Abrahamian Heidemarie, Kautzky-Willer Alexandra, Rießland-Seifert Angelika, Fasching Peter, Ebenbichler Christoph, Kautzky Alexander, Hofmann Peter, Toplak Hermann
Internistisches Zentrum, Sozialmedizinisches Zentrum Baumgartner Höhe, Otto-Wagner-Spital, 1140, Wien, Österreich.
Gender Medicine Unit, Klinische, Abteilung für Endokrinologie und Stoffwechsel, Universitätsklinik für Innere Medizin III, Medizinische Universität Wien, Wien, Österreich.
Wien Klin Wochenschr. 2019 May;131(Suppl 1):186-195. doi: 10.1007/s00508-019-1458-9.
Psychiatric disorders and psychological problems are common in patients with diabetes mellitus. There is a twofold increase in depression which is associated with suboptimal glycemic control and increased morbidity and mortality. Other psychiatric disorders with a higher incidence of diabetes mellitus are cognitive impairment, dementia, disturbed eating behavior, anxiety disorders, schizophrenia, bipolar disorders and borderline personality disorder. The coincidence of mental disorders and diabetes mellitus has unfavorable influences on metabolic control and micro- and macroangiopathic complications. Improvement of therapeutic outcome is a challenge in the modern health care system. The intentions behind this position paper are to rise awareness of this special set of problems, to intensify cooperation between involved health care providers and to reduce incidence of diabetes mellitus as well as morbidity and mortality from diabetes in this patient group.
精神障碍和心理问题在糖尿病患者中很常见。抑郁症的发病率增加了两倍，这与血糖控制不佳以及发病率和死亡率增加有关。糖尿病发病率较高的其他精神障碍包括认知障碍、痴呆、饮食行为紊乱、焦虑症、精神分裂症、双相情感障碍和边缘型人格障碍。精神障碍与糖尿病的并存对代谢控制以及微血管和大血管并发症有不利影响。改善治疗效果是现代医疗保健系统面临的一项挑战。本立场文件的目的是提高对这一特殊问题的认识，加强相关医疗保健提供者之间的合作，并降低该患者群体中糖尿病的发病率以及糖尿病导致的发病率和死亡率。
