Anxiety disorders are associated with quality of life impairment in patients with insulin-dependent type 2 diabetes: a case-control study

作者：dos Santos Maria Augusta B; Ceretta Luciane B; Reus Gislaine Z^*; Abelaira Helena M; Jornada Luciano K; Schwalm Magada T; Neotti Morgana V; Tomazzi Cristiane D; Gulbis Karina G; Ceretta Renan A; Quevedo Joao

来源：Brazilian Journal of Psychiatry, 2014, 36(4): 298-304.

DOI：10.1590/1516-4446-2013-1230

• Anxiety disorders
• quality of life
• diabetes
• comorbidities

Objective: To assess the presence of anxiety disorders and quality of life in patients with insulin-dependent type 2 diabetes.
Methods: Case-control study of 996 patients with type 2 diabetes and 2,145 individuals without diabetes. The sole inclusion criterion for the case group was insulin-dependent type 2 diabetes. We compared the case and control groups for sociodemographic variables, laboratory and clinical data, and presence of anxiety disorders. Quality of life was evaluated using the WHOQOL-BREF instrument, and the prevalence of anxiety disorder was evaluated by the Mini International Neuropsychiatric Interview (MINI).
Results: Patients with diabetes had a higher prevalence of generalized anxiety disorder, panic disorder, and obsessive-compulsive disorder. The presence of these disorders in combination with type 2 diabetes was associated with worse quality of life in the physical, social, psychological, and environmental domains.
Conclusions: This study demonstrates the importance of diagnosing and treating anxiety disorders in patients with diabetes, so as to prevent more serious complications associated with these comorbidities.

• 出版日期2014-12