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KMID : 0607520040120020157
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Korean Journal of Psychosomatic Medicine
2004 Volume.12 No. 2 p.157 ~ p.164
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Relationship between Glycated Hemoglobin and Depression, Anxiety, Alexithymia, Stress Response in Diabetic Patients - A Preliminary Study -
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Jeong Jong-Hyun
Hong Seung-Chul
Han Jin-Hee
Lee Sung-Pil
Ko Seung-Hyun
Ahn Yu-Bae
Song Ki-Ho
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Abstract
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Objectives: This study was designed to investigate depression, anxiety, alexithymia, stress responses between well-controlled and poorly-controlled diabetic patients by glycated hemoglobin levels.
Methods: The subjects were 55 diabetic patients(mean age : , 27 men and 28 women) who were confirmed to have diabetes depending on the laboratory findings as well as clinical symptoms at the St. Vincent Hospital Diabetes Clinic, from Mar. 2004 to Aug. 2004. Korean version of Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI), Toronto Alexithymia Scale(TAS) and Stress Response Inventory(SRI) were used for assessment. Based on glycated hemoglobin levels, the patients were divided into 10 well-controlled group(below 7%) and 45 poorly-controlled group(above 7%). We compared BDI, STAI, TAS and SRI scores between two groups by independent t-test.
Results: 1) Well-controlled diabetics, compared with poorly controlled group, manifested decreased illness duration(months vs. months)(p=0.000), but other demographic data showed no difference between two groups. 2) The STAI scores of poorly-controlled group were significantly higher in both state anxiety sores and trait anxiety scores than well-controlled groups. 3) No significant differences were found in the score of BDI, TAS, SRI between well and poorly-controlled diabetic groups.
Conclusion: The above results suggest that poorly-controlled diabetic patients are more likely to have higher anxiety level than well-controlled diabetic patients. However, there were no differences in depression, alexithymia, stress responses between two group. We suggest that physicians should consider integrated approaches for psychiatric problems in the management of diabetic patients.
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KEYWORD
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Diabetes, Glycated hemoglobin, Depression, Anxiety
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