主页 > 医学动态 >
【medical-news】恐慌将会加重糖尿病并发症
Panic Attacks Can Increase Complications In Diabetes Patients
People with diabetes who have repeated panic attacks are less likely to have properly managed the disease and suffer more severe health complications and poorer quality of life, a new study finds.
Lead author Evette Ludman, Ph.D., a researcher with Group Health Cooperative in Seattle, said her group's previous work showed depression was associated with more poorly controlled glucose, more diabetes symptom, and lower functioning. "But because panic and depression so often go hand in hand, we weren't certain that patients who have panic, independent of depression, would also have with these indicators."
For the new study, which appears in the November issue of General Hospital Psychiatry, a survey was mailed to 4,385 patients with diabetes. Of those participants, 193 (4.4 percent) reported having panic episodes that caused a definite change in behavior. Among the 193 patients, 54.5 percent also had symptoms of depression.
Respondents were asked about recent panic or fear "spells" and if these feelings forced them to change their behavior. Participants were also given questionnaires that measured their diabetes symptoms as well as their level of functioning and disability.
Of those with panic disorder, the average HbA1c levels - a measure of long-term glucose control - were 8.1 percent compared with 7.7 percent for those without panic episodes. (Usual treatment goal is to keep levels below 7 percent.) Also, those with panic episodes reported having an average of 4.2 diabetes symptoms compared with 2.4 symptoms in those without panic.
Panic disorder is characterized by recurrent panic attacks, followed by persistent worry about having another attack.
The authors say that panic symptoms might be a consequence of diabetes itself. Panic episodes may contribute to poor outcomes by interfering with self-care and patients' ability to follow their treatment regimens.
The authors and diabetes experts agree that if physicians treating patients with diabetes can better recognize and treat the symptoms of panic episodes and depression, they can improve the patients' quality of life.
"I think most careful clinicians have noted that there are patients who do not cope well with their diabetes and have a variety of neuropsychosocial issues including panic disorder, depression, anxiety and personality disorders," said John Buse, M.D., division chief of the Diabetes Center at University of North Carolina at Chapel Hill. "The key really is to very carefully assess patients who are not doing well in their management of diabetes or other chronic illness." 本人已经认领此文. 如在48小时内未能提交译文, 其他战友可自由认领. Panic Attacks Can Increase Complications In Diabetes Patients
恐慌将会加重糖尿病并发症
People with diabetes who have repeated panic attacks are less likely to have properly managed the disease and suffer more severe health complications and poorer quality of life, a new study finds.
一项最新的研究发现反复受到惊吓的糖尿病患者更加难以控制疾病，且会并发更加严重的并发症而降低生活质量。
Lead author Evette Ludman, Ph.D., a researcher with Group Health Cooperative in Seattle, said her group's previous work showed depression was associated with more poorly controlled glucose, more diabetes symptom, and lower functioning. "But because panic and depression so often go hand in hand, we weren't certain that patients who have panic, independent of depression, would also have with these indicators."
文章的首席作者也是西雅图团体健康联谊社的研究人员Evette Ludman博士说，她的研究小组先前的工作显示抑郁与血糖控制不佳、糖尿病症状增加和胰岛功能降低有关。“但是由于恐慌和抑郁经常同时发生，我们还不能确定仅仅是恐慌而不伴有抑郁的患者是否也会有这些表现。”
For the new study, which appears in the November issue of General Hospital Psychiatry, a survey was mailed to 4,385 patients with diabetes. Of those participants, 193 (4.4 percent) reported having panic episodes that caused a definite change in behavior. Among the 193 patients, 54.5 percent also had symptoms of depression.
刊登在11月份《综合医院精神病学》上的一项新研究，向4385名糖尿病患者寄送了调查表。在所有参与者中193名（4.4%）称发生过有明显行为变化的恐慌发作。在这193名患者中，54.5%的人也伴有抑郁的症状。
Respondents were asked about recent panic or fear "spells" and if these feelings forced them to change their behavior. Participants were also given questionnaires that measured their diabetes symptoms as well as their level of functioning and disability.
受调查者被问到关于最近发作的恐慌或恐惧的“出现”，还有这些感觉是否迫使他们改变自己的恶行为。参与者也回答一些设置好的问题以衡量他们糖尿病症状以及他们的功能水平。
阅读本文的人还阅读：
作者:admin@医学,生命科学 2011-02-27 17:11
医学,生命科学网