The Importance of DS-14 and HADS Questionnaires in Quantifying Psychological Stress in Type 2 Diabetes Mellitus
| Autor: | Dana Velimirovici, Ruxandra Christodorescu, Stela Iurciuc, Simona Dragan, Marius Badalica-Petrescu, Caius Glad Streian, Anca Tudor, Ana-Maria Pah, Petru Bucuras, Florina Buleu |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Social inhibition type D personality Psychometrics type 2 diabetes mellitus Comorbidity Anxiety Hospital Anxiety and Depression Scale Negative affectivity Article hospital anxiety and depression scale (HADS) DS-14 questionnaire psychological stress risk factors Diabetes mellitus Internal medicine Surveys and Questionnaires medicine Humans Depression (differential diagnoses) Aged Retrospective Studies Psychiatric Status Rating Scales lcsh:R5-920 business.industry Depression Type D personality Type 2 Diabetes Mellitus General Medicine Middle Aged medicine.disease Diabetes Mellitus Type 2 Female medicine.symptom lcsh:Medicine (General) business Stress Psychological |
| Zdroj: | Medicina Volume 55 Issue 9 Medicina; Volume 55; Issue 9; Pages: 569 Medicina, Vol 55, Iss 9, p 569 (2019) |
| ISSN: | 1010-660X |
| DOI: | 10.3390/medicina55090569 |
| Popis: | Background and Objectives: The comorbid association between type 2 diabetes mellitus (T2DM) and a psychological profile characterized by depression and/or anxiety has been reported to increase the risk of coronary heart disease (CAD), the most striking macrovascular complication of diabetes. The purpose of the present study was to quantify anxiety, depression and the presence of type D personality, and to correlate the scores obtained with cardiovascular risk factors and disease severity in diabetic patients. Materials and methods: The retrospective study included 169 clinically stable diabetic patients divided into two groups: group 1 without macrovascular complications (n = 107) and group 2 with CAD, stroke and/or peripheral vascular disease (n = 62). A biochemical analysis and an assessment of psychic stress by applying the Hospital Anxiety and Depression Scale (HADS)and the Type D scale (DS-14) to determine anxiety, depression and D personality scores were done in all patients. Statistical analysis was made using SPSSv17 and Microsoft Excel, non-parametric Kruskal&ndash Wallis and Mann&ndash Whitney tests. Results: Following application of the HAD questionnaire for the entire group (n = 169), anxiety was present in 105 patients (62.2%), and depression in 96 patients (56.8%). Group 2 showed significantly higher anxiety scores compared to group 1 (p = 0.014), while depression scores were not significantly different. Per entire group, analysis of DS-14 scores revealed social inhibition (SI) present in 56 patients (33%) and negative affectivity (NA) in 105 patients (62%). TheDS-14 SI score was significantly higher in group 2 compared to group 1 (p = 0.036). Type D personality, resulting from scores above 10 in both DS-14 parameter categories, was present in 51 patients of the study group (30%). There was a direct and significant correlation (r = 0.133, p = 0.025) between the Hospital Anxiety and Depression Scale-Anxiety (HAD-A) score and the LDL-c values. Conclusions: The results of this study demonstrated that more than a half of patients with diabetes had anxiety and/or depression and one third had Type D personality, sustaining that monitoring of emotional state and depression should be included in the therapeutic plan of these patients. New treatment strategies are needed to improve the well-being of diabetic patients with psychological comorbidities. |
| Databáze: | OpenAIRE |
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