A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with Type 2 diabetes.
A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with Type 2 diabetes.
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DOI：
10.1111/j.1464-5491.2008.02533.x
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发表时间：
2008-09
期刊：
影响因子：
--
通讯作者：
Masharani U
中科院分区：
文献类型：
--
作者：
Fisher L;Skaff MM;Mullan JT;Arean P;Glasgow R;Masharani U
报告情感性和焦虑性障碍、抑郁性情感和糖尿病困扰随时间的患病率及其相关性。在一项非干预性研究中，506名2型糖尿病患者在18个月内接受了三次评估，（间隔9个月）：重度抑郁症（MDD）、广泛性焦虑症（GAD）、惊恐障碍（PANIC）、心境恶劣（DYS）（复合国际诊断访谈）;抑郁情绪[流行病学研究中心-抑郁（CES-D）];糖尿病痛苦量表（DDS）; HbA 1c;和人口统计数据。随着时间的推移，糖尿病患者表现出较高的情感和焦虑障碍率，相对于社区成年人：MDD高60%，GAD高123%，PANIC高85%，DYS高7%。抑郁情绪和痛苦的患病率高于情感和焦虑障碍的患病率60-737%。在18个月内，情感和焦虑障碍的个体患者的患病率是任何单一波评估的患病率的两倍。CES-D和DDS的增加约为60%。CES-D和DDS障碍随时间的持续性显著大于情感和焦虑障碍的持续性，后者往往是偶发性的。年轻、女性和高合并症与所有疾病随时间的持续性相关。HbA 1c与CES-D和DDS呈正相关，但随着时间的推移与情感和焦虑障碍无关。随着时间的推移，共病疾病的高患病率以及抑郁情绪和糖尿病困扰的持续性突出了在每次患者接触时重复进行心理健康和糖尿病困扰筛查的必要性，而不仅仅是定期进行，特别是对于年轻人，女性和患有并发症/共病的人。
To report the prevalence and correlates of affective and anxiety disorders, depressive affect and diabetes distress over time. In a non-interventional study, 506 patients with Type 2 diabetes were assessed three times over 18 months (9-month intervals) for: major depressive disorder (MDD), general anxiety disorder (GAD), panic disorder (PANIC), dysthymia (DYS) (Composite International Diagnostic Interview); depressive affect [Center for Epidemiological Studies– Depression (CES-D)]; Diabetes Distress Scale (DDS); HbA1c; and demographic data. Diabetic patients displayed high rates of affective and anxiety disorders over time, relative to community adults: 60% higher for MDD, 123% for GAD, 85% for PANIC, 7% for DYS. The prevalence of depressive affect and distress was 60–737% higher than of affective and anxiety disorders. The prevalence of individual patients with an affective and anxiety disorder over 18 months was double the rate assessed at any single wave. The increase for CES-D and DDS was about 60%. Persistence of CES-D and DDS disorders over time was significantly greater than persistence of affective and anxiety disorders, which tended to be episodic. Younger age, female gender and high comorbidities were related to persistence of all conditions over time. HbA1c was positively related to CES-D and DDS, but not to affective and anxiety disorders over time. The high prevalence of comorbid disorders and the persistence of depressive affect and diabetes distress over time highlight the need for both repeated mental health and diabetes distress screening at each patient contact, not just periodically, particularly for younger adults, women and those with complications/comorbidities.
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DOI：
10.2190/klgd-4h8d-4ryl-twq8
发表时间：
2002-01-01
影响因子：
2
作者：
Anderson, RJ;Grigsby, AB;Lustman, PJ
通讯作者：
Lustman, PJ
影响因子：
--
作者：
Ciechanowski, PS;Katon, WJ;Russo, JE
通讯作者：
Russo, JE
影响因子：
16.2
作者：
Katon, WJ;Rutter, C;Von Korff, M
通讯作者：
Von Korff, M
影响因子：
2.8
作者：
Schieman, S;Van Gundy, K;Taylor, J
通讯作者：
Taylor, J
影响因子：
16.2
作者：
Egede, LE
通讯作者：
Egede, LE