Diabetic Chronic Complications and Psychiatric Symptoms: Preliminary Results

Program: Abstracts - Orals, Featured Poster Presentations, and Posters
Session: SUN 807-838-Diabetes - Diagnosis, Complications & Outcomes
Clinical
Sunday, June 16, 2013: 1:45 PM-3:45 PM
Expo Halls ABC (Moscone Center)

Poster Board SUN-835
Dilek Tuzun*, Emine Duygu Ersozlu Bozkirli and Ulfet Ursavas
ADANA NUMUNE EDUCATION AND RESEARCH HOSPITAL, ADANA, Turkey
 

Aim: In this study, we aimed to compare psychiatric symptoms  and hand complications in 1000 type 2 diabetes mellitus (DM ) patients with and without chronic complications.

Material and methods: As a preliminary 97 patients (mean age 51,16 ± 9.26 years, 66 women and 31 men) who had type II DM were included in the study. The presence of cheiroarthropathy, Dupuytren's contracture, tinnel sign and tendinitis was assessed. Diabetic retinopathy was assessed by direct ophthalmoscopy. Urinary albumin excretion was determined in at least two 24 hour urine samples. Beck’s Depression Inventory (BDI) and Beck’s Anxiety Inventory (BAI) were administered.

Results: The mean diabetic duration was 7.12±5.71 years. Dupuytren's contracture was present in 6.2 %, cheiroarthropathy in 13.4 %, tinnel sign in 18.6% and tendinitis in 7.29%. Retinopathy was present in 17.5%, nephropathy in 11.3%. BDI Score was 30.55±15.97 in diabetic nephropathy group while BDI Score was 12.90±9.75 in non diabetic nephropathy group. BAI Score was 35±25.16 in diabetic nephropathy group while BAI Score was 15.40±13.36 in non diabetic nephropathy group. There was significant difference according to BDI and BAI Score between groups with and without diabetic nephropathy (p=0.004, P=0,000,respectively). BDI Score was 15.71±13.80 in diabetic retinopathy group while BDI Score was 14.73±11.59 in non diabetic retinopathy group. BAI Score was 20.12±20.00 in diabetic retinopathy group while BAI Score was 17.09±15.15 in non diabetic retinopathy group.There was no significant difference according to BDI and BAI Score between groups with and without diabetic retinopathy(p˃0.05) There was positive correlation between diabetic nephropathy and cheiroarthropathy (p=0,001, r=336). There was positive correlation between urinary albumin excretion and cheiroarthropathy and tinnel sign (p=0,00, r=522 and p=0,000, r=316, respectively). There was positive correlation between diabetic retinopathy and dupuytren's contracture (p=0,031, r=219).

Conlusions: Symptoms of anxiety and depression are positively associated with diabetic nephropathy. Also  the hand abnormalities are associated with the diabetic complications. Regular screening for anxiety and depression symptoms could help to identify at-risk individuals to provide them with appropriate psychological support with the goal of improving both emotional and physical health.

Nothing to Disclose: DT, EDE, UU

*Please take note of The Endocrine Society's News Embargo Policy at http://www.endo-society.org/endo2013/media.cfm