Mental health in the era of COVID-19: prevalence of psychiatric disorders in a cohort of patients with type 1 and type 2 diabetes during the social distancing

被引：93

作者：

Alessi, Janine ^{[1
,2
,8
]}

de Oliveira, Giovana Berger ^{[3
,9
]}

Franco, Debora Wilke ^{[3
,9
]}

Brino do Amaral, Bibiana ^{[3
,9
]}

Becker, Alice Scalzilli ^{[3
,9
]}

Knijnik, Carolina Padilla ^{[3
,9
]}

Kobe, Gabriel Luiz ^{[3
,9
]}

de Carvalho, Taise Rosa ^{[4
,9
]}

Telo, Guilherme Heiden ^{[4
,9
]}

Schaan, Beatriz D. ^{[1
,5
,6
,7
,8
]}

Telo, Gabriela Heiden ^{[2
,3
,4
,9
]}

机构：

[1] Univ Fed Rio Grande do Sul, Postgrad Program Med Sci Endocrinol, Porto Alegre, RS, Brazil

[2] Pontificia Univ Catolica Rio Grande do Sul, Hosp Sao Lucas, Internal Med Dept, Porto Alegre, RS, Brazil

[3] Pontificia Univ Catolica Rio Grande do Sul, Sch Med, Porto Alegre, RS, Brazil

[4] Pontificia Univ Catolica Rio Grande do Sul, Postgrad Program Med & Hlth Sci, Porto Alegre, RS, Brazil

[5] Univ Fed Rio Grande do Sul, Sch Med, Porto Alegre, RS, Brazil

[6] Hosp Clin Porto Alegre, Endocrinol Div, Porto Alegre, RS, Brazil

[7] Natl Inst Sci & Technol Hlth Technol Assessment I, Porto Alegre, RS, Brazil

[8] HCPA, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil

[9] Hosp Sao Lucas PUCRS, Porto Alegre, RS, Brazil

来源：

DIABETOLOGY & METABOLIC SYNDROME | 2020年 / 12卷 / 01期

关键词：

Diabetes mellitus; Mental health; COVID-19; pandemic; Social distancing; Quarantine; SCREENING QUESTIONNAIRE; DEPRESSIVE SYMPTOMS; ANXIETY; LIFE; CARE; ASSOCIATION; OUTCOMES; ADULTS; YOUTH; MOOD;

D O I：

10.1186/s13098-020-00584-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background In patients with diabetes, the prevalence of depression and anxiety symptoms is about two to four times greater than in the general population. The association between diabetes and mental health disorders could be exacerbated in a stressful environment, and psychological distress could increase depressive symptoms and cause adverse diabetes outcomes. Objectives To assess the prevalence of mental health disorders in patients with diabetes during the social distancing period due to COVID-19 pandemic. Methods This is a cross-sectional study developed to assess the impact of social distancing on a cohort of adults with type 1 (n = 52) and type 2 diabetes (n = 68) in Brazil. Inclusion criteria involved having an HbA1c test collected in the past 3 months and having a valid telephone number in electronic medical records. The primary outcome was the prevalence of minor psychiatric disorders, assessed by survey (SRQ-20). Secondary outcomes included the prevalence of diabetes related emotional distress, eating and sleeping disorders, all assessed by validated surveys at the moment of the study. Statistical analyses included unpairedt-test for continuous variables and chi(2)test for categorical variables. Results Overall (n = 120), participants had a mean age of 54.8 +/- 14.4 years-old, and HbA1c of 9.0 +/- 1.6% (75 +/- 17.5 mmol/mol); 93% of patients showed signs of current mental suffering based on the surveys measured. Almost 43% of patients showed evidence of significant psychological distress, with a significant greater tendency in patients with type 2 diabetes. The presence of diabetes related emotional distress was found in 29.2% of patients; eating disorders in 75.8%; and moderate/severe sleeping disorders in 77.5%. Conclusions We found a high prevalence of evidence of psychological distress among patients with diabetes during the COVID-19 pandemic and this highlights the need for mental health access and support for patients with type 1 and type 2 diabetes.

引用

页数：10

共 49 条

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