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[Mental disorders in type 2 diabetes].

A E Bobrov1,2, E G Starostina3, I N Agamamedova1

  • 1Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
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Mental health disorders like depression and anxiety are common in type 2 diabetes patients. These conditions are linked to diabetes complications and impact patient well-being.

Keywords:
mental disordersmultimorbiditysomatic complications of diabetestype 2 diabetes mellitus

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Area of Science:

  • Psychiatry
  • Endocrinology
  • Primary Care

Background:

  • Type 2 diabetes mellitus (T2DM) is a prevalent chronic condition.
  • Mental health disorders frequently co-occur with T2DM, impacting patient outcomes.
  • Understanding the comorbidity of mental and somatic disorders in T2DM is crucial.

Purpose of the Study:

  • To determine the prevalence of mental disorders in T2DM patients.
  • To investigate the relationship between mental disorders and laboratory findings.
  • To explore the association with somatic comorbidities and psychosocial consequences.

Main Methods:

  • A multicenter study of 200 T2DM patients from primary care settings.
  • Psychometric assessment using MINI-6, HAMD-17, PHQ-9, PAID, and WHO-5.
  • Analysis of laboratory findings, somatic comorbidities, and psychosocial factors.

Main Results:

  • Mental disorders were diagnosed in 58.5% of patients; current disorders in 46.5%.
  • Depression (17.0%) and anxiety spectrum disorders (19.5%) were most common, often comorbid.
  • Associations found between specific mental disorders and elevated HbA1c, cardiovascular disease, neuropathy, and nephropathy.

Conclusions:

  • Depressive and anxiety disorders are significantly associated with T2DM.
  • Comorbid somatic disorders and T2DM complications are not coincidental with mental disorders.
  • This highlights the complex interplay of comorbidity/multimorbidity in T2DM management.