More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus.

Journal: General psychiatry

Volume: 32

Issue: 4

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, Bangalore, India. Child Adolescent and Family Psychiatry, National Institute of Mental Health, Dhaka, Bangladesh. Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia. IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy. National Research Centre for Psychiatry and Narcology, Moscow, Russia. IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy. University of Milano-Bicocca, Bicocca, Italy. Department of Psychology, Catholic University, Milan, Italy. Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland. Institute of Mental Health, Belgrade, Serbia. Samatvam Endocrinology Diabetes Center and Jnana Sanjeevini Diabetes Hospital and Medical Center, Bangalore, India. University of Lower Silesia, Wroclaw, Poland. Center for Global Mental Health, Rawalpindi, Pakistan. University of Nairobi, Nairobi, Kenya. Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Pakistan Institute of Medical Sciences, Islamabad, Pakistan. Department of Psychiatry and Psychotherapy, Medical Faculty, University of Düsseldorf, Dusseldorf, Germany. ProConsult, Owings Mills, Maryland, USA.

Abstract summary 

Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited.To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries.People aged 18-65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected.A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India.Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted.

Authors & Co-authors:  Chaturvedi Manche Gowda Ahmed Alosaimi Andreone Bobrov Bulgari Carrà Castelnuovo de Girolamo Gondek Jovanovic Kamala Kiejna Lalic Lecic-Tosevski Minhas Mutiso Ndetei Rabbani Somruk Srikanta Taj Valentini Vukovic Wölwer Cimino Nouwen Lloyd Sartorius

Study Outcome 

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Statistics
Citations :  Simpson HB, Neria Y, Lewis-Fernández R, et al. . Anxiety DisordersTheory, research and clinical perspectives. Cambridge University Press, 2010.
Authors :  30
Identifiers
Doi : e100076
SSN : 2517-729X
Study Population
Female
Mesh Terms
Other Terms
anxiety disorders;diabetes mellitus;multicentre study;panic disorders;prevalence
Study Design
Study Approach
Country of Study
Kenya
Publication Country
England