Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control

Detalhes bibliográficos
Autor(a) principal: Massano-Cardoso, Ilda Maria
Data de Publicação: 2020
Outros Autores: Daniel, Fernanda, Rodrigues, Vítor, Galhardo, Ana
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.31211/rpics.2020.6.1.166
Resumo: Objective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.
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spelling Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic controlSintomas depressivos em pacientes com Diabetes Mellitus Tipo 1 e Tipo 2 e sua relação com o controlo glicémicoDiabetes mellitusDiabetes tipo 1Diabetes tipo 2Sintomas depressivosControlo glicémicoDiabetes mellitusType 1 diabetesType 2 diabetesDepressive symptomsGlycemic controlObjective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.Objetivo: O presente estudo procurou avaliar a presença de sintomas depressivos em pacientes com diabetes mellitus tipo 1 (T1DM) e tipo 2 (T2DM), explorando a sua associação com o controlo glicémico. Métodos: Estudo de desenho transversal. Participaram no estudo 347 pacientes com um diagnóstico de diabetes mellitus tipo 1 e tipo 2, os quais preencheram um questionário sociodemográfico e clínico e o Inventário Depressivo de Beck (BDI). Os valores do controlo glicémico foram facultados pelo clínico assistente, sendo baseados no critério de hemoglobina glicada (A1C). Resultados: O score médio do BDI total para os pacientes com T1DM ou T2DM não se revelou clinicamente significativo e não se encontrouassociado à duração da doença. A associação entre sintomas depressivos e controlo glicémico foi significativa em ambos os tipos de diabetes. Os pacientes com T2DM que apresentaram mais sintomas depressivos foram os que evidenciavam maior controlo glicémico. As diferenças observadas nos sintomas depressivos dos pacientes com T1DM e T2DM manifestaram-se nos sintomas somáticos avaliados pelo BDI. Conclusões: Os sintomas depressivos nos pacientes com T2DM podem ser confundidos com as consequências físicas da própria diabetes. De referir igualmente a possibilidade de o humor negativo desempenhar um papel mediador na mobilização das estratégias promotoras de um adequado controlo glicémico.Departamento de Investigação & Desenvolvimento do Instituto Superior Miguel Torga2020-05-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdftext/htmlapplication/xmlhttps://doi.org/10.31211/rpics.2020.6.1.166https://doi.org/10.31211/rpics.2020.6.1.166Portuguese Journal of Behavioral and Social Research; Vol. 6 No. 1 (2020): May; 40–49Revista Portuguesa de Investigação Comportamental e Social; Vol. 6 N.º 1 (2020): Maio; 40–492183-4938reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://rpics.ismt.pt/index.php/ISMT/article/view/166https://rpics.ismt.pt/index.php/ISMT/article/view/166/382https://rpics.ismt.pt/index.php/ISMT/article/view/166/384https://rpics.ismt.pt/index.php/ISMT/article/view/166/409Direitos de Autor (c) 2020 Ilda Maria Massano-Cardoso, Fernanda Daniel, Vítor Rodrigues, Ana Galhardohttp://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessMassano-Cardoso, Ilda MariaDaniel, FernandaRodrigues, VítorGalhardo, Ana2023-05-25T22:00:54Zoai:ojs.rpics.ismt.pt:article/166Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:39:46.560522Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
Sintomas depressivos em pacientes com Diabetes Mellitus Tipo 1 e Tipo 2 e sua relação com o controlo glicémico
title Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
spellingShingle Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
Massano-Cardoso, Ilda Maria
Diabetes mellitus
Diabetes tipo 1
Diabetes tipo 2
Sintomas depressivos
Controlo glicémico
Diabetes mellitus
Type 1 diabetes
Type 2 diabetes
Depressive symptoms
Glycemic control
title_short Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_full Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_fullStr Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_full_unstemmed Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
title_sort Depressive symptoms in Type 1 and Type 2 Diabetes Mellitus and its relationship with glycemic control
author Massano-Cardoso, Ilda Maria
author_facet Massano-Cardoso, Ilda Maria
Daniel, Fernanda
Rodrigues, Vítor
Galhardo, Ana
author_role author
author2 Daniel, Fernanda
Rodrigues, Vítor
Galhardo, Ana
author2_role author
author
author
dc.contributor.author.fl_str_mv Massano-Cardoso, Ilda Maria
Daniel, Fernanda
Rodrigues, Vítor
Galhardo, Ana
dc.subject.por.fl_str_mv Diabetes mellitus
Diabetes tipo 1
Diabetes tipo 2
Sintomas depressivos
Controlo glicémico
Diabetes mellitus
Type 1 diabetes
Type 2 diabetes
Depressive symptoms
Glycemic control
topic Diabetes mellitus
Diabetes tipo 1
Diabetes tipo 2
Sintomas depressivos
Controlo glicémico
Diabetes mellitus
Type 1 diabetes
Type 2 diabetes
Depressive symptoms
Glycemic control
description Objective: The current study assessed depressive symptoms in Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) patients and explored whether these symptoms were associated with glycemic control. Methods: A cross-sectional design was used. Patients attending diabetes consultations participated in the study (N = 347). Participants completed the Beck Depression Inventory (BDI), and glycemic control was based on A1C criteria. Results: The mean score on the BDI, for either T1DM or T2DM, was not clinically significant and was not associated with diagnosis duration. The association between depression and glycemic control was significant in both DM types. T2DM participants presenting more depressive symptoms were those with greater glycemic control. T1DM and T2DM differences regarding depressive symptoms were in somatic symptoms. Conclusions: In T2DM depressive symptoms may be confounded with DM physical consequences. There is also the possibility that negative mood plays a mediating role in mobilizing survival strategies that promote glycemic control. Furthermore, the assessment of depressive symptomatology in patients with diabetes could benefit from the availability of a disease-specific measure.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-12
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
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dc.identifier.uri.fl_str_mv https://doi.org/10.31211/rpics.2020.6.1.166
https://doi.org/10.31211/rpics.2020.6.1.166
url https://doi.org/10.31211/rpics.2020.6.1.166
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rpics.ismt.pt/index.php/ISMT/article/view/166
https://rpics.ismt.pt/index.php/ISMT/article/view/166/382
https://rpics.ismt.pt/index.php/ISMT/article/view/166/384
https://rpics.ismt.pt/index.php/ISMT/article/view/166/409
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0
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dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Departamento de Investigação & Desenvolvimento do Instituto Superior Miguel Torga
publisher.none.fl_str_mv Departamento de Investigação & Desenvolvimento do Instituto Superior Miguel Torga
dc.source.none.fl_str_mv Portuguese Journal of Behavioral and Social Research; Vol. 6 No. 1 (2020): May; 40–49
Revista Portuguesa de Investigação Comportamental e Social; Vol. 6 N.º 1 (2020): Maio; 40–49
2183-4938
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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