The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Affective and anxiety disorders in a German sample of diabetic patients: prevalence, comorbidity and risk factors
Abstract
Aims The aims of this study were to examine (1) the prevalence of clinical and subclinical anxiety and affective disorders in a sample of diabetic patients attending a secondary care clinic in Germany and (2) risk factors associated with the occurrence of these disorders. Methods Four hundred and twenty diabetic patients (36.9% Type 1; 24.7% Type 2; 38.4% Type 2 with insulin) participated in a questionnaire‐based screening survey. Those who screened positive received a diagnostic interview. Results Prevalence of clinical affective disorders was 12.6%, with an additional 18.8% of patients reporting depressive symptoms without fulfilling all criteria for a clinical affective disorder. The prevalence of anxiety disorders was 5.9%, with an additional 19.3% of patients reporting some anxiety symptoms. The comorbidity rate of affective and anxiety disorders was 1.8%, whereas 21.4% of the diabetic patients reported elevated affective as well as anxiety symptomatology. Logistic regression established demographic variables such as age, female gender and living alone as well as diabetes‐specific parameters such as insulin treatment in Type 2 diabetes, hypoglycaemia problems and poor glycaemic control as risk factors for affective disorders. For anxiety symptoms female gender, younger age and Type 2 diabetes were significant independent variables. Conclusion The prevalence of affective disorders in diabetic patients was twofold higher than in the non‐diabetic population, whereas prevalence for anxiety disorders was not increased. Analysis of risk factors can facilitate the identification of patients who are at a greater risk for these disorders.
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“Depression and anxiety symptoms are twice as prevalent among people with type 1 diabetes relative to people without diabetes, negatively impacting quality of life (171-173).”
In the citing paper
“several studies have shown negative associations with HbA1c [7,8]”
From A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes (2008) · cites this paper as [8]
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Influential
Metadata
- Authors
- Hermanns, N., Kulzer, B., Krichbaum, M., Kubiak, T., & Haak, T.
- Affiliations
- German Diabetes Center Mergentheim (DE)
- University of Bamberg (DE)
- Corresponding author
- Hermanns, N.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2005-02-16
- Volume
- 22
- Issue
- 3
- Pages
- 293-300
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2103920393
- Cited by
- 170
- References
- 39
- Citations by year
- 2026: 4 · 2024: 7 · 2023: 5 · 2022: 7 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 8 · 2017: 13 · 2016: 11 · 2015: 13 · 2014: 6 · 2013: 10 · 2012: 17
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- diabetes mellitus, mood disorders, anxiety disorders, depression, comorbidities, prevalence, risk factors, type 1 diabetes, type 2 diabetes, insulin therapy, hypoglycemia, glycemic control, subclinical symptoms
- MeSH terms
- Adolescent, Adult, Age Factors, Anxiety, Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Humans, Life Style, Male, Middle Aged, Risk Factors, Sex Factors, Comorbidity, Prevalence, Logistic Models, Mood Disorders
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