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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

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 i...

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Autores principales: Alessi, Janine, de Oliveira, Giovana Berger, Franco, Debora Wilke, Brino do Amaral, Bibiana, Becker, Alice Scalzilli, Knijnik, Carolina Padilla, Kobe, Gabriel Luiz, de Carvalho, Taíse Rosa, Telo, Guilherme Heiden, Schaan, Beatriz D., Telo, Gabriela Heiden
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7457442/
https://www.ncbi.nlm.nih.gov/pubmed/32879637
http://dx.doi.org/10.1186/s13098-020-00584-6
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author Alessi, Janine
de Oliveira, Giovana Berger
Franco, Debora Wilke
Brino do Amaral, Bibiana
Becker, Alice Scalzilli
Knijnik, Carolina Padilla
Kobe, Gabriel Luiz
de Carvalho, Taíse Rosa
Telo, Guilherme Heiden
Schaan, Beatriz D.
Telo, Gabriela Heiden
author_facet Alessi, Janine
de Oliveira, Giovana Berger
Franco, Debora Wilke
Brino do Amaral, Bibiana
Becker, Alice Scalzilli
Knijnik, Carolina Padilla
Kobe, Gabriel Luiz
de Carvalho, Taíse Rosa
Telo, Guilherme Heiden
Schaan, Beatriz D.
Telo, Gabriela Heiden
author_sort Alessi, Janine
collection PubMed
description 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 unpaired t-test for continuous variables and χ(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.
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spelling pubmed-74574422020-09-01 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 Alessi, Janine de Oliveira, Giovana Berger Franco, Debora Wilke Brino do Amaral, Bibiana Becker, Alice Scalzilli Knijnik, Carolina Padilla Kobe, Gabriel Luiz de Carvalho, Taíse Rosa Telo, Guilherme Heiden Schaan, Beatriz D. Telo, Gabriela Heiden Diabetol Metab Syndr Research 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 unpaired t-test for continuous variables and χ(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. BioMed Central 2020-08-31 /pmc/articles/PMC7457442/ /pubmed/32879637 http://dx.doi.org/10.1186/s13098-020-00584-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Alessi, Janine
de Oliveira, Giovana Berger
Franco, Debora Wilke
Brino do Amaral, Bibiana
Becker, Alice Scalzilli
Knijnik, Carolina Padilla
Kobe, Gabriel Luiz
de Carvalho, Taíse Rosa
Telo, Guilherme Heiden
Schaan, Beatriz D.
Telo, Gabriela Heiden
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7457442/
https://www.ncbi.nlm.nih.gov/pubmed/32879637
http://dx.doi.org/10.1186/s13098-020-00584-6
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