Csenge Hargittay(1), Ádám Becze(1), Ajándék Eőry(1), Xénia Gonda(2), Bernadett Márkus(1), Krisztián Vörös(1), Zoltán Rihmer(2), László Kalabay(1), Péter Torzsa (1)
(1) Department of Family Medicine, Semmelweis University Medical Faculty Budapest, Hungary
(2) Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Introduction: Depression and anxiety are common psychiatric disorders. Their prevalence is almost twice as high among patients with diabetes mellitus compared to nondiabetic patients. Both disorders may affect patients’ compliance and complications may be more serious.
Aims: We assessed the prevalence of depression symptoms and anxiety among patients with Type 2 diabetes in the general practice setting and to compare the mood disorders of the well treated and inadequately treated diabetic patients.
Method: From the collected data anthropometric and socioeconomic parameters, family history and laboratory measurements were used. Beck Depression Inventory (BDI) and the Hamilton Anxiety Scale (HAM-A) were used to evaluate the severity of mood disorders.
Results: 343 patients with diabetes mellitus participated in our study. The mean age of the patients was 69.8±11.1 (years±SD), 63% was female. The prevalence of medium/severe depression symptoms was 13% and the prevalence of treated depression was 6% in the diabetic patient group. We found anxiety in 23% of the cases and 20% of patients were treated. Among female patients we found significantly higher prevalence of depression symptoms (23% vs. 17%, p=0.03) and anxiety (26% vs. 17%, p<0,001). Among patients with HbA1c above 7.5%, the prevalence of depression symptoms was higher (31% vs. 17%, p=0.003). The glucose metabolism was better among patients with treated depression (7% vs. 3%). We found a higher prevalence of anxiety (29% vs. 22%, p=ns) among patients with HbA1c>7.5%.
Conclusions: Routine screening for symptoms of depression and anxiety among patients with diabetes would be an important part of the patient management work. The use of the recently introduced extended Summary Care Record will enable GPs to screen for mood disorders among patients with diabetes mellitus. Treatment on time of anxiety and depression may also improve the glucose metabolism of patients with diabetes.
Doctoral School: Mental Health Sciences
Supervisor: Dr. Peter Torzsa