Psychiatric symptom rate of patients with Diabetes Mellitus: A case control study

Diabetes Metab Syndr. 2019 Mar-Apr;13(2):1059-1063. doi: 10.1016/j.dsx.2019.01.045. Epub 2019 Jan 23.

Abstract

Aims: The aim of the study is comparing the psychiatric symptom in Type1 DM, Type 2 DM and controls.

Methods: The study was designed as case control study and conducted between September 2011 and April 2012 to the Diabetes Clinic. Age, gender and education level matched 70 type 1 diabetics, 68 type 2 diabetics and 70 controls included to the study. SCL-90-R [Symptom Check List-90 (Revised)] test is used for determining the psychiatric symptom rates.

Results: It was found that the rate of somatization, interpersonal sensitivity, anger-hostility and additional scales were significantly different in type 1, type 2 diabetics and controls ((p = 0.023, p = 0.008, p = 0.018 and p = 0.039, respectively). Compared to control group, being a patient with type 1 or type 2 Diabetes found as a risk factor for somatization, depression, anger-hostility and additional scales. Moreover being a patient with type 1 DM was found as a risk factor for having OBS symptoms (p = 0.039) and type 1 DM was protective against having interpersonal sensitivity symptoms (p = 0.006).

Conclusion: In diabetic patient groups, an increase in the rate of psychiatric symptoms was observed. Therefore a careful psychiatric examination is required in DM.

Keywords: Psychiatric symptoms; SCL-90-R; Type 1 diabetes; Type 2 diabetes.

MeSH terms

  • Adult
  • Anger*
  • Anxiety Disorders / diagnosis*
  • Anxiety Disorders / etiology
  • Case-Control Studies
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / etiology
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 1 / psychology*
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Young Adult