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Published on: February 28, 2013
[Mental disorders and diabetes mellitus (Update 2019)]
Heidemarie Abrahamian1, Alexandra Kautzky-Willer2, Angelika Rießland-Seifert3
1Internistisches Zentrum, Sozialmedizinisches Zentrum Baumgartner Höhe, Otto-Wagner-Spital, 1140, Wien, Österreich. heidemarie.abrahamian@wienkav.at.
Patients with diabetes mellitus have a higher risk of psychiatric disorders, including depression, which worsens glycemic control and health outcomes. This paper aims to raise awareness and improve care for these patients.
Area of Science:
- Endocrinology
- Psychiatry
- Public Health
Background:
- Diabetes mellitus frequently co-occurs with psychiatric disorders, notably a twofold increase in depression.
- This comorbidity is linked to poor glycemic control, increased illness, and higher mortality rates.
- Other prevalent mental health conditions include anxiety, eating disorders, schizophrenia, bipolar disorder, and borderline personality disorder.
Purpose of the Study:
- To increase awareness of the link between diabetes and mental health conditions.
- To foster collaboration among healthcare providers treating these patients.
- To reduce the incidence, morbidity, and mortality associated with diabetes in individuals with psychiatric disorders.
Main Methods:
- This is a position paper, not an empirical study.
- It synthesizes existing knowledge on the comorbidity of diabetes and psychiatric disorders.
- It proposes strategies for improved patient care and outcomes.
Main Results:
- The co-occurrence of mental disorders negatively impacts metabolic control in diabetes.
- Comorbidities exacerbate micro- and macrovascular complications of diabetes.
- Improved therapeutic outcomes present a significant challenge in healthcare.
Conclusions:
- Addressing psychiatric comorbidities is crucial for managing diabetes effectively.
- Enhanced interdisciplinary cooperation is essential for better patient management.
- Reducing the burden of diabetes in patients with mental health conditions is a key healthcare goal.
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