Mnif Leila, Damak Rahma, Mnif Fatma, Ouanes Sami, Abid Mohamed, Jaoua Abdelaziz, Masmoudi Jawaher
Department of Psychiatry A, University Medical Center Hédi Chaker, 3029 Sfax, Tunisia.
Department of Psychiatry A, University Medical Center Hédi Chaker, 3029 Sfax, Tunisia.
Ann Endocrinol (Paris). 2014 Sep;75(4):213-9. doi: 10.1016/j.ando.2014.06.001. Epub 2014 Aug 20.
This paper focus on studying the prevalence of alexithymia in diabetes type 1 and type 2 and its impact on diabetes's clinical and therapeutic characteristics. We also studied the relationship between alexithymia and emotional disorders in diabetics.
The study involved a sample of 125 diabetic patients, among whom 50 had type 1 and 75 had type 2 diabetes mellitus compared with respectively 70 and 52 control subjects matched for age and sex. Alexithymia was assessed using the Toronto Alexithymia Scale, while emotional disorders were evaluated using the Hospital Anxiety and Depression Scale.
Type 1 diabetics were more alexithymic than controls while type 2 diabetics had higher cognitive component score than control subjects. Alexithymic type 1 diabetics had a higher average of fasting blood sugar than non-alexithymic patients did (P=0.021). Moreover, with type 1 diabetes, erectile dysfunction was associated with difficulties in identifying feelings (P=0.012). We found that the presence of depression was a predictor of alexithymia in type 1 diabetes (β=1.78, P=0.04) and the presence of psychiatric history was indicative of the presence of alexithymia in type 2 diabetes (β=2.09, P=0.042).
Given the impact of alexithymia on diabetes types 1 and 2, the detection and treatment of alexithymic subjects are important for a better prognosis of diabetic disease.
本文着重研究1型和2型糖尿病患者述情障碍的患病率及其对糖尿病临床和治疗特征的影响。我们还研究了糖尿病患者述情障碍与情绪障碍之间的关系。
该研究纳入了125名糖尿病患者样本，其中50名患有1型糖尿病，75名患有2型糖尿病，分别与70名和52名年龄和性别匹配的对照者进行比较。使用多伦多述情障碍量表评估述情障碍，同时使用医院焦虑抑郁量表评估情绪障碍。
1型糖尿病患者比对照组更具述情障碍，而2型糖尿病患者的认知成分得分高于对照组。述情障碍的1型糖尿病患者空腹血糖平均值高于非述情障碍患者（P = 0.021）。此外，对于1型糖尿病，勃起功能障碍与识别情感困难有关（P = 0.012）。我们发现，抑郁症的存在是1型糖尿病述情障碍的一个预测因素（β = 1.78，P = 0.04），精神病史的存在表明2型糖尿病存在述情障碍（β = 2.09，P = 0.042）。
鉴于述情障碍对1型和2型糖尿病的影响，对述情障碍患者的检测和治疗对于改善糖尿病病情的预后很重要。
