Farrell A, Srikumar K, Farmer G, Liew A, Hallahan B
Galway-Roscommon Mental Health Services, University Hospital Galway, Galway, Ireland.
Portiuncula University Hospital, Galway, Ireland.
Ir J Psychol Med. 2024 Sep 18:1-7. doi: 10.1017/ipm.2024.21.
To examine the psychosocial impact of the COVID-19 pandemic on patients with a diagnosis of diabetes mellitus (DM).
Semi-structured interviews were conducted with 31 individuals with DM attending a diabetes clinic to determine the impact of the COVID-19 restrictions on anxiety and depressive symptoms, social and occupational functioning and quality of life. Anxiety symptoms were correlated with functioning, quality of life and diabetes self-management.
Likert data demonstrated that social functioning (mean = 5.5, SD = 3.7) and quality of life (mean = 4.1, SD = 3.1) were most impacted by the COVID-19 pandemic. Anxiety symptoms were prevalent with 13 individuals (41.9%) scoring above cut-off scores for the presence of anxiety symptoms based on the Beck Anxiety Inventory. Diabetes self-management was significantly correlated with functioning ( = 0.51, = 0.006) and inversely correlated with anxiety symptoms ( = -0.51, = 0.007). A prior history of a depressive or anxiety disorder was associated with significantly increased anxiety symptoms, as well as impaired global functioning ( < 0.01), poorer self-care of diabetes ( = 0.014) and satisfaction with diabetes treatment ( = 0.03).
The psychological and social impact of COVID-19 restrictions on individuals with DM was significant, with poorer management of diabetes correlated with anxiety symptom severity.
探讨2019冠状病毒病（COVID-19）大流行对糖尿病（DM）患者的心理社会影响。
对31名到糖尿病诊所就诊的DM患者进行半结构化访谈，以确定COVID-19限制措施对焦虑和抑郁症状、社会和职业功能以及生活质量的影响。焦虑症状与功能、生活质量和糖尿病自我管理相关。
李克特量表数据显示，社会功能（均值=5.5，标准差=3.7）和生活质量（均值=4.1，标准差=3.1）受COVID-19大流行影响最大。焦虑症状普遍存在，根据贝克焦虑量表，13名个体（41.9%）的焦虑症状得分高于临界值。糖尿病自我管理与功能显著相关（=0.51，=0.006），与焦虑症状呈负相关（=-0.51，=0.007）。既往有抑郁或焦虑障碍病史与焦虑症状显著增加、整体功能受损（<0.01）、糖尿病自我护理较差（=0.014）以及对糖尿病治疗的满意度较低（=0.03）相关。
COVID-19限制措施对DM患者的心理和社会影响显著，糖尿病管理不善与焦虑症状严重程度相关。
