Chaudhary Rupesh, Kumar Pankaj, Chopra Akhil, Chabbra Sandeep, Singh Parminder
Department of Psychiatry, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Department of Psychiatry, Sridev Suman Subharti Medical College and Hospital, Dehradun, Uttarakhand, India.
Indian J Psychol Med. 2017 May-Jun;39(3):342-346. doi: 10.4103/IJPSYM.IJPSYM_35_17.
Anxiety and depressive disorders belong to the most common psychiatric disorders worldwide. They are generally seen in individuals who suffer from chronic diseases, such as diabetes mellitus (DM). The prevalence of depression among diabetics ranges from 8.5% to 32.5%, while that for anxiety it is up to 30%. In this study, we try to compare the mental health problems faced by those with Type I and Type II DM.
Fifty patients diagnosed with Type I diabetes (T1D) and Type II diabetes each presenting to Medicine and Endocrinology Department were assessed with Hamilton Depression Rating Scale (HAM-D) for depression and Hamilton Anxiety Rating Scale (HAM-A) for anxiety. Patients were assessed on sociodemographic profile, duration of illness, type of treatment and then the data were analyzed on different domains.
On the assessment of patients with HAM-D a total of 38% with T1D were found to be depressed, and 42% patients with Type II diabetes had depression. Similarly, on assessment of anxiety with HAM-A, a total of 44% with T1D had anxiety. In patients with Type II diabetes, a total of 34% patients suffer from anxiety.
The study concludes that Type I and Type II are slightly different in terms of associated psychiatric illnesses. In those with psychiatric illness, they do less well in terms of improving their overall diabetes control. The wider implication is that all the patients with diabetes should be regularly assessed for psychological problems. There needs to be greater psychological/psychiatric support available to intensive diabetes clinics.
焦虑症和抑郁症是全球最常见的精神疾病。它们通常见于患有慢性疾病的个体，如糖尿病（DM）。糖尿病患者中抑郁症的患病率在8.5%至32.5%之间，而焦虑症的患病率高达30%。在本研究中，我们试图比较1型和2型糖尿病患者面临的心理健康问题。
对50例分别被诊断为1型糖尿病（T1D）和2型糖尿病且就诊于内科和内分泌科的患者，采用汉密尔顿抑郁量表（HAM-D）评估抑郁情况，采用汉密尔顿焦虑量表（HAM-A）评估焦虑情况。对患者的社会人口学特征、病程、治疗类型进行评估，然后对不同领域的数据进行分析。
使用HAM-D评估患者时，发现1型糖尿病患者中有38%存在抑郁，2型糖尿病患者中有42%存在抑郁。同样，使用HAM-A评估焦虑情况时，1型糖尿病患者中有44%存在焦虑。在2型糖尿病患者中，共有34%的患者患有焦虑症。
该研究得出结论，1型和2型糖尿病在相关精神疾病方面略有不同。患有精神疾病的患者在改善整体糖尿病控制方面做得较差。更广泛的意义是，所有糖尿病患者都应定期接受心理问题评估。强化糖尿病诊所需要有更多的心理/精神支持。
