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Anxiety and depressive disorders in an adult insulin-dependent diabetic mellitus (IDDM) population: relationships with glycaemic control and somatic complications

Published online by Cambridge University Press:  16 April 2020

S Friedman ,
G Vila ,
J Timsit ,
C Boitard  and
MC Mouren-Simeoni
S Friedman
Affiliation:
Maladies Mentales et de I'Encéphale Clinic, Sainte-Anne Hospital Department of Children and Adolescent Psychopathology, Necker-infants-Malades Hospital, 149, rue de Sèvres, 75743Paris cedex 15
G Vila*
Affiliation:
Department of Children and Adolescent Psychopathology, Necker-infants-Malades Hospital, 149, rue de Sèvres, 75743Paris cedex 15
J Timsit
Affiliation:
Department of Clinical Immunology and Diabetology, INSERM U 25 laboratory, Necker-Enfants-Malades Hospital
C Boitard
Affiliation:
Department of Clinical Immunology and Diabetology, INSERM U 25 laboratory, Necker-Enfants-Malades Hospital
MC Mouren-Simeoni
Affiliation:
Department of Children and Adolescent Psychopathology, Necker-infants-Malades Hospital, 149, rue de Sèvres, 75743Paris cedex 15 Department of Children and Adolescent Psychopathology, Robert Debré & Hospital, Paris, France
*
*Correspondence and reprints.
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Summary

The frequency of anxiety and depressive disorders was examined in 69 insulin-dependent diabetic mellitus (IDDM) outpatients and in two control group. Based on self-report measures, these disorders were similar in IDDM sample and in the control groups. In diabetic outpatients, according to DSM-III-R criteria, there was a high lifetime prevalence of not otherwise specified anxiety and depressive disorders (44% and 41.5%), of simple phobia (26.8%), social phobia (24.6%), and agoraphobia — with and without panic disorder (14.6%). Current social phobia, dysthymia and not otherwise specified depressive disorders were associated with impaired glycaemic control. Glycosylated haemoglobin was associated with compliance but psychiatric disorders were not, except for social phobia which was significantly associated with more frequent consultations and a bad compliance for dietary regimen (more snacking). Somatic complications were not associated with anxious and depressive disorders (current or lifetime) or compliance and were best explained by the duration of the illness and impaired glycaemic control.

Keywords

insulin-dependent diabetes mellitusanxious disordersdepressive disordersglycaemic controlsomatic complications
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 6 , September 1998 , pp. 295 - 302
Copyright
Copyright © Elsevier, Paris 1998

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