Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control

Revista Portuguesa de Investigação Comportamental e Social

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Title Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
Sintomas depressivos em pacientes com Diabetes Mellitus Tipo 1 e Tipo 2 e sua relação com o controlo glicémico
 
Creator Massano-Cardoso, Ilda Maria
Daniel, Fernanda
Rodrigues, Vítor
Galhardo, Ana
 
Subject Diabetes mellitus
Diabetes tipo 1
Diabetes tipo 2
Sintomas depressivos
Controlo glicémico
Diabetes mellitus
Type 1 diabetes
Type 2 diabetes
Depressive symptoms
Glycemic control
 
Description Objective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.
Objetivo: O presente estudo procurou avaliar a presença de sintomas depressivos em pacientes com diabetes mellitus tipo 1 (T1DM) e tipo 2 (T2DM), explorando a sua associação com o controlo glicémico. Métodos: Estudo de desenho transversal. Participaram no estudo 347 pacientes com um diagnóstico de diabetes mellitus tipo 1 e tipo 2, os quais preencheram um questionário sociodemográfico e clínico e o Inventário Depressivo de Beck (BDI). Os valores do controlo glicémico foram facultados pelo clínico assistente, sendo baseados no critério de hemoglobina glicada (A1C). Resultados: O score médio do BDI total para os pacientes com T1DM ou T2DM não se revelou clinicamente significativo e não se encontrouassociado à duração da doença. A associação entre sintomas depressivos e controlo glicémico foi significativa em ambos os tipos de diabetes. Os pacientes com T2DM que apresentaram mais sintomas depressivos foram os que evidenciavam maior controlo glicémico. As diferenças observadas nos sintomas depressivos dos pacientes com T1DM e T2DM manifestaram-se nos sintomas somáticos avaliados pelo BDI. Conclusões: Os sintomas depressivos nos pacientes com T2DM podem ser confundidos com as consequências físicas da própria diabetes. De referir igualmente a possibilidade de o humor negativo desempenhar um papel mediador na mobilização das estratégias promotoras de um adequado controlo glicémico.
 
Publisher Instituto Superior Miguel Torga
 
Date 2020-05-12
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
text/html
application/xml
 
Identifier https://rpics.ismt.pt/index.php/ISMT/article/view/166
10.31211/rpics.2020.6.1.166
 
Source Portuguese Journal of Behavioral and Social Research; Vol. 6 No. 1 (2020): May; 40–49
Revista Portuguesa de Investigação Comportamental e Social; Vol. 6 N.º 1 (2020): Maio; 40–49
2183-4938
 
Language por
eng
 
Relation https://rpics.ismt.pt/index.php/ISMT/article/view/166/382
https://rpics.ismt.pt/index.php/ISMT/article/view/166/384
https://rpics.ismt.pt/index.php/ISMT/article/view/166/409
 
Rights Direitos de Autor (c) 2020 Ilda Maria Massano-Cardoso, Fernanda Daniel, Vítor Rodrigues, Ana Galhardo
 

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