Research on the Mental Health and Quality of Life of Patients with Impaired Glucose Tolerance_West China Medical Journal

Authors：

TANG Lei , DONG Zaiquan , JIANG Fugu , ZHANG Xu , FU Xiaoqian , YU Jianying ,  SUN Xueli.

Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

SUN Xueli., Email: tanglei0401@foxmail.com

Keywords：

糖耐量異常; 生活質量; 焦慮; 抑郁

DOI：

10.7507/1002-0179.20130172

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探討糖耐量異常患者的焦慮抑郁狀況及其與生活質量的相關性，為糖尿病相關心理問題的早期識別與干預提供參考。方法　以2010年1月－2012年6月糖耐量異常患者145例為試驗組，健康人群147例作為對照組，兩組分別填寫焦慮自評量表（SAS）和抑郁自評量表（SDS），試驗組還需填寫世界衛生組織生活質量測定量表簡表（WHOQOL-BREF）并對其焦慮、抑郁得分與WHOQOL-BREF的各因子的相關性進行分析。結果　145例患者中有51例（35.2%）存在抑郁情緒，47例（32.4%）存在焦慮情緒，焦慮合并抑郁情緒者29例（20%）。糖耐量異常患者焦慮、抑郁評分明顯高于對照組（P＜0.01），其生活質量多個領域評分低于對照組（P＜0.01），且生活質量與焦慮、抑郁情緒存在負相關（P＜0.05）。結論　糖耐量異常患者焦慮、抑郁情緒明顯高于正常人群，其生活質量偏低，提示了對在該人群進行早期心理干預的必要性。

Citation： TANG Lei,DONG Zaiquan,JIANG Fugu,ZHANG Xu,FU Xiaoqian,YU Jianying,SUN Xueli.. Research on the Mental Health and Quality of Life of Patients with Impaired Glucose Tolerance. West China Medical Journal, 2013, 28(4): 537-539. doi: 10.7507/1002-0179.20130172 Copy

1.	Pouwer F, Kupper N, Adriaanse M. Does emotional stress cause type 2 diabetes mellitus? A review from the European depression in diabetes (EDID) research consortium[J]. Disc Med, 2010, 9(45): 112.
2.	Rod NH, Grønbæk M, Schnohr P, et al. Perceived stress as a risk factor for changes in health behaviour and cardiac risk profile: a longitudinal study [J]. J Inter Med, 2009, 266(5): 467-475.
3.	張明園. 精神科評定量表手冊[M]. 2版.長沙:湖南科學技術出版社, 1998: 35-42.
4.	Fisher L, Skaff MM, Mullan JT, et al. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes[J]. Dia Med, 2008, 25(9): 1096-1101.
5.	Anderson RJ, Freedland KE, Clouse RE, et al. The prevalence of comorbid depression in adults with diabetes a meta-analysis[J]. Dia Care, 2001, 24(6): 1069-1078.
6.	Edelstein SL, Knowler WC, Bain RP, et al. Predictors of progression from impaired glucose tolerance to NIDDM: an analysis of six prospective studies[J]. Diabetes, 1997, 46(4): 701.
7.	Tsai CH, Wu JS, Chang YF, et al. The relationship between psychiatric symptoms and glycemic status in a Chinese population[J]. J Psych Res, 2012, 46(7): 927-932.
8.	Brown ES, Varghese FP, McEwen BS. Association of depression with medical illness: does cortisol play a role?[J]. Biol Psych, 2004, 55(1): 1-9.
9.	Björntorp P. Heart and soul: stress and the metabolic syndrome[J]. Scand Cardio J, 2001, 35(3): 172-177.
10.	Rosmond R. Stress induced disturbances of the HPA axis: a pathway to type 2 diabetes?[J]. International medical, 2003, 9(2): RA35.
11.	Hotamisligil GS. Inflammation and metabolic disorders[J]. Nature, 2006, 444 (7121): 860-867.
12.	徐紅, 徐哲, 李玲. 糖尿病前期干預治療在糖尿病防治中的作用[J]. 中國臨床實用醫學, 2010, 4(1): 225-226.
13.	孫慧伶, 趙林雙, 向光大, 等. 老年糖耐量低減患者心理狀態調查[J]. 護理學雜志, 2006, 21(19): 61-62.
14.	鐘志廷, 趙玲雙. 180例老年糖耐量異常患者心理健康狀況調查[J]. 中國心理衛生雜志, 2005, 19(8): 542.

1. 　Pouwer F, Kupper N, Adriaanse M. Does emotional stress cause type 2 diabetes mellitus? A review from the European depression in diabetes (EDID) research consortium[J]. Disc Med, 2010, 9(45): 112.
2. 　Rod NH, Grønbæk M, Schnohr P, et al. Perceived stress as a risk factor for changes in health behaviour and cardiac risk profile: a longitudinal study [J]. J Inter Med, 2009, 266(5): 467-475.
3. 　張明園. 精神科評定量表手冊[M]. 2版.長沙:湖南科學技術出版社, 1998: 35-42.
4. 　Fisher L, Skaff MM, Mullan JT, et al. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes[J]. Dia Med, 2008, 25(9): 1096-1101.
5. 　Anderson RJ, Freedland KE, Clouse RE, et al. The prevalence of comorbid depression in adults with diabetes a meta-analysis[J]. Dia Care, 2001, 24(6): 1069-1078.
6. 　Edelstein SL, Knowler WC, Bain RP, et al. Predictors of progression from impaired glucose tolerance to NIDDM: an analysis of six prospective studies[J]. Diabetes, 1997, 46(4): 701.
7. 　Tsai CH, Wu JS, Chang YF, et al. The relationship between psychiatric symptoms and glycemic status in a Chinese population[J]. J Psych Res, 2012, 46(7): 927-932.
8. 　Brown ES, Varghese FP, McEwen BS. Association of depression with medical illness: does cortisol play a role?[J]. Biol Psych, 2004, 55(1): 1-9.
9. 　Björntorp P. Heart and soul: stress and the metabolic syndrome[J]. Scand Cardio J, 2001, 35(3): 172-177.
10. 　Rosmond R. Stress induced disturbances of the HPA axis: a pathway to type 2 diabetes?[J]. International medical, 2003, 9(2): RA35.
11. 　Hotamisligil GS. Inflammation and metabolic disorders[J]. Nature, 2006, 444 (7121): 860-867.
12. 　徐紅, 徐哲, 李玲. 糖尿病前期干預治療在糖尿病防治中的作用[J]. 中國臨床實用醫學, 2010, 4(1): 225-226.
13. 　孫慧伶, 趙林雙, 向光大, 等. 老年糖耐量低減患者心理狀態調查[J]. 護理學雜志, 2006, 21(19): 61-62.
14. 　鐘志廷, 趙玲雙. 180例老年糖耐量異常患者心理健康狀況調查[J]. 中國心理衛生雜志, 2005, 19(8): 542.

Previous Article
The Application of Bispectral Index in Modified Electroconvulsive Therapy
Next Article
Retrospective Analysis on the Ultrasound Features of Painless Neck Lymph Node Enlargement

West China Medical Journal

Research on the Mental Health and Quality of Life of Patients with Impaired Glucose Tolerance

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content