de Ornelas Maia Ana Claudia C, Braga Arthur de Azevedo, Paes Flávia, Machado Sergio, Carta Mauro Giovanni, Nardi Antonio Egidio, Silva Adriana Cardoso
Laboratory of Panic and Respiration -Institute of Psychiatry of Federal University of Rio de Janeiro, Rio de Janeiro - Brazil, National Institute of Translational Medicine (INCT-TM), Brazil.
Clin Pract Epidemiol Ment Health. 2013 Jul 12;9:136-41. doi: 10.2174/1745017901309010136. Print 2013.
Diabetes is associates with depression and impairment in Quality of Life (QoL).
The objective is to define the frequencies of depressive and anxiety symptoms in a sample of patients diagnosed with type 1 and 2 diabetes, the amount of impairment of QoL and the weight of depression and anxiety in determining the QoL in such of patients.
A total of 210 patients were divided into two groups (type 1 and type 2). Patients completed the HADS and WHOQoL-bref.
Groups showed a high prevalence of anxiety (type 1 = 60%, type 2 = 43.8%) and depression (type 1 = 52.4%, type 2 = 38.1%), both measures were significantly higher (p < 0.05) in diabetes type 1 patients. Type 1 patients also showed a QoL in the overall assessment and the physical, psychological and social relations domains. In both Type 1 and 2 diabetes poor QoL was found associated by anxiety and depression comorbidity.
In overall diabetes patients depression and anxiety seems to be a determinant of poor QoL.
糖尿病与抑郁症及生活质量（QoL）受损相关。
确定1型和2型糖尿病确诊患者样本中抑郁和焦虑症状的发生率、生活质量受损程度，以及抑郁和焦虑在这类患者生活质量决定因素中的权重。
总共210名患者被分为两组（1型和2型）。患者完成了医院焦虑抑郁量表（HADS）和世界卫生组织生活质量简表（WHOQoL-bref）。
两组患者焦虑（1型 = 60%，2型 = 43.8%）和抑郁（1型 = 52.4%，2型 = 38.1%）的患病率都很高，1型糖尿病患者这两项指标均显著更高（p < 0.05）。1型患者在总体评估以及身体、心理和社会关系领域的生活质量也较低。在1型和2型糖尿病中，生活质量差均与焦虑和抑郁共病相关。
总体而言，糖尿病患者的抑郁和焦虑似乎是生活质量差的决定因素。
