Mental health in the era of COVID-19 : prevalence of psychiatric disorders in a cohort of patients with type 1 and type 2 diabetes during the social distancing
| Autor: | Gabriela Heiden Teló, Taíse Rosa de Carvalho, Carolina Padilla Knijnik, Guilherme Heiden Telo, Debora Wilke Franco, Bibiana Brino do Amaral, Janine Alessi, Alice Scalzilli Becker, Beatriz D'Agord Schaan, Giovana Berger de Oliveira, Gabriel Luiz Kobe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Social distancing Endocrinology Diabetes and Metabolism Population Declaration COVID-19 pandemic 030209 endocrinology & metabolism Type 2 diabetes 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Internal Medicine medicine Psychiatry education lcsh:RC620-627 Depression (differential diagnoses) Pandemias education.field_of_study business.industry Social distance Medical record Research medicine.disease Mental health Saúde mental lcsh:Nutritional diseases. Deficiency diseases Eating disorders Cohort Quarantine Anxiety medicine.symptom business Quarentena |
| Zdroj: | Repositório Institucional da UFRGS Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS Diabetology & Metabolic Syndrome Diabetology & Metabolic Syndrome, Vol 12, Iss 1, Pp 1-10 (2020) |
| Popis: | Background In patients with diabetes, the prevalence of depression and anxiety symptoms is about two to four times greater than in the general population. The association between diabetes and mental health disorders could be exacerbated in a stressful environment, and psychological distress could increase depressive symptoms and cause adverse diabetes outcomes. Objectives To assess the prevalence of mental health disorders in patients with diabetes during the social distancing period due to COVID-19 pandemic. Methods This is a cross-sectional study developed to assess the impact of social distancing on a cohort of adults with type 1 (n = 52) and type 2 diabetes (n = 68) in Brazil. Inclusion criteria involved having an HbA1c test collected in the past 3 months and having a valid telephone number in electronic medical records. The primary outcome was the prevalence of minor psychiatric disorders, assessed by survey (SRQ-20). Secondary outcomes included the prevalence of diabetes related emotional distress, eating and sleeping disorders, all assessed by validated surveys at the moment of the study. Statistical analyses included unpaired t-test for continuous variables and χ2 test for categorical variables. Results Overall (n = 120), participants had a mean age of 54.8 ± 14.4 years-old, and HbA1c of 9.0 ± 1.6% (75 ± 17.5 mmol/mol); 93% of patients showed signs of current mental suffering based on the surveys measured. Almost 43% of patients showed evidence of significant psychological distress, with a significant greater tendency in patients with type 2 diabetes. The presence of diabetes related emotional distress was found in 29.2% of patients; eating disorders in 75.8%; and moderate/severe sleeping disorders in 77.5%. Conclusions We found a high prevalence of evidence of psychological distress among patients with diabetes during the COVID-19 pandemic and this highlights the need for mental health access and support for patients with type 1 and type 2 diabetes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|