三级医院评估2型糖尿病患者抑郁和焦虑的比较研究

M. Duraimurugan, N. Kumar, R. Karthikeyan, S. Balamurugan, Udhayabashkaran Kadirvelu
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摘要

背景:糖尿病是一个令人担忧的健康问题,影响着全球5亿多人。糖尿病是对心理要求最高的疾病之一,经常与焦虑和抑郁有关。本研究旨在评估糖尿病患者中抑郁和焦虑的患病率,并比较糖尿病和非糖尿病参与者的心理健康评估工具。方法:在符合纳入和排除标准后,随机选择80名糖尿病门诊患者和80名年龄匹配的非糖尿病门诊患者/医学门诊患者亲属进行比较研究。在确认其疾病状况后,获得知情同意。使用预测试问卷、迷你国际神经精神访谈量表、贝克抑郁量表(BDI)和汉密尔顿焦虑量表(HAM-a)收集数据。结果:两组的大多数研究参与者(n=35,43.8%)年龄在46–50岁之间。根据BDI和HAM-A评分,约52.5%的糖尿病和17.5%的非糖尿病参与者患有抑郁症,51.3%的糖尿病和18.3%的非患者患有焦虑症。尽管两组之间在社会人口统计学变量(如社会经济阶层、性别和居住地等)方面存在重大差异,但在统计上并不显著。结论:本研究表明,糖尿病患者的抑郁和焦虑比非糖尿病患者更常见。男性患者、城市人群和社会经济地位低下的人群患抑郁症和焦虑症的风险更大。
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A comparative study to assess depression and anxiety in Type 2 diabetes mellitus patients in a tertiary care hospital
Background: Diabetes is an alarming health problem affecting more than half a billion people globally. Diabetes is one of the most psychologically demanding illnesses and is frequently associated with anxiety and depression. The present study aimed to estimate the prevalence of depression and anxiety among diabetic patients and comparison of mental health assessment tools among diabetic and nondiabetic participants. Methodology: A comparative study of 80 diabetic patients attending the diabetology outpatient department and 80 age-matched nondiabetic attendees/relatives of patients attending the medicine outpatient department were randomly selected after fulfilling inclusion and exclusion criteria. After confirming their disease status, informed consent was obtained. Data were collected using a pretested questionnaire, mini international neuropsychiatric interview scale, beck depression inventory (BDI) for depression, and Hamilton Rating Scale for Anxiety scale (HAM-A) for anxiety. Results: Majority of the study participants in both groups (n = 35, 43.8%) were of 46–50 years old. About 52.5% of diabetic and 17.5% of nondiabetic participants were having depression and 51.3% of diabetic and 18.3% of nondiabetics were having anxiety as per BDI and HAM-A scores, respectively. Although major differences in sociodemographic variables such as socioeconomic class, gender, and place of residence, etc., between the two groups, it was not statistically significant. Conclusion: The present study shows depression and anxiety were more common among diabetic patients than nondiabetic participants. The risk for depression and anxiety is more among male patients, urban population, and those in low-socioeconomic status.
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