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Mental health in the era of COVID-19: prevalence of psychiatric disorders in a cohort of patients with type 1 and type 2 diabetes during the social distancing.
Alessi, Janine; de Oliveira, Giovana Berger; Franco, Debora Wilke; Brino do Amaral, Bibiana; Becker, Alice Scalzilli; Knijnik, Carolina Padilla; Kobe, Gabriel Luiz; de Carvalho, Taíse Rosa; Telo, Guilherme Heiden; Schaan, Beatriz D; Telo, Gabriela Heiden.
  • Alessi J; Post-Graduate Program in Medical Science: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • de Oliveira GB; Internal Medicine Department, Hospital São Lucas-Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
  • Franco DW; Hospital de Clínicas de Porto Alegre, HCPA, Porto Alegre, Rio Grande do Sul, Brazil.
  • Brino do Amaral B; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
  • Becker AS; Hospital São Lucas da PUCRS, Porto Alegre, Rio Grande do Sul Brazil.
  • Knijnik CP; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
  • Kobe GL; Hospital São Lucas da PUCRS, Porto Alegre, Rio Grande do Sul Brazil.
  • de Carvalho TR; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
  • Telo GH; Hospital São Lucas da PUCRS, Porto Alegre, Rio Grande do Sul Brazil.
  • Schaan BD; School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
  • Telo GH; Hospital São Lucas da PUCRS, Porto Alegre, Rio Grande do Sul Brazil.
Diabetol Metab Syndr ; 12: 76, 2020.
Article in English | MEDLINE | ID: covidwho-736436
ABSTRACT

BACKGROUND:

In patients with diabetes, the prevalence of depression and anxiety symptoms is about two to four times greater than in the general population. The association between diabetes and mental health disorders could be exacerbated in a stressful environment, and psychological distress could increase depressive symptoms and cause adverse diabetes outcomes.

OBJECTIVES:

To assess the prevalence of mental health disorders in patients with diabetes during the social distancing period due to COVID-19 pandemic.

METHODS:

This is a cross-sectional study developed to assess the impact of social distancing on a cohort of adults with type 1 (n = 52) and type 2 diabetes (n = 68) in Brazil. Inclusion criteria involved having an HbA1c test collected in the past 3 months and having a valid telephone number in electronic medical records. The primary outcome was the prevalence of minor psychiatric disorders, assessed by survey (SRQ-20). Secondary outcomes included the prevalence of diabetes related emotional distress, eating and sleeping disorders, all assessed by validated surveys at the moment of the study. Statistical analyses included unpaired t-test for continuous variables and χ 2 test for categorical variables.

RESULTS:

Overall (n = 120), participants had a mean age of 54.8 ± 14.4 years-old, and HbA1c of 9.0 ± 1.6% (75 ± 17.5 mmol/mol); 93% of patients showed signs of current mental suffering based on the surveys measured. Almost 43% of patients showed evidence of significant psychological distress, with a significant greater tendency in patients with type 2 diabetes. The presence of diabetes related emotional distress was found in 29.2% of patients; eating disorders in 75.8%; and moderate/severe sleeping disorders in 77.5%.

CONCLUSIONS:

We found a high prevalence of evidence of psychological distress among patients with diabetes during the COVID-19 pandemic and this highlights the need for mental health access and support for patients with type 1 and type 2 diabetes.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Diabetol Metab Syndr Year: 2020 Document Type: Article Affiliation country: S13098-020-00584-6

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Diabetol Metab Syndr Year: 2020 Document Type: Article Affiliation country: S13098-020-00584-6