Svenningsson Irene, Björkelund Cecilia, Marklund Bertil, Gedda Birgitta
Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Scand J Caring Sci. 2012 Jun;26(2):349-54. doi: 10.1111/j.1471-6712.2011.00940.x. Epub 2011 Nov 14.
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.
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.
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.
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.
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.
肥胖是一个在全球范围内日益严重的问题，导致2型糖尿病（T2DM）发病率上升。抑郁症在糖尿病患者中更为常见，且他们比非糖尿病患者更易出现情绪问题。患有T2DM和肥胖症的人还承受着额外的情感负担，这影响了他们的生活质量。
描述在接受初级保健的T2DM肥胖组和正常体重组中焦虑和抑郁症状的患病率，并调查两组之间以及不同性别之间可能存在的差异。
来自9个初级保健中心的339例T2DM患者参与了一项横断面研究（n = 180 + 159）。应答率为67%。采用医院焦虑抑郁量表（HADS）和贝克抑郁量表第二版（BDI-II）评估患者的抑郁和焦虑症状。
在男女两性中均观察到T2DM、肥胖与抑郁之间的关联。超过三分之一的患有T2DM和肥胖症的女性以及五分之一的男性表现出焦虑或抑郁症状。在正常体重组中，女性比男性表现出更多的焦虑症状。
在初级医疗保健中，患有T2DM的肥胖男性和女性焦虑和抑郁风险增加这一事实是一项重要发现，在初级医疗保健咨询过程中必须予以认识和考虑。满足每个个体的独特需求需要了解实验室数据和个体的情绪状态。
