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Эпидемиология наиболее частых психических расстройств у больных сахарным диабетом

Эпидемиология наиболее частых психических расстройств у больных сахарным диабетом

Abstract

Background: Non-psychotic mental disorders including non-severe depressive, anxiety and organic disorders can have an impact on the course and prognosis of the underlying disease in patients with diabetes mellitus (DM). Therefore, assessment of their epidemiologic aspects is extremely important. Aim: Investigation of the types and prevalence of the major mental disorders among both type 1 DM (T1DM) and type 2 DM (T2DM) in-patients, determination of possible etiology of the organic involvement of the brain in T1DM patients as well as of the rate of diagnostics and management of mental disorders in DM patients in routine medical practice. Materials and methods: Part 1 was a cross-sectional study in 228 consecutive DM patients aged from 18 to 75 years, aimed at detection of current mental disorders. Part 2 was a cross-sectional study in 72 consecutive T1DM patients with in-depth assessment of signs of organic brain involvement. All patients underwent cognitive function tests. Mental disorders were diagnosed by a psychiatrist according to ICD-10 diagnostic criteria. Results: Mental disorders were found in 80.3% of patients, being significantly more prevalent in patients with T2DM (87.9%) than in T1DM patients (57.4%, p

Актуальность. Непсихотические психические расстройства, к которым относятся нетяжелые депрессивные, тревожные и органические психические расстройства, могут влиять на течение и прогноз основного заболевания у больных сахарным диабетом (СД), поэтому крайне важно изучение их эпидемиологических аспектов. Цель изучение видов и частоты основных психических расстройств у стационарных больных СД 1-го (СД1) и 2-го (СД2) типов, определение возможной этиологии органического поражения головного мозга при СД1, а также уровня выявляемости и лечения психических расстройств у больных СД в повседневной практике. Материал и методы. Часть 1 исследование поперечного типа у 228 последовательно набранных больных СД в возрасте от 18 до 75 лет, направленное на выявление текущих психических расстройств. Часть 2 исследование поперечного типа у 72 последовательно набранных больных СД1 с углубленной оценкой признаков органического поражения головного мозга. Все больные проходили тестирование когнитивных функций. Диагноз психического расстройства по МКБ-10 ставил психиатр. Результаты. Психические расстройства обнаружены у 80,3% пациентов, причем у больных СД2 значимо чаще (87,9%), чем при СД1 (57,4%, p

Keywords

САХАРНЫЙ ДИАБЕТ, ПСИХИЧЕСКИЕ РАССТРОЙСТВА, ОРГАНИЧЕСКОЕ ПОРАЖЕНИЕ ГОЛОВНОГО МОЗГА

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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