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Panic attack symptoms in patients with diabetic peripheral neuropathy
Nayden H Manolov1, Arman Sh Postadzhiyan1, Sonya M Karabeliova2
1Department of General Medicine, Medical University Sofia, Bulgaria.
Patients with diabetic peripheral neuropathy (DPN) experience a higher prevalence of panic attack symptoms compared to healthy individuals. Early recognition and integrated screening for psychiatric disorders are crucial for managing DPN.
Area of Science:
- Neurology
- Psychiatry
- Endocrinology
Background:
- Diabetic peripheral neuropathy (DPN) assessment typically focuses on hyperglycemia-induced nerve damage.
- Psychiatric comorbidities are often overlooked in DPN patient management.
- Screening for common psychiatric disorders may enhance psychopathology recognition in DPN.
Purpose of the Study:
- To evaluate the prevalence of panic attack symptoms in DPN patients versus a healthy control group.
- To compare the severity of panic attack symptoms between DPN patients and controls.
- To investigate the relationship between DPN duration and panic attack symptom severity.
Main Methods:
- Epidemiological cohort study involving a survey over three years.
- 267 participants: 83 with DPN and 184 healthy controls.
- Utilized the Prime-MD Patient Health Questionnaire for data collection.
Main Results:
- DPN patients exhibited a significantly higher prevalence of panic attack symptoms compared to controls (p < 0.01).
- Significant differences in panic attack symptom severity were observed within the DPN group (p < 0.05).
- DPN patients with over one year of disease duration reported more severe symptoms.
Conclusions:
- The high prevalence of panic attack symptoms in DPN underscores the need for integrated psychiatric screening.
- Routine screening for panic attack symptoms should be considered in DPN management.
- Addressing psychiatric comorbidities can improve comprehensive diabetes mellitus care.
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