Data/hora: 12/06/2024 04:59:43

Provedor de dados: | 56
País: | Brazil
Título: | Comorbidity of psychiatric disorders and symmetric distal polyneuropathy among type II diabetic outpatients
Autores: | Moreira,R.O.; Papelbaum,M.; Fontenelle,L.F.; Appolinario,J.C.; Ellinger,V.C.M.; Coutinho,W.F.; Zagury,L.
Data: | 2007-02-01
Ano: | 2007
Palavras-chave: | Anxiety; Depressive symptoms; Diabetic neuropathy; Symmetric distal polyneuropathy; Psychiatric interview; Psychometric scales.
Resumo: | The objective of the present study was to establish the frequency of psychiatric comorbidity in a sample of diabetic patients with symmetric distal polyneuropathy (SDPN). Sixty-five patients with type 2 diabetes mellitus were selected consecutively to participate in the study at Instituto Estadual de Diabetes e Endocrinologia. All patients were submitted to a complete clinical and psychiatric evaluation, including the Portuguese version of the structured clinical interview for DSM-IV, the Beck Depression Inventory, the Neuropathy Symptom Score, and Neuropathy Disability Score. SDPN was identified in 22 subjects (33.8%). Patients with and without SDPN did not differ significantly regarding sociodemographic characteristics. However, a trend toward a worse glycemic control was found in patients with SDPN in comparison to patients without SDPN (HbA1c = 8.43 ± 1.97 vs 7.48 ± 1.95; P = 0.08). Patients with SDPN exhibited axis I psychiatric disorders significantly more often than those without SDPN (especially anxiety disorders, in general (81.8 vs 60.0%; P = 0.01), and major depression - current episode, in particular (18.2 vs 7.7%; P = 0.04)). The severity of the depressive symptoms correlated positively with the severity of SDPN symptoms (r = 0.38; P = 0.006), but not with the severity of SDPN signs (r = 0.07; P = 0.56). In conclusion, the presence of SDPN seems to be associated with a trend toward glycemic control. The diagnosis of SDPN in diabetic subjects seems also to be associated with relevant psychiatric comorbidity, including anxiety and current mood disorders.
Tipo: | Info:eu-repo/semantics/other
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2007000200015
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/S0100-879X2006005000051
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.40 n.2 2007
Fonte: | info:eu-repo/semantics/openAccess