Capitola, CA, USA.
Ann Behav Med. 2011 Dec;42(3):341-51. doi: 10.1007/s12160-011-9298-5.
Assessing and diagnosing depression and anxiety in the presence of diabetes is complicated by overlapping symptoms that, therefore, are etiologically ambiguous (e.g., fatigue, appetite disturbance, autonomic arousal).
The goal of the current study is to test whether overlapping symptoms are affected by the presence of diabetes by comparing structural models of symptoms in adults with and without diabetes.
Participants include 226 adults with diabetes and 380 healthy adults who completed questionnaires assessing symptoms of depression, anxiety, and health status. The most recent hemoglobin A1c lab result was obtained for diabetes patients.
Multiple sample confirmatory factor analyses indicated that overlapping symptoms were strongly related to mood disturbance for adults with and without diabetes, suggesting that symptoms were not substantially influenced by diabetes.
It is recommended that when overlapping symptoms are present in diabetes patients, depression and anxiety should be considered as possible contributors to their presence.
在糖尿病患者中评估和诊断抑郁和焦虑较为复杂，因为重叠的症状病因并不明确（例如，疲劳、食欲改变、自主神经兴奋）。
本研究旨在通过比较糖尿病患者和非糖尿病患者的症状结构模型，来检验重叠症状是否受糖尿病的影响。
参与者包括 226 名糖尿病患者和 380 名健康成年人，他们完成了评估抑郁、焦虑和健康状况症状的问卷。对于糖尿病患者，获得了最新的血红蛋白 A1c 实验室结果。
多样本验证性因子分析表明，对于有和没有糖尿病的成年人来说，重叠症状与情绪障碍密切相关，这表明症状并没有受到糖尿病的实质性影响。
建议当糖尿病患者出现重叠症状时，应考虑抑郁和焦虑可能是其出现的原因。
