Diabetes and depression: a combination of civilization and life-style diseases is more than simple problem adding – literature review
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2011, Vol 18, Issue 2
Abstract
The article presents a review of current medical and psychological literature published between 2000 - 2010, with the use of the PubMed database, concerning the occurrence of anxiety and depression in diabetic patients, with particular consideration of those affected by complications. Anxiety and fear are the most frequent emotional disorders among diabetic patients. Depression occurs in approximately 30% of patients with diabetes. Both diabetes and depression belong to so called ‘life style’ or ‘civilization diseases’. Numerous studies have confirmed that the course of depression in patients with diabetes is more severe, and the relapses of depression episodes are more frequent. The studies show that diabetic patients experience various types of psychosocial and emotional problems due to which the monitoring of own state of health is not the priority in life. In the process of treatment of both sole diabetes and concomitant anxiety and depression it is important to adjust and motivate patients to apply widely understood therapeutic recommendations. The treatment of depression syndrome in the course of diabetes does not have to lead to improvement in glycaemic control. The following factors influencing the therapeutic effect should be mentioned: duration of diabetes, presence of complications, and the effect of the drugs applied on body weight, or possibly initial diabetes management. It seems, therefore, that the patient education model based on the provision of knowledge concerning diabetes and its complications, methods of treatment, principles of nutrition and health-promoting life style, may be insufficient, at least for patients with depression. The results of a review of reports shows that an optimum treatment of diabetes, in accordance with the current state of knowledge, requires from physicians a special consideration of psychological and psychiatric knowledge for the 2 following reasons: 1) effectiveness of therapy to a high degree depends on the proper behaviour of a patient; 2) considerably more frequent, compared to the total population, occurrence of the symptoms of emotional disorders negatively affect the course of diabetes.
Authors and Affiliations
Piotr Dziemidok, Marta Makara-Studzińska, Mirosław J. Jarosz
Keywords
Related Articles
- EP ID EP80396
- DOI -
- Views 122
- Downloads 0
Molecular aerobiology – [i]Plantago[/i] allergen Pla l 1 in the atmosphere
introduction. Exposure to airborne pollen from certain plants can cause allergic disease, but allergens can also be found in non-pollen-bearing fractions of ambient air. This may explain why the allergic response in susc...
BK-virus (BKV) – structure, epidemiology and pathogenesis
The number of cancers is constantly growing. An important role in the etiology of many of them is played by aviral factor – by oncogenic viruses. This group of viruses, according to many researchers, also includes the BK...
Dysfunction and pain temporomandibular disorder caused by impeded eruption of third mandibular molars
Introduction. There are reports in literature which indicate the connection between impacted third molars and occurrence of symptoms of craniomandibular dysfunctions and headaches. Objectives. The aim of this study was...
Contact allergy to nickel: patch test score correlates with IL-5, but not with IFN-gamma nickel-specific secretion by peripheral blood lymphocytes.
Traditionally, allergic contact dermatitis (ACD) has been associated with the activity of Th1 lymphocytes that secrete interferon gamma. Recent evidence indicates that other cells, e.g. interleukin 5 (IL-5)-secreting Th2...
Determinants of sense of coherence among managerial nursing Staff
[b]Introduction.[/b] The sense of coherence is a tool for confronting the challenges posed by life. It constitutes a general human orientation, which is expressed through the conviction that outside stimuli can be explai...