Papelbaum Marcelo, Appolinário José Carlos, Moreira Rodrigo de Oliveira, Ellinger Vivian Carola Moema, Kupfer Rosane, Coutinho Walmir Ferreira
Obesity and Eating Disorders Group, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, RJ, Brasil.
Braz J Psychiatry. 2005 Jun;27(2):135-8. doi: 10.1590/s1516-44462005000200012. Epub 2005 Jun 13.
A few studies have shown high rates of eating disorders and psychiatric morbidity in patients with type 2 diabetes mellitus.
Disturbed eating behavior and psychiatric comorbidity in a sample of T2DM patients.
Seventy type 2 diabetes mellitus patients between 40 and 65 years of age (mean, 52.9 +/- 6.8) from a diabetes outpatient clinic were sequentially evaluated. The Structured Clinical Interview for DSM-IV, Binge Eating Scale and Beck Depression Inventory were used to assess eating disorders and other psychiatric comorbidity. In addition to the descriptive analysis of the data, we compared groups divided based on the presence of obesity (evaluated by the body mass index) or an eating disorder.
Twenty percent of the sample displayed an eating disorder. Binge eating disorder was the predominant eating disorder diagnosis (10%). Overall, the group of obese patients with type 2 diabetes mellitus presented rates of psychiatric comorbidity comparable to those seen in their nonobese counterparts. However, the presence of an eating disorder was associated with a significant increase in the frequency of anxiety disorders (57.1% x 28.6%; p = 0.044).
In our study sample, the occurrence of eating disorders was increased compared to rates observed in the general population, with the predominance of binge eating disorder. The presence of an eating disorder in type 2 diabetes mellitus patients was associated with higher rates of anxiety disorders.
一些研究表明，2型糖尿病患者中饮食失调和精神疾病的发病率很高。
研究2型糖尿病患者样本中的饮食行为紊乱和精神疾病共病情况。
对一家糖尿病门诊诊所的70名年龄在40至65岁之间（平均年龄52.9±6.8岁）的2型糖尿病患者进行了连续评估。使用《精神疾病诊断与统计手册》第四版的结构化临床访谈、暴饮暴食量表和贝克抑郁量表来评估饮食失调和其他精神疾病共病情况。除了对数据进行描述性分析外，我们还比较了根据肥胖情况（通过体重指数评估）或饮食失调情况划分的各组。
20%的样本存在饮食失调。暴饮暴食障碍是主要的饮食失调诊断类型（10%）。总体而言，2型糖尿病肥胖患者的精神疾病共病率与非肥胖患者相当。然而，饮食失调的存在与焦虑症发病率的显著增加相关（57.1%对28.6%；p = 0.044）。
在我们的研究样本中，饮食失调的发生率高于普通人群，以暴饮暴食障碍为主。2型糖尿病患者中饮食失调的存在与焦虑症的高发病率相关。
