Depression, anxiety and various aspects of positive well-being in uncontrolled adults with Type 2 diabetes
© Katsiki et al.; licensee BioMed Central Ltd. 2008
Published: 17 April 2008
Materials and methods
72 out-patients with type 2 diabetes, aged 32-83 years old, 38 men and 34 women, completed the Hospital Anxiety and Depression Scale and the Well-Being Questionnaire, whilst waiting for their first diabetes appointment. Demographic characteristics, details of diabetes status and HbA1c were recorded. None of these patients was under psychological treatment or had previously consulted a psychiatrist.
62,5% of the patients reported either anxiety or depressive symptoms and 31,9% reported both. 20,8% of the patients reported mild anxiety and 23,6% moderate to severe anxiety, while 27,8% reported mild depression and 22,2% moderate to severe depression.
Women were more likely to report mild anxiety and moderate to severe depression, while mean WBQ positive well-being score was significantly higher in men (p=0,05).
Duration of diabetes was positively correlated with WBQ depression score (r=0,306; p=0,009) and negatively correlated with WBQ energy (r= −0,241; p=0,041), WBQ positive well-being (r= −0,253; p=0,032) and WBQ total score (r= −0,250; p=0,034). HbA1c was positively correlated with HADS anxiety score (r=0,239; p=0,043).
Prevalence rates of psychological symptoms in this uncontrolled diabetic population were high. Diabetes' duration was significantly associated with levels of depression and various aspects of positive well-being, while glycaemic control was related to levels of anxiety. Women reported higher levels of psychological symptoms. A considerable proportion of diabetics require psychological support, which, if available, might help improve glycaemic control and overall well-being.
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