Clinical variables associated with depression in patients with type 2 diabetes

Revista da Associação Médica Brasileira

Mari Cassol Ferreira¹  Camila Piaia¹  Ana Carolina Cadore¹  Marinez Amabile Antoniolli¹  Geni Portela Gamborgi¹  Patrícia Pereira De Oliveira¹ 

关键词: diabetes mellitus;    depression;    diabetes complications;    diabetic neuropathies;    diabetes mellitus;    depressão;    complicações do diabetes;    neuropatias diabéticas;   

DOI  :  10.1590/1806-9282.61.04.336

来源: SciELO

【 摘 要 】

SummaryBackground:the aim of the study was to evaluate the relationship between type 2 diabetes (T2DM), depression and depressive symptoms and their clinical impact on T2DM.Methods:the authors evaluated 214 outpatients, 105 with diabetes (T2DM group) and 109 non-diabetics (control group), with ages ranging between 50 and 75 years (T2DM group 65.1 ± 5.6 years, control group 63.4 ± 5.8 years). Use of antidepressant treatment or score ≥ 16 on the Beck depression inventory (BDI) was considered depression. Complications of diabetes and total symptom score (TSS) for peripheral neuropathy were reported by patients.Results:diabetes group had a higher frequency of depression (35.2%) compared to controls (21.1%) (p=0,021), with 2.4 times increased risk of depression. The presence of depressive symptoms was also higher in T2DM group (mean BDI 9.5 ± 8.8 versus 6.9 ± 6.2; p=0.039). Symptoms of diabetic neuropathy were higher in depressed subjects. The metabolic control and presence of complications in T2DM group were not associated with depression.Conclusion:T2DM led to an increased risk of depression, but this did not influence the metabolic control or the presence of other complications.

【 授权许可】

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