The descriptive study of anxiety levels among diabetics: insulin users versus non-insulin users

Authors

  • Hamza Maqsood Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan
  • Hassan Abdullah Shakeel Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan
  • Ali Raza Khan Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan
  • Basit Ali Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan
  • Syed Asfand Yar Shah Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan

DOI:

https://doi.org/10.18203/2320-6012.ijrms20173013

Keywords:

Anxiety, Comorbidity, Demographic, Prevalence, Type 2 diabetes

Abstract

Background: Anxiety is an emotion characterized by an unpleasant state of turmoil often accompanied by nervous behaviours such as pacing back and forth, somatic complaints and rumination. Diabetes is the most metabolically active disease which can influence the psychological state. This study evaluates the anxiety levels among diabetics (Insulin users versus non-insulin users) along with its relation to certain demographic factors like age, sex, education, type of medication and medication compliance.

Methods: Hamilton anxiety rating scale (HAM-A) was used to test the anxiety levels in 187 diabetic patients visiting the diabetic clinic and research centre, Nishtar Hospital, Multan and other diabetic clinics in the area. 97 (51.87%) patients of the total sample are males and 90 (48.12%) patients are females.

Results: In this study, 170 (91%) had type 2 diabetes while 17 (9%) suffered from Type 1 Diabetes. 66.66% of the patients in the sample were insulin users while 34.34% were non-insulin users. The overall mean anxiety level in insulin users is 24.55 and in non-insulin users is 23.92.

Conclusions: Our study showed a high prevalence of anxiety levels in insulin users as compared to non-insulin users. Certain symptoms like anxious mood, tension, fears, depressed mood, cardiovascular and gastrointestinal symptoms appeared with mild anxiety levels while other symptoms like insomnia, somatic symptoms, autonomic symptoms, respiratory and genitourinary symptoms appeared with high severity levels. The presence of risk factors for anxiety among patients of diabetes predicts a causal relationship and deserves attention from clinicians.

Author Biographies

Hamza Maqsood, Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan

Nishtar Medical College,Medical Student

Hassan Abdullah Shakeel, Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan

Nishtar Medical College,Medical Student

Ali Raza Khan, Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan

Nishtar Medical College,Medical Student

Basit Ali, Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan

Nishtar Medical College,Medical Student

Syed Asfand Yar Shah, Department of Medical Sciences, Nishtar Medical College, Multan, Punjab, Pakistan

Nishtar Medical College,Medical Student

References

Musselman DL, Betan E, Larsen H, Phillips LS. Relationship of depression to diabetes types 1and 2: Epidemiology, biology and treatment. Biol Psych. 2003;54;317-29.

Ali S, Stone MA, Peters JL, Davies MJ, Khunti K. The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2006;23(11):1165-73.

Barnard KD, Skinner TC, Peveler R. The prevalence of co-morbid depression in adults with Type 1 diabetes: systematic literature review. Diabet Med. 2006;23(4):445-8.

Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes impact of depressive symptoms on adherence, function and costs, Arch Intern Med. 2000;160(21);3278-85.

Kashani JH, Orvaschel H. Anxiety disorders in mid adolescence: A community sample. Am J Psychiatr. 1988;144:931-4.

Li C, Barker L, Ford ES, Zhang X, Strine TW, Mokdad AH. Diabetes and anxiety in US adults: findings from the 2006 Behavioral Risk Factor Surveillance System. Diabet Med. 2008;25(7):878-81.

World Health Organization. Pharmacological treatment of mental disorders in primary health care; Geneva. World Health Organization; 2009.

Testa A, Giannuzzi R, Sollazzo F, Petrongolo L, Bernardini L, Daini S. Psychiatric emergencies (part I):psychiatric disorders causing organic diseases. Eur Rev Med Pharmacol Sci. 2013;17(1):55-64.

Khuwaja AK, Lalani S, Dhanani R, Azam IS, Rafique G, White F. Anxiety and depression among outpatients with type 2 diabetes: A multi‑centre study of prevalence and associated factors. Diabetol Metab Syndr. 2010;2:72.

Bener A, Al‑Hamaq AA, Dafeeah E. High prevalence of depression,anxiety and stress symptoms among diabetes mellitus patients. Open Psychiatry J. 2011;5:5‑12.

Jainer A, Sharma M, Agarwal CG, Singh B. Frequency and severity of depressive symptoms among diabetic patients. Indian J Psychiatry. 1992;34:162‑7.

Perez LEG, Alvarez M, Dilla T, Guille VG, Beltra DO. Adherence to therapies in patients with Type 2 Diabetes. Diabet Ther. 2013;4;175-94.

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Published

2017-06-24

How to Cite

Maqsood, H., Shakeel, H. A., Khan, A. R., Ali, B., & Shah, S. A. Y. (2017). The descriptive study of anxiety levels among diabetics: insulin users versus non-insulin users. International Journal of Research in Medical Sciences, 5(7), 3204–3207. https://doi.org/10.18203/2320-6012.ijrms20173013

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Section

Original Research Articles