Article contents
Psychiatric Morbidity and Social Problems in Patients with Insulin-Dependent Diabetes Mellitus
Published online by Cambridge University Press: 02 January 2018
Abstract
A two-stage screening strategy was used to study psychiatric morbidity and social problems in a consecutive series of out-patients with insulin-dependent diabetes mellitus. The prevalence of psychiatric morbidity was 18%, and consisted of depression, anxiety, and attendant symptoms. Patients reporting major social problems had significantly higher levels of psychiatric symptoms. Psychiatric morbidity was not associated with the presence of complications of diabetes.
- Type
- Research Article
- Information
- Copyright
- Copyright © Royal College of Psychiatrists, 1988
References
Bridges, K. W. & Goldberg, D. P. (1984) Psychiatric illness in inpatients with neurological disorders: patients' views on discussion of emotional problems with neurologists. British Medical Journal, 289, 656–658.CrossRefGoogle ScholarPubMed
Cooper, B. (1979) Demographic and epidemiological methods in psychiatric research. In Psychiatrie der Gegenwart, Vol. I (eds Kisker, K. P., Meyer, J. E., Muller, C. & Stromgren, E.). Berlin: Springer.Google Scholar
Corney, R. H. & Clare, A. W. (1985) The construction, development and testing of a self-report questionnaire to identify social problems. Psychological Medicine, 15, 637–649.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. & Murphy, E. (1979) Severity of psychiatric disorder and the 30-item GHQ. British Journal of Psychiatry, 134, 609–616.CrossRefGoogle Scholar
Gardner, M. J. & Altman, D. G. (1986) Confidence intervals rather than P values: estimation rather than hypothesis testing. British Medical Journal, 292, 746–750.CrossRefGoogle Scholar
Goldberg, D. P. (1978) The Manual of the General Health Questionnaire. Slough: National Foundation for Educational Research.Google Scholar
Goldberg, D. P. (1981) Estimating the prevalence of psychiatric disorder from the results of a screening test. In What is a Case? (eds Wing, J. K., Bebbington, P. E. & Robins, L. N.). London: Grant McIntyre.Google ScholarPubMed
Goldberg, D. P. (1985) Identifying psychiatric illness among general medical patients. British Medical Journal, 291, 161–162.CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Blackwell, B. (1970) Psychiatric illness in general practice: a detailed study using a new method of case identification. British Medical Journal, ii, 439–443.CrossRefGoogle Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google ScholarPubMed
Goldberg, D. P., Kay, C. & Thompson, L. (1974) Psychiatric morbidity in genera] practice and the community. Psychological Medicine, 6, 565–569.CrossRefGoogle Scholar
Goldberg, D. P. & Williams, P. (1988) User's Guide to the GHQ. Windsor: NFER Publishing Company.Google Scholar
Hobbs, P., Ballinger, C. B. & Smith, A. H. W. (1983) Factor analysis and validation of the General Health Questionnaire in women: a general practice survey. British Journal of Psychiatry, 142, 257–264.CrossRefGoogle ScholarPubMed
Hobbs, P., Ballinger, C. B., Greenwood, C., Martin, B. & McClure, A. (1984) Factor analysis and validation of the General Health Questionnaire in men: a general practice survey. British Journal of Psychiatry, 144, 270–275.CrossRefGoogle Scholar
Kirk, C. A. & Saunders, M. (1979) Psychiatric illness in a neurological outpatient department in North East England. Acta Psychiatrica Scandinavica, 60, 427–437.CrossRefGoogle Scholar
Maguire, G. P., Julier, D. L., Hawton, K. E. & Bancroft, J.H.J. (1974) Psychiatric morbidity and referral on two general medical wards. British Medical Journal, i, 268–270.CrossRefGoogle Scholar
Rabins, P. V. & Brooks, B. R. (1981) Emotional disturbance in multiple sclerosis patients: validity of the General Health Questionnaire. Psychological Medicine, 11, 425–427.CrossRefGoogle ScholarPubMed
Skuse, D. & Williams, P. (1984) Screening for psychiatric disorder in general practice. Psychological Medicine, 14, 365–377.CrossRefGoogle ScholarPubMed
Surridge, D. H. C., Williams Erdahl, D. L., Lawson, J. S., Donald, M. W., Monga, T. M., Bird, C. E. & Letemendia, F. J. J. (1984) Psychiatric aspects of diabetes mellitus. British Journal of Psychiatry, 145, 269–276.CrossRefGoogle ScholarPubMed
Tarnopolsky, A., Hand, D. J., McLean, E. K., Roberts, H. & Wiggins, R. D. (1979) Validity and uses of a screening questionnaire. British Journal of Psychiatry, 134, 508–515.CrossRefGoogle ScholarPubMed
Wilkinson, D. G. (1981) Psychiatric aspects of diabetes mellitus. British Journal of Psychiatry, 138, 1–9.CrossRefGoogle ScholarPubMed
Wilkinson, D. G. (1987) The influence of psychiatric, psychological and social factors on the control of insulin-dependent diabetes mellitus. Journal of Psychosomatic Research, 31, 277–286.CrossRefGoogle ScholarPubMed
Wilkinson, D. G., Borsey, D. Q., Leslie, P., Newton, R. W., Lind, C. & Ballinger, C. B. (1987) Psychiatric disorder in patients with insulin-dependent diabetes mellitus attending a general hospital clinic: (i) two-stage screening; and (ii) detection by physicians. Psychological Medicine, 17, 515–517.CrossRefGoogle Scholar
Williams, P. (1985) Minor Psychiatric Morbidity and General Practice Consultation: the West London Survey. MD thesis, University of London.Google Scholar
Williams, P., Hand, D. J. & Tarnopolsky, A. (1982) The problem of screening for uncommon disorders: a comment on the Eating Attitudes Test. Psychological Medicine, 12, 431–434.CrossRefGoogle ScholarPubMed
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. World Health Organization: Geneva.Google Scholar
- 38
- Cited by
eLetters
No eLetters have been published for this article.