Mental health in the era of COVID-19: prevalence of psychiatric disorders in a cohort of patients with type 1 and type 2 diabetes during the social distancing
Mental health in the era of COVID-19: prevalence of psychiatric disorders in a cohort of patients with type 1 and type 2 diabetes during the social distancing
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DOI：
10.1186/s13098-020-00584-6
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发表时间：
2020-08-31
影响因子：
4.8
通讯作者：
Telo, Gabriela Heiden
中科院分区：
文献类型：
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作者：
Alessi, Janine;de Oliveira, Giovana Berger;Telo, Gabriela Heiden
背景 在糖尿病患者中，抑郁和焦虑症状的患病率大约是普通人群的两到四倍。在压力环境中，糖尿病与心理健康障碍之间的关联可能会加剧，而心理困扰可能会增加抑郁症状并导致糖尿病的不良后果。目的 评估因 COVID-19 大流行而导致的社交距离期间糖尿病患者心理健康障碍的患病率。方法 这是一项横断面研究，旨在评估社交距离对巴西 1 型糖尿病 (n = 52) 和 2 型糖尿病 (n = 68) 成年人队列的影响。纳入标准包括在过去 3 个月内收集 HbA1c 测试结果，并在电子病历中包含有效的电话号码。主要结果是通过调查（SRQ-20）评估的轻微精神疾病的患病率。次要结果包括糖尿病相关情绪困扰、饮食和睡眠障碍的患病率，所有这些均通过研究时经过验证的调查进行评估。 Statistical analyses included unpairedt-test for continuous variables and chi(2)test for categorical variables.结果 总体而言 (n = 120)，参与者的平均年龄为 54.8 +/- 14.4 岁，HbA1c 为 9.0 +/- 1.6% (75 +/- 17.5 mmol/mol)；根据调查测量，93%的患者表现出当前精神痛苦的迹象。近 43% 的患者表现出明显的心理困扰，其中 2 型糖尿病患者的倾向明显更高。 29.2% 的患者存在与糖尿病相关的情绪困扰； 75.8% 饮食失调； 77.5% 的人有中度/重度睡眠障碍。结论 我们发现，在 COVID-19 大流行期间，糖尿病患者普遍存在心理困扰，这凸显了 1 型和 2 型糖尿病患者获得心理健康服务和支持的必要性。
Background In patients with diabetes, the prevalence of depression and anxiety symptoms is about two to four times greater than in the general population. The association between diabetes and mental health disorders could be exacerbated in a stressful environment, and psychological distress could increase depressive symptoms and cause adverse diabetes outcomes. Objectives To assess the prevalence of mental health disorders in patients with diabetes during the social distancing period due to COVID-19 pandemic. Methods This is a cross-sectional study developed to assess the impact of social distancing on a cohort of adults with type 1 (n = 52) and type 2 diabetes (n = 68) in Brazil. Inclusion criteria involved having an HbA1c test collected in the past 3 months and having a valid telephone number in electronic medical records. The primary outcome was the prevalence of minor psychiatric disorders, assessed by survey (SRQ-20). Secondary outcomes included the prevalence of diabetes related emotional distress, eating and sleeping disorders, all assessed by validated surveys at the moment of the study. Statistical analyses included unpairedt-test for continuous variables and chi(2)test for categorical variables. Results Overall (n = 120), participants had a mean age of 54.8 +/- 14.4 years-old, and HbA1c of 9.0 +/- 1.6% (75 +/- 17.5 mmol/mol); 93% of patients showed signs of current mental suffering based on the surveys measured. Almost 43% of patients showed evidence of significant psychological distress, with a significant greater tendency in patients with type 2 diabetes. The presence of diabetes related emotional distress was found in 29.2% of patients; eating disorders in 75.8%; and moderate/severe sleeping disorders in 77.5%. Conclusions We found a high prevalence of evidence of psychological distress among patients with diabetes during the COVID-19 pandemic and this highlights the need for mental health access and support for patients with type 1 and type 2 diabetes.