Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-28T21:41:09.709Z Has data issue: false hasContentIssue false
  • English
  • Français

Trastornos de ansiedad y depresivos en una población de adultos con diabetes mellitus insulinodependiente (DMID): relaciones con el control glucémico y las complicaciones somáticas

Published online by Cambridge University Press:  12 May 2020

S. Friedman ,
G. Vila ,
J. Timsit ,
C. Boitard  and
M. C. Mouren-Simeoni
S. Friedman
Affiliation:
Enfermedades Mentales, Clínica l'Encéphale, Hospital Sainte-Anne Departamento de Psicopatología de niños y adolescentes, Hospital Necker-Enfants-Malades, 149, rue de Sèvres, 75743París cedex 15
G. Vila
Affiliation:
Departamento de Psicopatología de niños y adolescentes, Hospital Necker-Enfants-Malades, 149, rue de Sèvres, 75743París cedex 15
J. Timsit
Affiliation:
Departamento de Inmunología Clínica y Diabetología, INSERM U 25 Laboratory, Hospital Necker-Enfants-Malades
C. Boitard
Affiliation:
Departamento de Inmunología Clínica y Diabetología, INSERM U 25 Laboratory, Hospital Necker-Enfants-Malades
M. C. Mouren-Simeoni
Affiliation:
Departamento de Psicopatología de niños y adolescentes, Hospital Necker-Enfants-Malades, 149, rue de Sèvres, 75743París cedex 15 Departamento de Psicopatologίa en niños y adolescentes, Hospital Robert Debré, París, Francia
Get access

Resumen

Se examinó la frecuencia de los trastornos de ansiedad y los depresivos en 69 pacientes ambulatorios con diabetes mellitus insulinodependiente (DMID) y en dos grupos de control. Basándose en medidas de autoinforme, estos trastornos fueron similares en la muestra con DMID y en los grupos de control. En los pacientes ambulatorios diabéticos, según los criterios del DSM-III-R, había una elevada prevalencia vital de trastornos de ansiedad y depresivos no especificados (44% y 41,5%), de fobia simple (26,8%), fobia social (24,6%) y agorafobia, con y sin trastorno de pánico (14,6%). La fobia social actual, la distimia y los trastornos depresivos no especificados se asociaban con un control glucémico inadecuado. La hemoglobina glucosilada se asociaba con el cumplimiento, pero los trastornos psiquiátricos no, excepto la fobia social, que se asociaba significativamente con consultas más frecuentes y un mal cumplimiento del régimen dietético (más tentempiés). Las complicaciones somáticas no estaban asociadas con los trastornos de ansiedad y los depresivos (actuales o vitales) o el cumplimiento, y se explicaban mejor por la duración de la enfermedad y el control glucémico inadecuado.

Keywords

diabetes mellitus insulinodependientetrastornos de ansiedadtrastornos depresivoscontrol glucémicocomplicaciones somáticas
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 6 , Issue 2 , March 1999 , pp. 109 - 118
Copyright
Copyright © European Psychiatric Association 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Connel, CMDavis, WKGallant, MPSharpe, PA.Impact of social support, social cognitive variables, and perceived, threat on depression among adults with diabetes. Health Psychol 1994; 13: 263–73.CrossRefGoogle Scholar
Cox, DJTaylor, AGNowacek, G.The relationship between psychological stress and insulin dependent diabetic blood glucose control: preliminary investigations. Health Psychol 1984; 3: 63–75.CrossRefGoogle ScholarPubMed
Friedman, SVila, GMouren-Simeoni, MC.Diabète insulinodépendant et psychiatrie. Encycl Med Chir (Psychiatric) 1996; 87: 1–7.Google Scholar
Gordon, DFisher, SGWilson, MFergus, EPaterson, KRSemple, CG.Psychological factors and their relationship to diabetes control. Diab Med 1993; 10: 530–4.CrossRefGoogle ScholarPubMed
Jacobson, AM.Depression and diabetes. Diabetes Care 1993; 16: 1621–3.CrossRefGoogle ScholarPubMed
Kessler, R, Me Gonagle, KZhao, SNelson, CHughes, MEshleman, Set al.Lifetime and 12 month pre-valence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry 1994; 51: 8–19.CrossRefGoogle Scholar
Leboyer, MMayer, WTeherani, MLichtermann, DDamato, TFranke, Pet al.The reliability study of SADS-LA in a family study setting. Eur Arch Psychiatry Clin Neurosci 1991; 241: 165–9.CrossRefGoogle Scholar
Lemperiere, TLepine, JPRouillon, FHardy, PAdes, JLuate, JPFerrand, I.Comparison de différents instruments d'évaluation de la dépression á l'occasion d'une étude sur l'athymil 30 mg. Ann Med Psychol 1984; 142: 1206–23.Google Scholar
Lepine, JPLellouch, J, Étude épidémilogique des troubles dépressifs et anxieux dans une population générale. Ann Med Psychol 1993; 151: 618–23.Google Scholar
Lustman, PJ.Anxiety disorders in adults with diabetes mellitus. Psychiatr Clin North Am 1988; 11: 419–32.CrossRefGoogle ScholarPubMed
Lustman, PJGriffith, LSClarke, REGruyer, PE.Psychiatric illness in diabetes mellitus: relationship to symptoms and glucose control. J Ner Men Dis 1986; 174: 736–42.CrossRefGoogle ScholarPubMed
Lustman, PJClouse, RE.Depression and the reporting of diabetes symptoms. Int J Psychiatry Med 1988; 18: 295–303.CrossRefGoogle ScholarPubMed
Lustman, PJKenneth, E.Similarity of depression in diabetic and psychiatric patients. Psychosom Med 1992;54:602–11.CrossRefGoogle ScholarPubMed
Mazze, RSLucido, D.Psychological and social correlates of glycaemic control. Diabetes Care 1984; 7: 123–9.CrossRefGoogle Scholar
Maudsley, H.The pathology of Mind. New York: Appleton; 1899.Google Scholar
Mayou, RPeveler, RBeverley, DMann, JFaiburm, C.Psychiatric morbidity in young adults with insulin-dependent diabetes mellitus. Psychol Med 1991; 21: 639–45.CrossRefGoogle ScholarPubMed
Niemrink, SJSpeers, MATravis, HE.Psychosocial correlates of haemoglobin A1C in young adults with typel diabetes. Jour Psychosom Res 1990; 6: 617–27.Google Scholar
Pichot, PLacassin, JDreyfuss, JF.Essai de prédication de la nomifensine á partir du profil symptoma-tologique préthérapeutique. Nouv Press Méd 1978; 7: 2313–6.Google Scholar
Popkin, MKCallies, ALLentz, RD.Prevalence of major depression, simple phobia, and other psychiatric disorders in patients with long-standing type I diabetes mellitus. Arch Gen Psychiatry 1988; 45: 64–8.CrossRefGoogle ScholarPubMed
Potts, NLSDaviddmon, JRT.Social phobia: biological aspects and pharmacotherapy. Prog Neuropsychopharmacol Biol Psychiatry 1992; 16: 635–45.CrossRefGoogle ScholarPubMed
Robins, LNHelzer, JEWeissman, MMOrvaschel, HGruenberg, EBurke, JDRegier, DA.Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 1984; 41: 949–58.CrossRefGoogle ScholarPubMed
Robinson, NFuller, JHEdmaedes, S.Depression and Diabetes. Diabetes care 1988; 5: 268–74.Google ScholarPubMed
Roy, MCollier, BRoy, A.Excess of depressive symptoms and life events among diabetics. Compr Psychiatry 1994; 35: 129–31.CrossRefGoogle ScholarPubMed
Simonds, J.Emotions and compliance in diabetic children. Psychosomatics 1979; 20: 544–51.CrossRefGoogle ScholarPubMed
Simonds, JGoldstein, DWalker, BRawling, S.The relationship between psychological factors and blood glucose regulation in insulin diabetic adolescents. Diabetes Care 1981; 4: 610–5.CrossRefGoogle ScholarPubMed
Wilkinson, GBorsey, DQLeslie, PNewton, WLind, CBallinger, C.Psychiatric morbidity and social problems in patient with insulin dependent diabetes mellitus. Brit J Psy 1988; 153: 38–43.CrossRefGoogle ScholarPubMed
Winocur, PHMain, CJMedlicott, GAnderson, DC.A psychometric evaluation of adult patients with type 1 (insulin dependent) diabetes mellitus: prevalence of psychological dysfunction and relationship to demographic variables, metabolic control and complications. Diabetes Res 1991; 14: 711–6.Google Scholar