دورية أكاديمية
Posttraumatic stress disorder and diabetes-related outcomes in patients with type 1 diabetes
| العنوان: | Posttraumatic stress disorder and diabetes-related outcomes in patients with type 1 diabetes |
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| المؤلفون: | Lunkenheimer, Frederike, Eckert, Alexander J., Hilgard, Dörte, Köth, Daniel, Kulzer, Bernhard, Lück, Ursula, Lüdecke, Blanca, Müller, Antonia, Baumeister, Harald, Holl, Reinhard W. |
| بيانات النشر: | Universität Ulm |
| سنة النشر: | 2023 |
| المجموعة: | OPARU (OPen Access Repository of Ulm University) |
| مصطلحات موضوعية: | Metabolic disorders, Psychiatric disorders, Stress disorders, Post-traumatic, Complications, Diabetes Mellitus, Type 1, Comorbidity, Posttraumatisches Stresssyndrom, Psychisches Trauma, Diabetes mellitus Typ 1, Sekundärkrankheit |
| الوصف: | Mental comorbidities in patients with type 1 diabetes mellitus (T1D) are common, and can have a negative impact on acute blood glucose levels and long-term metabolic control. Information on the association of T1D and comorbid posttraumatic stress disorder (PTSD) with diabetes-related outcomes is limited. The aim was to examine the associations between a clinical diagnosis of PTSD and diabetes-related outcomes in patients with T1D. Patients with T1D and comorbid documented PTSD from the DPV database (n = 179) were compared to a group with T1D without PTSD (n = 895), and compared to a group with T1D without comorbid mental disorder (n = 895) by matching demographics (age, gender, duration of diabetes, therapy and migration background) 1:5. Clinical diabetes-related outcomes {body mass index (BMI), hemoglobin A1c (hbA1c), daily insulin dose, diabetic ketoacidosis (DKA), hypoglycemia, number of hospital admissions, number of hospital days} were analyzed, stratified by age groups (≤ 25 years vs. > 25 years). Patients with comorbid PTSD aged ≤ 25 years compared with patients without PTSD or patients without mental disorders had significantly higher HbA1c (8.71 vs. 8.30 or 8.24%), higher number of hospital admissions (0.94 vs. 0.44 or 0.32 per year) and higher rates of DKA (0.10 vs. 0.02 or 0.01 events/year). Patients with comorbid PTSD aged ≤ 25 years compared with patients without PTSD had significantly higher BMI (0.85 vs. 0.59) and longer hospital stays (15.89 vs.11.58 days) than patients without PTSD. Patients with PTSD > 25 years compared with patients without PTSD or without any mental comorbidities had significantly fewer hospital admissions (0.49 vs. 0.77 or 0.69), but a longer hospital length of stay (20.35 vs. 11.58 or 1.09 days). We found that PTSD in younger patients with T1D is significantly related to diabetes outcome. In adult patients with T1D, comorbid PTSD is associated with fewer, but longer hospitalizations. Awareness of PTSD in the care of patients with T1D should be raised and psychological ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://doi.org/10.18725/OPARU-53068Test; http://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-53144-3Test |
| DOI: | 10.18725/OPARU-53068 |
| الإتاحة: | https://doi.org/10.18725/OPARU-53068Test http://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-53144-3Test |
| حقوق: | https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.8C411E78 |
| قاعدة البيانات: | BASE |
| DOI: | 10.18725/OPARU-53068 |
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