ABSTRACT
This study assesses the clinical accuracy of physicians (Specialists in Endocrinology and Nutrition: SEN) to make the diagnosis of depression in patients with Type 1 diabetes mellitus (DM1). This study involved 11 SEN physicians, and 153 patients with DM1. The diagnosis of depression was performed using the SCID-1 structured interview and clinical assessment. From the initial sample, 50 patients were randomly selected (imposing the condition that it was included 25 patients with depression and 25 without depression). The results show that clinicians performed a higher percentage of negative diagnoses (patients without depression) than positive ones (patients with depression). A significant percentage of patients with depression were not diagnosed (25%). It therefore seems necessary to provide adequate clinical protocols to evaluate the presence of this disorder in DM1, as well as continuing research into the diagnostic process for clinical decision making.
Subject(s)
Depression/diagnosis , Depression/etiology , Diabetes Complications/diagnosis , Diabetes Mellitus, Type 1/complications , Adult , Depression/epidemiology , Female , Humans , Male , Prevalence , Reproducibility of ResultsABSTRACT
En el presente artículo se estudia si algunas variables psicológicas, biomédicas y sociodemográficas pueden predecir la calidad de vida de pacientes con diabetes mellitus tipo 1 (DM1) en tratamiento con Infusión Subcutánea Continua de Insulina (ISCI). Participaron 33 pacientes con DM1 que completaron una batería de test psicológicos (DQOL, BDI, STAI y MHLC). Hemos encontrado que la ansiedad, el sexo y las complicaciones de la enfermedad son variables importantes que permiten explicar su calidad de vida. Aunque no han alcanzado significación estadística en ninguno de los modelos, no deben desconsiderarse los datos obtenidos en otras variables como el control glucémico, locus de control interno o la depresión. Los resultados del estudio sugieren importantes implicaciones para el tratamiento integral de estos pacientes (AU)
The aim of this study is to analyse whether certain psychological, biomedical and socio demographic variables can predict the quality of life of patient with type 1 diabetes mellitus teasted with Continuous Subcutaneous Insulin Infusion (CSII). Thirty three patients with DM1 completed a battery of psychological tests (DQOL, BDI, STAI and MHLC). Results indicate that anxiety, sex and complications are important variables that can explain the quality of life. Although glycemic control, locus of internal control or depression have not reached statistical significance in any of the models, they should not be rejected. These results suggest important implications for the integral treatment of these patients (AU)
