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Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia

Diabetes mellitus (DM) management imposes a tremendous psychological burden on patients. The study investigates the association between DM treatment with blood glucose (BG) control and common mental health conditions. A cross-sectional study was conducted among 1821 individuals with DM in a communit...

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Autores principales: Thangiah, Govindamal, Johar, Hamimatunnisa, Ismail, Roshidi, Reininghaus, Ulrich, Bärnighausen, Till, Thurairajasingam, Sivakumar, Reidpath, Daniel, Su, Tin Tin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408510/
https://www.ncbi.nlm.nih.gov/pubmed/36011650
http://dx.doi.org/10.3390/ijerph191610015
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author Thangiah, Govindamal
Johar, Hamimatunnisa
Ismail, Roshidi
Reininghaus, Ulrich
Bärnighausen, Till
Thurairajasingam, Sivakumar
Reidpath, Daniel
Su, Tin Tin
author_facet Thangiah, Govindamal
Johar, Hamimatunnisa
Ismail, Roshidi
Reininghaus, Ulrich
Bärnighausen, Till
Thurairajasingam, Sivakumar
Reidpath, Daniel
Su, Tin Tin
author_sort Thangiah, Govindamal
collection PubMed
description Diabetes mellitus (DM) management imposes a tremendous psychological burden on patients. The study investigates the association between DM treatment with blood glucose (BG) control and common mental health conditions. A cross-sectional study was conducted among 1821 individuals with DM in a community-based survey conducted in 2013. Information on respondents’ sociodemographic, mental health, DM treatment, and BG levels was collected. Multinomial logistic regression was employed to examine the association of diabetes treatment with controlled BG levels (<11.1 mmol/L) (42.5%, n = 774) or uncontrolled BG levels (34.3%, n = 625) compared with those not undergoing treatment (23.2%, n = 422) on depression anxiety, and stress. Having DM treatment and controlled BG was associated with high depressive symptoms (Relative Risk Ratio, RRR: 2.42; 95% CI 1.33–4.41) and high anxiety symptoms (1.66; 1.08–2.56) but not with perceived stress. However, treated DM with uncontrolled BG was associated with anxiety (high: 1.64; 1.05–2.56; low: 2.59; 1.10–6.09) but not depression or perceived stress. Our results suggest that being treated for DM, regardless of glucose control status, was associated with anxiety symptoms, whereas being treated with controlled BG was associated with high depressive symptoms. This situation highlights the need for integrative, multidisciplinary care for DM patients with mental health comorbidities.
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spelling pubmed-94085102022-08-26 Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia Thangiah, Govindamal Johar, Hamimatunnisa Ismail, Roshidi Reininghaus, Ulrich Bärnighausen, Till Thurairajasingam, Sivakumar Reidpath, Daniel Su, Tin Tin Int J Environ Res Public Health Article Diabetes mellitus (DM) management imposes a tremendous psychological burden on patients. The study investigates the association between DM treatment with blood glucose (BG) control and common mental health conditions. A cross-sectional study was conducted among 1821 individuals with DM in a community-based survey conducted in 2013. Information on respondents’ sociodemographic, mental health, DM treatment, and BG levels was collected. Multinomial logistic regression was employed to examine the association of diabetes treatment with controlled BG levels (<11.1 mmol/L) (42.5%, n = 774) or uncontrolled BG levels (34.3%, n = 625) compared with those not undergoing treatment (23.2%, n = 422) on depression anxiety, and stress. Having DM treatment and controlled BG was associated with high depressive symptoms (Relative Risk Ratio, RRR: 2.42; 95% CI 1.33–4.41) and high anxiety symptoms (1.66; 1.08–2.56) but not with perceived stress. However, treated DM with uncontrolled BG was associated with anxiety (high: 1.64; 1.05–2.56; low: 2.59; 1.10–6.09) but not depression or perceived stress. Our results suggest that being treated for DM, regardless of glucose control status, was associated with anxiety symptoms, whereas being treated with controlled BG was associated with high depressive symptoms. This situation highlights the need for integrative, multidisciplinary care for DM patients with mental health comorbidities. MDPI 2022-08-14 /pmc/articles/PMC9408510/ /pubmed/36011650 http://dx.doi.org/10.3390/ijerph191610015 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Thangiah, Govindamal
Johar, Hamimatunnisa
Ismail, Roshidi
Reininghaus, Ulrich
Bärnighausen, Till
Thurairajasingam, Sivakumar
Reidpath, Daniel
Su, Tin Tin
Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia
title Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia
title_full Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia
title_fullStr Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia
title_full_unstemmed Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia
title_short Diabetes Treatment and Mental Illness: A Call for an Integrated Health Care System in Underserved Semi-Rural Malaysia
title_sort diabetes treatment and mental illness: a call for an integrated health care system in underserved semi-rural malaysia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408510/
https://www.ncbi.nlm.nih.gov/pubmed/36011650
http://dx.doi.org/10.3390/ijerph191610015
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