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Depression and Impulse Control Disorders Associated with Diabetes

Physical disorders are more prevalent in people with severe mental illness than in the general population. Research has shown that depression is commonly associated with diabetes. Diabetes mellitus is a metabolic disorder caused by an absolute or relative lack of insulin. If you have type 2 diabetes, you may have to live with the social stigma that you developed it from being an unhealthy person, which is not always the case. Addressing the psychiatric and psychological barriers to good glucose control can help to reduce the burden of diabetes and its complications, on both the individual and the wider health service. In social development diabetics had had more problems than the controls in schooling and in separation from parents. If you have questions about this CME/CE activity, please contact AKH Inc.

Adolescent, parent and family outcomes will be assessed via self-report questionnaires at three time points (baseline, 6 weeks and 6 months). Yaffe and her colleagues analysed extensive data from the Health, Aging and Body Composition project, or Health ABC, a long-running study of white and black older adults living in Pittsburgh and Tennessee. Managing physical and mental health in long-term conditions are increasingly important. A total of 16 mental disorders were assessed, and include: anxiety disorders, mood disorders (MDD/dysythmia, bipolar disorder), impulse control disorders (intermittent explosive disorder, bulimia nervosa, binge eating disorder), and substance use disorders (alcohol and drug). For data collection regarding diabetes mellitus, a series of questions adapted from the US Health Interview Survey were used to ask the patients about the lifetime prevalence and age of onset of selected chronic conditions. Only adult onset diabetes was studied (onset at 21 years or older). Conclusion.

Major depression, specific phobia, and alcohol abuse were found to be the most prevalent mental disorders in this group. All mental disorders were found to be associated with diabetes except for OCD. The prevalence and prevalence ratio of untreated SPD among people with diabetes and the prevalence and prevalence ratio of undertreatment for mental health problems among people with both diabetes and SPD yielded similar patterns in the association between the outcome variables and the correlates (). [2] Consumer Survivor Initiatives (CSIs) are provincially funded organizations run by and for consumer/survivors. This questionnaire comprises 76 questions providing information on social background, social situation, lifestyle, and physical health status. Even simple questions about a patient’s energy level or interest in work, family, or social activities can suggest a condition that needs further investigation or support. There are several limitations to this study that limit the usefulness of its findings.

As this was a retrospective study, there may have been under-reporting of the mental disorders and reports regarding age of onset may be inaccurate. This study also only included living patients with diabetes and mental disorders, so people that have already died of these conditions, and may have had the strongest association of all, were not assessed. Type 1 and type 2 diabetes were were not differentiated in this study, though most patients were likely type 2 as participants were required to be at least 21 when they were diagnosed with diabetes. Another limitation is that this study only looked at 16 mental disorders, and therefore the findings cannot be applied to other mental disorders not included in the analysis. In conclusion, the results of this study in regards to depression were consistent with results from previous meta-analyses. In adjusted analyses, depression resulted in a 30% increased risk of diabetes, showing that association between diabetes and depression is relatively independent of other mental disorders. Of the mental disorders studied, eating disorders were found to have the strongest association with diabetes.

This makes sense when one thinks about how eating disorders affect obesity and glucose regulation. Further research, however, is needed to explore these associations and their mechanisms in greater depth. The direction of the age effect was unexpectedly in favour of older age such that it was associated with better diabetes-specific quality of life. Focus on the treatment of depression and impulse control disorders may help to reduce risk of diabetes diagnosis.

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