Association between depression and insulintherapy
نویسندگان
چکیده
Introduction Insulin is the basic medical therapy to manage type 1 diabetes and also a cornerstone of treatment 2 as insulinopenia belongs its natural history. However, insulintherapy associated with many challenges especially psychological difficulties such patient’s acceptance compliance, which may lead metabolic disorders. Objectives The aim our study was determine association between depression. Methods A cross sectional analytic conducted from October 2019 2020 among group diabetic patients followed in Endocrinology Department Taher Sfar University Hospital Mahdia, Tunisia. “DSM-V diagnosis criteria for depression screening” “Hamilton score scale” were used evaluate severity Results total 260 recruited study. mean age 57.36±15.4 years extremities ranging 20 91 years. sex ratio M/F situated at 0.59. duration 10.92 majority had (92.3%). micro vascular long-term complications most frequent (67.7%): neuropathy (39%), retinopathy (37%) nephropathy (24%). According criteria”, 15% population suffered Major Depressive disorder (MDD). Hamilton scale showed that thirty-eight severe symptoms (14.6%). Insulintherapy MDD (19.1% vs 10.1% ; p=0,041 20% 8.4% p <10 –3 ). Conclusions Diabetic treated insulin seem be exposed depressive syndromes. Once initiated, doctors should careful aspects burden this decision use consequence appropriate tools screen anxiety. role family doctor crucial providing early support preventing poor glycemic control. Disclosure Interest None Declared
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ژورنال
عنوان ژورنال: European Psychiatry
سال: 2023
ISSN: ['0924-9338', '1778-3585']
DOI: https://doi.org/10.1192/j.eurpsy.2023.510