老年2型糖尿病患者焦虑和抑郁的患病率及其危险因素

2型糖尿病(T2DM)被认为是一种心身疾病[1],严重影响着人们的身心健康。近年来,世界卫生组织(WHO)已把糖尿病(DM)归为与生活方式有关的非传染性慢性疾病,并强调心理应激在其发病中的重要作用。研究结果显示各种应激、心理创伤均可促使T2DM的发生,T2DM本身也可导致或加重心理障碍

Prevalence of anxiety and depression and its risk factors in elderly patients with type 2 diabetes

Objective To investigate the prevalence of anxiety and depression and their risk factors in elderly patients with type 2 diabetes. Methods We conducted a cross-sectional study of 123 elderly patients with type 2 diabetes in our hospital. The self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) were used to screen anxiety and depression, meanwhile,the demographic data, metabolic data and diabetes behaviors were also investigated. Results The prevalence of anxiety and depression were 29.3% and 38.2%, respectively. Variables of the anxiety in the unconditional univariate Logistic regression equation included HbA1c, UALB, change of eye fundus,smoking history, family history and the number of the chronic diabetic complications. Variables of the depression in the unconditional univariate Logistic regression equation included sex, HbA1c, UALB,TC,smoking history, duration and the number of the chronic diabetic complications.Variables of the anxiety in the unconditional multivariate Logistic regression equation included HbA1c, UALB and the number of the chronic complications. Variables of the depression in the unconditional multivariate Logistic regression equation included HbA1c, duration, smoking history and the number of the chronic diabetic complications. Conclusions Anxiety and depression are the frequent mental disorders, and HbA1c and the number of the chronic diabetic complications are independent risk factors of the frequent mental disorders in elderly patients with type 2 diabetes.