Lesiewska Natalia, Kamińska Anna, Junik Roman, Michalewicz Magdalena, Myszkowski Bartłomiej, Borkowska Alina, Bieliński Maciej
Chair and Department of Clinical Neuropsychology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
Department of Endocrinology and Diabetology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
Diabetes Metab Syndr Obes. 2021 Dec 30;14:4981-4991. doi: 10.2147/DMSO.S342185. eCollection 2021.
Affective temperament shows innate predisposition to affective disorders and has been studied in patients with type 2 diabetes mellitus (T2DM) and obesity. Studies describing connections between depressive disorders, obesity and T2DM, show a bidirectional way in which these disorders affect each other. Given that obesity, depression, and T2DM are still growing health problems of our times, the improvement of therapeutic strategies is required. The aim of our study was to evaluate affective temperament in obese individuals with T2DM and pre-diabetes and to investigate the correlations between affective temperaments and glycemic control.
The study enrolled 185 obese individuals (146 females; 39 males) who were diagnosed with pre-diabetes, diabetes or without any carbohydrate disorder. For affective temperament evaluation, Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A) was utilized; for glycemic control, the assessment of hemoglobin A1c (HbA1c) was performed.
We did not observe any significant differences of affective temperament between studied groups. In the group of patients with diabetes, depressive, cyclothymic and anxious temperaments positively correlated with HbA1c values indicating worse glycemic control. Inversly, hyperthymic dimension showed negative correlation with HbA1c values.
Affective temperaments may affect glycemic control in obese individuals with carbohydrate disorders. Individuals with stronger expression of cyclothymic, depressive and anxious temperaments may need more medical aid for better self-management. Hence, TEMPS-A is an easy and useful tool which may significantly improve the compliance in obese patients with carbohydrate disorders.
情感气质显示出情感障碍的先天易感性，并且已在2型糖尿病（T2DM）和肥胖症患者中进行了研究。描述抑郁症、肥胖症和T2DM之间联系的研究表明，这些疾病相互影响存在双向关系。鉴于肥胖症、抑郁症和T2DM仍然是当今日益严重的健康问题，需要改进治疗策略。我们研究的目的是评估患有T2DM和糖尿病前期的肥胖个体的情感气质，并研究情感气质与血糖控制之间的相关性。
该研究纳入了185名肥胖个体（146名女性；39名男性），他们被诊断为糖尿病前期、糖尿病或无任何碳水化合物紊乱。为了评估情感气质，使用了孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估（TEMPS-A）；为了评估血糖控制，进行了糖化血红蛋白（HbA1c）的评估。
我们在研究组之间未观察到情感气质的任何显著差异。在糖尿病患者组中，抑郁、环性心境和焦虑气质与HbA1c值呈正相关，表明血糖控制较差。相反，情感高涨维度与HbA1c值呈负相关。
情感气质可能会影响患有碳水化合物紊乱的肥胖个体的血糖控制。环性心境、抑郁和焦虑气质表达较强的个体可能需要更多医疗帮助以实现更好的自我管理。因此，TEMPS-A是一种简单且有用的工具，可显著提高患有碳水化合物紊乱的肥胖患者的依从性。
