depression and psychiatric disorders, potentially leading to adverse outcomes. Eating disorders appear to be one of the factors contributing to T2DM and resulting in poor glycemic control and complications. Objectives: This study aimed to compare the prevalence of eating disorders and suicidal ideation between morbid and non-morbid T2DM patients. Methods: A cross-sectional questionnaire was conducted at the Yazd Diabetes Research Center from August 2021 to March 2022. A total of 232 T2DM patients aged between 30 and 65 were included in the study. Through convenience sampling, data were collected using structured questionnaires to assess eating disorders, suicidal ideation, and demographic information. Statistical analyses were performed to evaluate the associations between variables. Results: The study revealed that there was no statistically significant difference in the prevalence of eating disorders between the two groups of T2DM patients (P = 0.083). However, upon considering age as a contributing factor, it was observed that younger patients afflicted with morbid T2DM exhibited a markedly higher incidence of eating disorders when compared to their non-morbid counterparts (P = 0.019). In contrast, a significant distinction emerged in terms of suicidal ideation between the two groups (P = 0.015), with patients suffering from morbid T2DM reporting elevated rates of contemplating suicide. Subgroup analyses further underscored a heightened prevalence of suicidal ideation among female patients and those aged 30 - 59 who were afflicted with morbid T2DM. Conclusions: This study highlights the importance of mental health assessment in T2DM patients, particularly those with morbid disease, younger age, higher Body Mass Index (BMI), and poor glycemic control. Early detection and intervention for eating disorders and suicidal ideation could significantly improve the overall well-being and outcomes of T2DM patients.
期刊介绍:
The Iranian Journal of Psychiatry and Behavioral Sciences (IJPBS) is an international quarterly peer-reviewed journal which is aimed at promoting communication among researchers worldwide and welcomes contributions from authors in all areas of psychiatry, psychology, and behavioral sciences. The journal publishes original contributions that have not previously been submitted for publication elsewhere. Manuscripts are received with the understanding that they are submitted solely to the IJPBS. Upon submission, they become the property of the Publisher and that the data in the manuscript have been reviewed by all authors, who agree to the analysis of the data and the conclusions reached in the manuscript. The Publisher reserves copyright and renewal on all published material and such material may not be reproduced without the written permission of the Publisher. Statements in articles are the responsibility of the authors.