The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale
Oana Albai,1 Mirela Frandes,2 Romulus Timar,1 Bogdan Timar,1 Teodora Anghel,3 Vlad Florian Avram,1 Alexandra Sima1 1Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes...
Guardado en:
| Autores principales: | , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Dove Medical Press
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/024a716e32e846a1a16e852ce7b453bf |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:024a716e32e846a1a16e852ce7b453bf |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:024a716e32e846a1a16e852ce7b453bf2021-12-02T17:35:11ZThe Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale1178-7007https://doaj.org/article/024a716e32e846a1a16e852ce7b453bf2021-04-01T00:00:00Zhttps://www.dovepress.com/the-mental-status-in-patients-with-diabetes-mellitus-admitted-to-a-dia-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Oana Albai,1 Mirela Frandes,2 Romulus Timar,1 Bogdan Timar,1 Teodora Anghel,3 Vlad Florian Avram,1 Alexandra Sima1 1Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 3Department of Neuroscience, “Victor Babes” University of Medicine and Pharmacy, Timisoara, RomaniaCorrespondence: Mirela FrandesDepartment of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu, Timisoara, 300041, RomaniaTel +40-731117020Fax +40-256462856Email mirela.frandes@umft.roBackground: Diabetes mellitus (DM) is one of the most serious public health problems, involving increasing costs worldwide. The mental state of a person with DM is varied and ever-changing, such as stress, the pressure to always do everything by the book, sadness, anger, and even denial of the disease, all these are feelings patients with DM will experience throughout their life.Aim: The aim of our study was to assess the presence of mental and psychiatric disorders (anxiety, depressive states, paranoid ideation, phobia, obsessive-compulsive disorder) in a group of patients with DM after hospitalization in the Clinic for Diabetes, Nutrition, and Metabolic Diseases, for various exacerbations of the underlying condition, looking for possible correlations with other cardiovascular risk factors.Patients and Methods: Clinical and biological parameters, the presence of acute and chronic complications of the diabetic patients have been evaluated. To assess mental health, the symptom checklist (SCL)-90 questionnaire was conducted for all admitted patients.Results: We observed that the number of patients with obsessive-compulsive disorders was relatively high (23.3%), while depression was present in 17.1% of the patients. Also, 10.6% of patients had hostility and 15.6% had delusional ideation. The presence of psychiatric disorders was associated with a higher age (62 vs. 46.5 years; p < 0.001), a longer diabetes duration (11 vs. 9 years; p < 0.001), higher fasting glycemia (188 vs. 132 mg/dL; p < 0.001) and postprandial glycemia (212 vs. 152 mg/dL; p < 0.001), and triglycerides (125 vs. 110 mg/dL; p < 0.001). Patients with altered mental status have shown statistically significantly more altered clinical and biological parameters compared to those without these mental disorders.Conclusion: Patients with DM represent a psychologically vulnerable population, which is why they should undergo early and regular screening for both psychological and psychiatric conditions, especially at admission.Keywords: mental disorders, cardiovascular risk, cardiovascular risk factors, insulin-resistance, compliance, adherence to treatmentAlbai OFrandes MTimar RTimar BAnghel TAvram VFSima ADove Medical Pressarticlemental disorderscardiovascular riskcardiovascular risk factorsinsulin-resistancecomplianceadherence to treatmentSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 1833-1840 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
mental disorders cardiovascular risk cardiovascular risk factors insulin-resistance compliance adherence to treatment Specialties of internal medicine RC581-951 |
| spellingShingle |
mental disorders cardiovascular risk cardiovascular risk factors insulin-resistance compliance adherence to treatment Specialties of internal medicine RC581-951 Albai O Frandes M Timar R Timar B Anghel T Avram VF Sima A The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale |
| description |
Oana Albai,1 Mirela Frandes,2 Romulus Timar,1 Bogdan Timar,1 Teodora Anghel,3 Vlad Florian Avram,1 Alexandra Sima1 1Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 3Department of Neuroscience, “Victor Babes” University of Medicine and Pharmacy, Timisoara, RomaniaCorrespondence: Mirela FrandesDepartment of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu, Timisoara, 300041, RomaniaTel +40-731117020Fax +40-256462856Email mirela.frandes@umft.roBackground: Diabetes mellitus (DM) is one of the most serious public health problems, involving increasing costs worldwide. The mental state of a person with DM is varied and ever-changing, such as stress, the pressure to always do everything by the book, sadness, anger, and even denial of the disease, all these are feelings patients with DM will experience throughout their life.Aim: The aim of our study was to assess the presence of mental and psychiatric disorders (anxiety, depressive states, paranoid ideation, phobia, obsessive-compulsive disorder) in a group of patients with DM after hospitalization in the Clinic for Diabetes, Nutrition, and Metabolic Diseases, for various exacerbations of the underlying condition, looking for possible correlations with other cardiovascular risk factors.Patients and Methods: Clinical and biological parameters, the presence of acute and chronic complications of the diabetic patients have been evaluated. To assess mental health, the symptom checklist (SCL)-90 questionnaire was conducted for all admitted patients.Results: We observed that the number of patients with obsessive-compulsive disorders was relatively high (23.3%), while depression was present in 17.1% of the patients. Also, 10.6% of patients had hostility and 15.6% had delusional ideation. The presence of psychiatric disorders was associated with a higher age (62 vs. 46.5 years; p < 0.001), a longer diabetes duration (11 vs. 9 years; p < 0.001), higher fasting glycemia (188 vs. 132 mg/dL; p < 0.001) and postprandial glycemia (212 vs. 152 mg/dL; p < 0.001), and triglycerides (125 vs. 110 mg/dL; p < 0.001). Patients with altered mental status have shown statistically significantly more altered clinical and biological parameters compared to those without these mental disorders.Conclusion: Patients with DM represent a psychologically vulnerable population, which is why they should undergo early and regular screening for both psychological and psychiatric conditions, especially at admission.Keywords: mental disorders, cardiovascular risk, cardiovascular risk factors, insulin-resistance, compliance, adherence to treatment |
| format |
article |
| author |
Albai O Frandes M Timar R Timar B Anghel T Avram VF Sima A |
| author_facet |
Albai O Frandes M Timar R Timar B Anghel T Avram VF Sima A |
| author_sort |
Albai O |
| title |
The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale |
| title_short |
The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale |
| title_full |
The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale |
| title_fullStr |
The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale |
| title_full_unstemmed |
The Mental Status in Patients with Diabetes Mellitus Admitted to a Diabetes Clinic After Presenting in the Emergency Room: The Application of the SCL-90 Scale |
| title_sort |
mental status in patients with diabetes mellitus admitted to a diabetes clinic after presenting in the emergency room: the application of the scl-90 scale |
| publisher |
Dove Medical Press |
| publishDate |
2021 |
| url |
https://doaj.org/article/024a716e32e846a1a16e852ce7b453bf |
| work_keys_str_mv |
AT albaio thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT frandesm thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT timarr thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT timarb thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT anghelt thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT avramvf thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT simaa thementalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT albaio mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT frandesm mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT timarr mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT timarb mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT anghelt mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT avramvf mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale AT simaa mentalstatusinpatientswithdiabetesmellitusadmittedtoadiabetesclinicafterpresentingintheemergencyroomtheapplicationofthescl90scale |
| _version_ |
1718379920257712128 |