Lustman P J
Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
Psychiatr Clin North Am. 1988 Jun;11(2):419-32.
Anxiety disorders are common among patients with diabetes and appear to recur in a substantial proportion of cases. The presence of generalized anxiety disorder is associated with both poorer glucose control and the increased report of clinical symptoms of diabetes. A complex interactive model best accommodates observations from psychiatric-diabetic research, one wherein diabetes may affect psychiatric status or vice versa in an independent or reciprocal fashion. No information from systematic studies is available currently to determine if treatment of the psychiatric disorder will have a beneficial impact on glucose regulation, despite the direct clinical relevance of such information to management of diabetes.
焦虑症在糖尿病患者中很常见，且在相当一部分病例中似乎会复发。广泛性焦虑症的存在与血糖控制较差以及糖尿病临床症状报告增加均相关。一个复杂的交互模型最能解释精神科 - 糖尿病研究的观察结果，在这个模型中，糖尿病可能以独立或相互的方式影响精神状态，反之亦然。目前尚无来自系统研究的信息来确定精神障碍的治疗是否会对血糖调节产生有益影响，尽管此类信息与糖尿病管理具有直接的临床相关性。
