Altintas E, Bagir G Simsek, Haydardedeoglu F Eksi, Bag H
Baskent University, School of Medicine, Department of Psychiatry, Adana, Turkey.
Baskent University, School of Medicine, Department of Endocrinology and Metabolism, Ankara, Turkey.
Acta Endocrinol (Buchar). 2023 Jan-Mar;19(1):73-80. doi: 10.4183/aeb.2023.73. Epub 2023 Aug 14.
Health anxiety was rarely investigated in Type II Diabetes Mellitus (T2DM).
The present study examines the effect of health anxiety on glycemic control and evaluates factors associated with health anxiety in patients with T2DM according to HbA1c level.
Cross-sectional.
Socio Demographic Data Form (SDVF), Health Anxiety Inventory-Short Form(SHAI), The Hospital Anxiety and Depression Scale (HADS) were administered to 185 patients with Type II DM . Patients were divided into two groups according to HbA1 c level (HbA1c levels below 7 (Group 1, n=69) and above 7 (Group 2, n=185)). We analyzed prevalence of health anxiety, factors associated with health anxiety between poor and good glycemic control and evaluated of T2DM patients according to health anxiety scale scores.
SHAI scale scores were low in 52 (28%), intermediate in 58 (31.2%) and high in 76 (40.8%) of the patients. We found the severity of depressive symptoms was positively correlated with health anxiety in both groups. As a result of this study, there was a relationship between high education and low socioeconomic level, having a job, exercise and anxiety level and low SHAI score in T2DM patients. Depression, stressful life events in the last 6 months were related with high health anxiety. Although the level of health anxiety was not different between groups, low blood sugar levels were related with high health anxiety.
This study found that the prevalence of health anxiety in T2DM patients was higher than expected irrespective to poor or good glycemic control, but level of health anxiety in patients with T2DM is not a good predictor for the HbA1c level.
健康焦虑在2型糖尿病（T2DM）患者中很少被研究。
本研究探讨健康焦虑对血糖控制的影响，并根据糖化血红蛋白（HbA1c）水平评估T2DM患者中与健康焦虑相关的因素。
横断面研究。
对185例2型糖尿病患者进行社会人口统计学数据表格（SDVF）、健康焦虑量表简表（SHAI）、医院焦虑抑郁量表（HADS）评估。患者根据HbA1c水平分为两组（HbA1c水平低于7的为第1组，n = 69；高于7的为第2组，n = 185）。我们分析了健康焦虑的患病率、血糖控制差与良好组之间与健康焦虑相关的因素，并根据健康焦虑量表评分对T2DM患者进行评估。
52例（28%）患者的SHAI量表得分低，58例（31.2%）得分中等，76例（40.8%）得分高。我们发现两组中抑郁症状的严重程度与健康焦虑呈正相关。本研究结果显示，T2DM患者中高学历与低社会经济水平、有工作、运动及焦虑水平以及低SHAI得分之间存在关联。抑郁、过去6个月内的应激生活事件与高健康焦虑相关。尽管两组间健康焦虑水平无差异，但低血糖水平与高健康焦虑相关。
本研究发现，无论血糖控制差或良好，T2DM患者中健康焦虑的患病率均高于预期，但T2DM患者的健康焦虑水平并非HbA1c水平的良好预测指标。
