Bennetter Karin Elisabeth, Clench-Aas Jocelyne, Raanaas Ruth Kjærsti
Department of Landscape Architecture and Spatial Planning, Norwegian University of Life Sciences, Norway.
Division of Mental Health, Norwegian Institute of public health, Norway.
J Diabetes Complications. 2016 Jul;30(5):839-44. doi: 10.1016/j.jdiacomp.2016.03.022. Epub 2016 Mar 21.
The purpose of this study was to examine the association between diabetes with or without other comorbid somatic diseases and depression and anxiety, and to explore the mediating role of sense of mastery and social support.
Data were obtained from a cross-sectional health survey conducted in Norway (n=6827). People with diabetes alone or with simultaneous comorbid somatic diseases were compared to a group with no known somatic diseases.
Among people with diabetes alone, 16.3% reported having depression and anxiety. Having diabetes was associated with 3 times greater odds for anxiety compared to the control group, and 2 times greater odds for depression. Among individuals with diabetes and comorbid somatic diseases, 17.4% reported depression and 11.6% reported symptoms of anxiety. The odds for both were approximately 2 times greater than in the control group. Sense of mastery, but not social support, protected against depression in both groups and against anxiety in the diabetes with comorbidity group.
Comorbidity between diabetes and other somatic diseases seems to be related to depression to a larger degree, whereas having diabetes alone relates more to anxiety. This can possibly be explained by the overall burden in the comorbidity group and the related absence of sense of mastery.
本研究旨在探讨患有或未患有其他躯体合并症的糖尿病与抑郁及焦虑之间的关联，并探究掌控感和社会支持的中介作用。
数据来自于在挪威进行的一项横断面健康调查（n = 6827）。将仅患有糖尿病或同时患有躯体合并症的人群与无已知躯体疾病的人群进行比较。
仅患有糖尿病的人群中，16.3%报告有抑郁和焦虑。与对照组相比，患糖尿病者出现焦虑的几率高出3倍，出现抑郁的几率高出2倍。在患有糖尿病且有躯体合并症的个体中，17.4%报告有抑郁，11.6%报告有焦虑症状。两者的几率均比对照组高出约2倍。掌控感而非社会支持，在两组中均能预防抑郁，在糖尿病合并症组中能预防焦虑。
糖尿病与其他躯体疾病的合并症似乎在更大程度上与抑郁相关，而仅患糖尿病则与焦虑关系更大。这可能是由于合并症组的总体负担以及相关的掌控感缺失所致。
