Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics

Detalhes bibliográficos
Autor(a) principal: Huang,Chun-Jen
Data de Publicação: 2020
Outros Autores: Hsieh,Hui-Min, Tu,Hung-Pin, Jiang,He-Jiun, Wang,Peng-Wei, Lin,Ching-Hua
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000600621
Resumo: Objective: This study investigated the prevalence of generalized anxiety disorder (GAD) in Taiwanese patients with type 2 diabetes mellitus (T2DM). Methods: This retrospective observational study was conducted with a random sample of patients from the entire population of National Health Insurance enrollees during 2000-2010 and used ICD-9-CM diagnostic codes to identify T2DM patients and GAD. The prevalence of GAD was compared between T2DM patients and the general population. Results: Between 2000 and 2010, the prevalence of GAD was significantly greater in the T2DM patients than the general population, while the increase of GAD was higher in the general population (from 0.25 to 0.63%) than among T2DM patients (from 0.81 to 1.03%). In T2DM patients, GAD was associated with female gender, a Charlson Comorbidity Index ≥ 1, diabetes mellitus duration > 9 years, and the following comorbidities: congestive heart failure, peripheral vascular disease, and depressive disorder. The prevalence of GAD among T2DM patients was negatively associated with rapid-acting insulin injection therapy and with the use of metformin and sulfonylureas. Conclusion: Since the prevalence of GAD was greater among T2DM patients than the general population, public health initiatives are needed to prevent and treat GAD in T2DM patients, specifically those with the above mentioned risk factors.
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spelling Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristicsNational health insuranceprevalencegeneralized anxiety disordertype 2 diabetes mellitus Objective: This study investigated the prevalence of generalized anxiety disorder (GAD) in Taiwanese patients with type 2 diabetes mellitus (T2DM). Methods: This retrospective observational study was conducted with a random sample of patients from the entire population of National Health Insurance enrollees during 2000-2010 and used ICD-9-CM diagnostic codes to identify T2DM patients and GAD. The prevalence of GAD was compared between T2DM patients and the general population. Results: Between 2000 and 2010, the prevalence of GAD was significantly greater in the T2DM patients than the general population, while the increase of GAD was higher in the general population (from 0.25 to 0.63%) than among T2DM patients (from 0.81 to 1.03%). In T2DM patients, GAD was associated with female gender, a Charlson Comorbidity Index ≥ 1, diabetes mellitus duration > 9 years, and the following comorbidities: congestive heart failure, peripheral vascular disease, and depressive disorder. The prevalence of GAD among T2DM patients was negatively associated with rapid-acting insulin injection therapy and with the use of metformin and sulfonylureas. Conclusion: Since the prevalence of GAD was greater among T2DM patients than the general population, public health initiatives are needed to prevent and treat GAD in T2DM patients, specifically those with the above mentioned risk factors.Associação Brasileira de Psiquiatria2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000600621Brazilian Journal of Psychiatry v.42 n.6 2020reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/1516-4446-2019-0605info:eu-repo/semantics/openAccessHuang,Chun-JenHsieh,Hui-MinTu,Hung-PinJiang,He-JiunWang,Peng-WeiLin,Ching-Huaeng2020-11-18T00:00:00Zoai:scielo:S1516-44462020000600621Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2020-11-18T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
title Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
spellingShingle Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
Huang,Chun-Jen
National health insurance
prevalence
generalized anxiety disorder
type 2 diabetes mellitus
title_short Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
title_full Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
title_fullStr Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
title_full_unstemmed Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
title_sort Generalized anxiety disorder in type 2 diabetes mellitus: prevalence and clinical characteristics
author Huang,Chun-Jen
author_facet Huang,Chun-Jen
Hsieh,Hui-Min
Tu,Hung-Pin
Jiang,He-Jiun
Wang,Peng-Wei
Lin,Ching-Hua
author_role author
author2 Hsieh,Hui-Min
Tu,Hung-Pin
Jiang,He-Jiun
Wang,Peng-Wei
Lin,Ching-Hua
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Huang,Chun-Jen
Hsieh,Hui-Min
Tu,Hung-Pin
Jiang,He-Jiun
Wang,Peng-Wei
Lin,Ching-Hua
dc.subject.por.fl_str_mv National health insurance
prevalence
generalized anxiety disorder
type 2 diabetes mellitus
topic National health insurance
prevalence
generalized anxiety disorder
type 2 diabetes mellitus
description Objective: This study investigated the prevalence of generalized anxiety disorder (GAD) in Taiwanese patients with type 2 diabetes mellitus (T2DM). Methods: This retrospective observational study was conducted with a random sample of patients from the entire population of National Health Insurance enrollees during 2000-2010 and used ICD-9-CM diagnostic codes to identify T2DM patients and GAD. The prevalence of GAD was compared between T2DM patients and the general population. Results: Between 2000 and 2010, the prevalence of GAD was significantly greater in the T2DM patients than the general population, while the increase of GAD was higher in the general population (from 0.25 to 0.63%) than among T2DM patients (from 0.81 to 1.03%). In T2DM patients, GAD was associated with female gender, a Charlson Comorbidity Index ≥ 1, diabetes mellitus duration > 9 years, and the following comorbidities: congestive heart failure, peripheral vascular disease, and depressive disorder. The prevalence of GAD among T2DM patients was negatively associated with rapid-acting insulin injection therapy and with the use of metformin and sulfonylureas. Conclusion: Since the prevalence of GAD was greater among T2DM patients than the general population, public health initiatives are needed to prevent and treat GAD in T2DM patients, specifically those with the above mentioned risk factors.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000600621
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000600621
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-4446-2019-0605
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Brazilian Journal of Psychiatry v.42 n.6 2020
reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
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institution ABP
reponame_str Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
collection Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
repository.name.fl_str_mv Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv ||rbp@abpbrasil.org.br
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