Prevalence of psychiatric disorders in an onset cohort of adults with type 1 diabetes.

Autor: Petrak F; Department for Psychosomatic Medicine and Psychotherapy, Johannes Gutenberg University Mainz, Untere Zahlbacherstrasse 8, D-55131 Mainz, Germany. petrak@psychosomatik.klinik.uni-mainz.de, Hardt J, Wittchen HU, Kulzer B, Hirsch A, Hentzelt F, Borck K, Jacobi F, Egle UT, Hoffmann SO
Jazyk: angličtina
Zdroj: Diabetes/metabolism research and reviews [Diabetes Metab Res Rev] 2003 May-Jun; Vol. 19 (3), pp. 216-22.
DOI: 10.1002/dmrr.374
Abstrakt: Background: Previous studies indicate a high prevalence of psychiatric disorders in adults with type 1 diabetes mellitus. The aim of our study was to determine if newly diagnosed adults with type 1 diabetes already have an elevated rate of psychiatric disorders at the beginning of their physical illness.
Methods: The authors consecutively recruited 313 newly diagnosed, adult inpatients with type 1 diabetes (age 17-40 years) from 12 hospitals. A national, representative population sample of 2046 persons of a similar age range served as the reference group. Psychiatric disorders were measured in both groups using structured interviews that provided diagnoses according to DSM-IV.
Results: There was a point prevalence of 12.5% for psychiatric disorders in the sample. The most frequent conditions were anxiety and affective disorders. Subjects with type 1 diabetes demonstrated a rate of major depressive episodes twice that of the reference group (5.8% vs 2.7%, p < 0.003; corrected for confounders). Apart from this finding, there was no significantly increased prevalence of psychiatric disorders in the diabetes sample as compared to the general German population.
Conclusion: The rate of major depressive episodes in the new onset cohort of type 1 diabetes patients was double that of the population as a whole. However, the hypothesis, that newly diagnosed type 1 diabetes patients have more psychiatric disorders than the general population, was not confirmed.
(Copyright 2003 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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