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Trastornos de ansiedad y depresivos en una población de adultos con diabetes mellitus insulinodependiente (DMID): relaciones con el control glucémico y las complicaciones somáticas

Published online by Cambridge University Press:  12 May 2020

S. Friedman ,
G. Vila ,
J. Timsit ,
C. Boitard  and
M. C. Mouren-Simeoni
S. Friedman
Affiliation:
Enfermedades Mentales, Clínica l'Encéphale, Hospital Sainte-Anne Departamento de Psicopatología de niños y adolescentes, Hospital Necker-Enfants-Malades, 149, rue de Sèvres, 75743París cedex 15
G. Vila
Affiliation:
Departamento de Psicopatología de niños y adolescentes, Hospital Necker-Enfants-Malades, 149, rue de Sèvres, 75743París cedex 15
J. Timsit
Affiliation:
Departamento de Inmunología Clínica y Diabetología, INSERM U 25 Laboratory, Hospital Necker-Enfants-Malades
C. Boitard
Affiliation:
Departamento de Inmunología Clínica y Diabetología, INSERM U 25 Laboratory, Hospital Necker-Enfants-Malades
M. C. Mouren-Simeoni
Affiliation:
Departamento de Psicopatología de niños y adolescentes, Hospital Necker-Enfants-Malades, 149, rue de Sèvres, 75743París cedex 15 Departamento de Psicopatologίa en niños y adolescentes, Hospital Robert Debré, París, Francia
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Resumen

Se examinó la frecuencia de los trastornos de ansiedad y los depresivos en 69 pacientes ambulatorios con diabetes mellitus insulinodependiente (DMID) y en dos grupos de control. Basándose en medidas de autoinforme, estos trastornos fueron similares en la muestra con DMID y en los grupos de control. En los pacientes ambulatorios diabéticos, según los criterios del DSM-III-R, había una elevada prevalencia vital de trastornos de ansiedad y depresivos no especificados (44% y 41,5%), de fobia simple (26,8%), fobia social (24,6%) y agorafobia, con y sin trastorno de pánico (14,6%). La fobia social actual, la distimia y los trastornos depresivos no especificados se asociaban con un control glucémico inadecuado. La hemoglobina glucosilada se asociaba con el cumplimiento, pero los trastornos psiquiátricos no, excepto la fobia social, que se asociaba significativamente con consultas más frecuentes y un mal cumplimiento del régimen dietético (más tentempiés). Las complicaciones somáticas no estaban asociadas con los trastornos de ansiedad y los depresivos (actuales o vitales) o el cumplimiento, y se explicaban mejor por la duración de la enfermedad y el control glucémico inadecuado.

Keywords

diabetes mellitus insulinodependientetrastornos de ansiedadtrastornos depresivoscontrol glucémicocomplicaciones somáticas
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 6 , Issue 2 , March 1999 , pp. 109 - 118
Copyright
Copyright © European Psychiatric Association 1999

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