Anxiety and depression in obese and normal-weight individuals with diabetes type 2: a gender perspective.
Anxiety and depression in obese and normal-weight individuals with diabetes type 2: a gender perspective.
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DOI：
10.1111/j.1471-6712.2011.00940.x
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发表时间：
2012-06
影响因子：
1.9
通讯作者：
I. Svenningsson;C. Björkelund;B. Marklund;Birgitta Gedda
中科院分区：
文献类型：
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作者：
I. Svenningsson;C. Björkelund;B. Marklund;Birgitta Gedda
背景肥胖是世界范围内日益严重的问题，导致2型糖尿病(T2 DM)的发病率增加。抑郁症在糖尿病患者中更常见，他们比非糖尿病患者更有可能经历情绪问题。同时患有T2 DM和肥胖症的人承受着额外的情感负担，这影响了他们的生活质量。目的描述在接受初级保健的肥胖者和正常体重的2型糖尿病患者中焦虑和抑郁症状的患病率，并调查不同组间和不同性别之间的差异。方法对来自9个初级保健中心的339例2型糖尿病患者进行横断面研究。有效率为67%。采用医院焦虑抑郁量表(HADS)和Beck抑郁量表第二版(BDI-II)评定患者的抑郁和焦虑症状。结果在男女人群中，T2 DM、肥胖和抑郁之间均存在关联。在患有2型糖尿病和肥胖症的患者中，超过三分之一的女性和五分之一的男性出现焦虑或抑郁症状。在正常体重组中，女性比男性表现出更多的焦虑症状。结论在初级卫生保健中，肥胖的男性和女性T2 DM患者都有更高的焦虑和抑郁风险，这是一个重要的发现，在初级卫生保健咨询过程中必须认识和考虑这一点。满足每个人的独特需求需要了解实验室数据和个人的情绪状态。
BACKGROUND Obesity is a problem that is increasing worldwide, leading to an increased incidence of type 2 diabetes mellitus (T2DM). Depression is more common among individuals with diabetes, and they are more likely than non-diabetic individuals to experience emotional problems. People with both T2DM and obesity bear an additional emotional burden, which affects their quality of life. OBJECTIVES To describe the prevalence of symptoms of anxiety and depression in groups of obese and normal-weight individuals with T2DM who are undergoing primary care and to investigate possible differences between the groups and between genders. METHOD Three hundred and thirty-nine patients with T2DM from nine primary-care centres participated in a cross-sectional study (n = 180 + 159). The response rate was 67%. The Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory - second edition (BDI-II) were employed to estimate the patients' symptoms of depression and anxiety. RESULTS An association between T2DM, obesity and depression was observed in both genders. More than one in three women and one in five men with T2DM and obesity exhibited symptoms of anxiety or depression. In the normal-weight group, the females presented more symptoms of anxiety than did their male counterparts. CONCLUSION In primary healthcare, the fact that both obese men and women with T2DM are at increased risk of anxiety and depression is an important finding, which must be recognised and considered in the course of primary healthcare consultations. Meeting the unique needs of each individual requires an understanding of both laboratory data and the individual's emotional status.