胰岛素依赖型糖尿病是青少年精神障碍的一个风险因素。
IDDM is a risk factor for adolescent psychiatric disorders.
作者信息
Blanz B J, Rensch-Riemann B S, Fritz-Sigmund D I, Schmidt M H
机构信息
Department of Child and Adolescent Psychiatry, Central Institute of Mental Health, Mannheim, Germany.
出版信息
Diabetes Care. 1993 Dec;16(12):1579-87. doi: 10.2337/diacare.16.12.1579.
OBJECTIVE
To determine whether the rate of psychiatric disorders increases in children and adolescents with IDDM.
RESEARCH DESIGN AND METHODS
The rate of psychiatric disorders was assessed by highly structured interviews in a group of 93 IDDM adolescents 17-19 yr of age and compared with a healthy (nondiabetic) age-, sex-, and socioeconomic status-matched control group.
RESULTS
The rate of psychiatric disorders was 33.3% in the diabetic group, more than threefold higher than in the control group (9.7%). With regard to the rate of psychiatric disorders, no sex-specific differences between the two groups were found. The diabetic adolescents suffered from significantly more introversive symptoms than their healthy counterparts, especially somatic symptoms, sleeping disturbances, compulsions, and depressive moods. In spite of the elevated rate of psychiatric disorders, the rates of life events and familial adversities did not increase in the diabetic group.
CONCLUSIONS
The results support the notion that IDDM adolescents should be seen as a high-risk group for psychiatric disorders.
目的
确定患有胰岛素依赖型糖尿病（IDDM）的儿童和青少年精神疾病发病率是否会升高。
研究设计与方法
通过高度结构化访谈对一组93名17 - 19岁的IDDM青少年的精神疾病发病率进行评估，并与年龄、性别和社会经济地位相匹配的健康（非糖尿病）对照组进行比较。
结果
糖尿病组精神疾病发病率为33.3%，比对照组（9.7%）高出三倍多。关于精神疾病发病率，两组之间未发现性别差异。糖尿病青少年比健康同龄人有更多的内向症状，尤其是躯体症状、睡眠障碍、强迫行为和抑郁情绪。尽管精神疾病发病率升高，但糖尿病组的生活事件和家庭逆境发生率并未增加。
结论
结果支持这样一种观点，即IDDM青少年应被视为精神疾病的高危人群。
Zotero 插件