Cargando…

More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus

BACKGROUND: Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outco...

Descripción completa

Detalles Bibliográficos
Autores principales: Chaturvedi, Santosh K, Manche Gowda, Shayanth, Ahmed, Helal Uddin, Alosaimi, Fahad D, Andreone, Nicola, Bobrov, Alexey, Bulgari, Viola, Carrà, Giuseppe, Castelnuovo, Gianluca, de Girolamo, Giovanni, Gondek, Tomasz, Jovanovic, Nikola, Kamala, Thummala, Kiejna, Andrzej, Lalic, Nebojsa, Lecic-Tosevski, Dusica, Minhas, Fareed, Mutiso, Victoria, Ndetei, David, Rabbani, Golam, Somruk, Suntibenchakul, Srikanta, Sathyanarayana, Taj, Rizwan, Valentini, Umberto, Vukovic, Olivera, Wölwer, Wolfgang, Cimino, Larry, Nouwen, Arie, Lloyd, Cathy, Sartorius, Norman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738670/
https://www.ncbi.nlm.nih.gov/pubmed/31552386
http://dx.doi.org/10.1136/gpsych-2019-100076
_version_ 1783450853425807360
author Chaturvedi, Santosh K
Manche Gowda, Shayanth
Ahmed, Helal Uddin
Alosaimi, Fahad D
Andreone, Nicola
Bobrov, Alexey
Bulgari, Viola
Carrà, Giuseppe
Castelnuovo, Gianluca
de Girolamo, Giovanni
Gondek, Tomasz
Jovanovic, Nikola
Kamala, Thummala
Kiejna, Andrzej
Lalic, Nebojsa
Lecic-Tosevski, Dusica
Minhas, Fareed
Mutiso, Victoria
Ndetei, David
Rabbani, Golam
Somruk, Suntibenchakul
Srikanta, Sathyanarayana
Taj, Rizwan
Valentini, Umberto
Vukovic, Olivera
Wölwer, Wolfgang
Cimino, Larry
Nouwen, Arie
Lloyd, Cathy
Sartorius, Norman
author_facet Chaturvedi, Santosh K
Manche Gowda, Shayanth
Ahmed, Helal Uddin
Alosaimi, Fahad D
Andreone, Nicola
Bobrov, Alexey
Bulgari, Viola
Carrà, Giuseppe
Castelnuovo, Gianluca
de Girolamo, Giovanni
Gondek, Tomasz
Jovanovic, Nikola
Kamala, Thummala
Kiejna, Andrzej
Lalic, Nebojsa
Lecic-Tosevski, Dusica
Minhas, Fareed
Mutiso, Victoria
Ndetei, David
Rabbani, Golam
Somruk, Suntibenchakul
Srikanta, Sathyanarayana
Taj, Rizwan
Valentini, Umberto
Vukovic, Olivera
Wölwer, Wolfgang
Cimino, Larry
Nouwen, Arie
Lloyd, Cathy
Sartorius, Norman
author_sort Chaturvedi, Santosh K
collection PubMed
description BACKGROUND: Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited. AIMS: To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries. METHODS: People aged 18–65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected. RESULTS: A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India. CONCLUSIONS: Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted.
format Online
Article
Text
id pubmed-6738670
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-67386702019-09-24 More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus Chaturvedi, Santosh K Manche Gowda, Shayanth Ahmed, Helal Uddin Alosaimi, Fahad D Andreone, Nicola Bobrov, Alexey Bulgari, Viola Carrà, Giuseppe Castelnuovo, Gianluca de Girolamo, Giovanni Gondek, Tomasz Jovanovic, Nikola Kamala, Thummala Kiejna, Andrzej Lalic, Nebojsa Lecic-Tosevski, Dusica Minhas, Fareed Mutiso, Victoria Ndetei, David Rabbani, Golam Somruk, Suntibenchakul Srikanta, Sathyanarayana Taj, Rizwan Valentini, Umberto Vukovic, Olivera Wölwer, Wolfgang Cimino, Larry Nouwen, Arie Lloyd, Cathy Sartorius, Norman Gen Psychiatr Original Research BACKGROUND: Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited. AIMS: To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries. METHODS: People aged 18–65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected. RESULTS: A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India. CONCLUSIONS: Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted. BMJ Publishing Group 2019-08-09 /pmc/articles/PMC6738670/ /pubmed/31552386 http://dx.doi.org/10.1136/gpsych-2019-100076 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Research
Chaturvedi, Santosh K
Manche Gowda, Shayanth
Ahmed, Helal Uddin
Alosaimi, Fahad D
Andreone, Nicola
Bobrov, Alexey
Bulgari, Viola
Carrà, Giuseppe
Castelnuovo, Gianluca
de Girolamo, Giovanni
Gondek, Tomasz
Jovanovic, Nikola
Kamala, Thummala
Kiejna, Andrzej
Lalic, Nebojsa
Lecic-Tosevski, Dusica
Minhas, Fareed
Mutiso, Victoria
Ndetei, David
Rabbani, Golam
Somruk, Suntibenchakul
Srikanta, Sathyanarayana
Taj, Rizwan
Valentini, Umberto
Vukovic, Olivera
Wölwer, Wolfgang
Cimino, Larry
Nouwen, Arie
Lloyd, Cathy
Sartorius, Norman
More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
title More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
title_full More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
title_fullStr More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
title_full_unstemmed More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
title_short More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
title_sort more anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738670/
https://www.ncbi.nlm.nih.gov/pubmed/31552386
http://dx.doi.org/10.1136/gpsych-2019-100076
work_keys_str_mv AT chaturvedisantoshk moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT manchegowdashayanth moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT ahmedhelaluddin moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT alosaimifahadd moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT andreonenicola moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT bobrovalexey moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT bulgariviola moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT carragiuseppe moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT castelnuovogianluca moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT degirolamogiovanni moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT gondektomasz moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT jovanovicnikola moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT kamalathummala moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT kiejnaandrzej moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT lalicnebojsa moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT lecictosevskidusica moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT minhasfareed moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT mutisovictoria moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT ndeteidavid moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT rabbanigolam moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT somruksuntibenchakul moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT srikantasathyanarayana moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT tajrizwan moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT valentiniumberto moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT vukovicolivera moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT wolwerwolfgang moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT ciminolarry moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT nouwenarie moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT lloydcathy moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus
AT sartoriusnorman moreanxiousthandepressedprevalenceandcorrelatesina15nationstudyofanxietydisordersinpeoplewithtype2diabetesmellitus