Mroz Mariola, Sadowska Dorota, Zarychta Mateusz, Iwanowicz-Palus Grazyna, Kretowski Adam, Cybulski Mateusz
Department of Development in Midwifery, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland.
Department of Endocrinology, Diabetology and Internal Medicine, Medical University of Bialystok, 15-276 Bialystok, Poland.
J Clin Med. 2025 Mar 19;14(6):2093. doi: 10.3390/jcm14062093.
: Diabetes mellitus is one of the most common chronic diseases worldwide. In addition to short-term and long-term complications, diabetes has a detrimental effect on the patients' mood. The main psychiatric disorder occurring among diabetic patients is depression. The rates of depression in the developed and developing countries are 15% and 11%, respectively. This study aimed to determine the prevalence of depressive symptoms among patients with type 1 and type 2 diabetes and prediabetes in Poland using the example of the Podlaskie Province and taking into account selected sociodemographic variables. : A total of 874 patients participated in the study, including 448 women (55.8%) and 386 men (44.2%). The study was conducted from July 2022 to July 2023 among the participants of the "Zatrzymaj cukrzycę! Polski Rejestr Diabetologiczny PolRed" ("Stop Diabetes! Polish Diabetes Registry (PolRed)") project or those hospitalised in the Department of Endocrinology, Diabetology and Internal Medicine at the University Clinical Hospital in Bialystok. The study used a diagnostic survey method using a survey questionnaire developed by the authors and the Beck Depression Inventory (BDI). : The highest severity of depressive symptoms according to the Beck Depression Inventory was found in patients with type 2 diabetes (M = 12.18; SD ± 9.48) and the lowest in those with type 1 diabetes (M = 8.11; SD ± 7.55). The assessment of the differences in the severity of depressive symptoms according to the Beck Depression Inventory showed that participants with type 1 diabetes differed statistically significantly ( < 0.001) from those with type 2 diabetes and from those in a prediabetic state. In the group of type 2 diabetes (r = 0.336; < 0.001) patients and prediabetic state patients (r = 0.231; < 0.01), there were positive correlations of age with the severity of depressive symptoms. In the group of participants with type 2 diabetes, a statistically significant relationship ( < 0.001) was observed between age and the severity of depressive symptoms. : The prevalence of mood disorders in patients with type 1 and type 2 diabetes and diagnosed prediabetes from the Podlaskie Province depends on the type of hyperglycaemic disorder. The prevalence of depressive symptoms among patients with type 1 and type 2 diabetes and prediabetes is determined by specific socio-demographic factors, including, above all, age and gender. The highest severity of a disturbed emotional state according to the Beck Depression Inventory is found in individuals with type 2 diabetes and the lowest in those with type 1 diabetes.
糖尿病是全球最常见的慢性病之一。除了短期和长期并发症外,糖尿病还会对患者的情绪产生不利影响。糖尿病患者中主要出现的精神障碍是抑郁症。发达国家和发展中国家的抑郁症发病率分别为15%和11%。本研究旨在以波德拉谢省为例,考虑选定的社会人口统计学变量,确定波兰1型和2型糖尿病患者以及糖尿病前期患者中抑郁症状的患病率。
共有874名患者参与了该研究,其中448名女性(55.8%)和386名男性(44.2%)。该研究于2022年7月至2023年7月在“阻止糖尿病!波兰糖尿病登记处(PolRed)”项目的参与者或比亚韦斯托克大学临床医院内分泌、糖尿病和内科住院的患者中进行。该研究采用了诊断性调查方法,使用了作者编制的调查问卷和贝克抑郁量表(BDI)。
根据贝克抑郁量表,2型糖尿病患者的抑郁症状严重程度最高(M = 12.18;SD ± 9.48),1型糖尿病患者的抑郁症状严重程度最低(M = 8.11;SD ± 7.55)。根据贝克抑郁量表对抑郁症状严重程度差异的评估表明,1型糖尿病患者与2型糖尿病患者以及糖尿病前期患者在统计学上有显著差异(< 0.001)。在2型糖尿病患者组(r = 0.336;< 0.001)和糖尿病前期患者组(r = 0.231;< 0.01)中,年龄与抑郁症状严重程度呈正相关。在2型糖尿病患者组中,年龄与抑郁症状严重程度之间存在统计学上的显著关系(< 0.001)。
波德拉谢省1型和2型糖尿病患者以及已确诊的糖尿病前期患者中情绪障碍的患病率取决于高血糖症的类型。1型和2型糖尿病患者以及糖尿病前期患者中抑郁症状的患病率由特定的社会人口统计学因素决定,其中最重要的是年龄和性别。根据贝克抑郁量表,情绪状态紊乱最严重的是2型糖尿病患者,最轻微的是1型糖尿病患者。