[儿童和青少年的抑郁症与糖尿病]

[Depressive disorders and diabetes mellitus in children and adolescents].

作者信息

Antropov Yu F, Korabelnikova E A, Makarova I A

机构信息

FSDEI AVE Russian Medical Academy of Continuing Professional Education, Moscow, Russia.

I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(7):78-82. doi: 10.17116/jnevro201911907178.

DOI:10.17116/jnevro201911907178

PMID:31464293

Abstract

AIM

To clarify the role of depressive disorders and personality traits in the pathogenesis of diabetes mellitus type I in children and adolescents.

MATERIAL AND METHODS

One hundred and three patients with diabetes, aged from one year nine months to 17 years, mean 9.7±0.7), with diabetes mellitus and depressive disorders were studied using clinical-psychopathological, psychometric, paraclinical and statistical methods.

RESULTS

Biological and psychosocial risk factors of a somatic disorder have been identified. Mental disorders are represented by affective disorders and personality features of the patients. Affective disorders include mild psychogenic anxiety and asthenic-anxiety depression, personality features are represented by hysterical signs and emotional lability. Clinical variants of these mental disorders and their diagnostic assessment according to ICD-10 are presented.

CONCLUSION

The dynamics of diabetes mellitus correlate with characteristics of depressive disorders. This result can be used to optimize the therapy of diabetes mellitus.

摘要