Exploring the Intersection: Type 2 Diabetes and Its Influence on Mental and Psychosocial Well-Being: Mini Review

Maarja Randväli, Toomas Toomsoo
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Abstract

This systematic review examines the common risk factors associated with cognitive impairment, depression, and psychosocial issues in individuals with type 2 diabetes (T2D), aiming to highlight the interrelated aspects of these conditions. Recognizing the elevated risk of cognitive disorders, including dementia, and their subsequent impact on hospitalization, falls, and premature mortality in T2D patients, we meticulously searched electronic databases for relevant studies published from 2016 onwards, complemented by manual searches in leading journals. Out of the initial pool, we are focusing on biological, psychological, social, and pharmacological determinants leading to neuropsychological complications in T2D. The analysis revealed consistent risk factors across cognitive impairment, depression, and psychosocial challenges, including comorbid conditions, dysglycemia, sex differences, elevated anxiety levels, educational and socio-economic status, and medication effects. Notably, disease duration, obesity, and age were underscored as significant contributors to both cognitive and depressive disorders. The lack of a strong support network further emerged as a pivotal risk factor, exacerbating psychosocial and depressive symptoms. These findings underscore the complexity of T2D management, highlighting the necessity for comprehensive care approaches that incorporate psychosocial support, patient education, and tailored treatments. This review emphasizes the importance of addressing multifaceted risk factors to enhance the overall outcomes and quality of life for individuals with T2D.
探索交叉点:2 型糖尿病及其对精神和社会心理健康的影响:小型回顾
本系统性综述研究了与 2 型糖尿病(T2D)患者认知障碍、抑郁和社会心理问题相关的常见风险因素,旨在强调这些疾病的相互关联性。由于认识到认知障碍(包括痴呆症)风险的升高及其对 T2D 患者住院、跌倒和过早死亡的后续影响,我们对电子数据库中 2016 年以来发表的相关研究进行了细致的检索,并辅以对主要期刊的人工检索。分析显示,认知障碍、抑郁和心理社会挑战的风险因素一致,包括合并症、血糖异常、性别差异、焦虑水平升高、教育和社会经济地位以及药物影响。值得注意的是,病程、肥胖和年龄是认知障碍和抑郁障碍的重要诱因。缺乏强大的支持网络也是一个关键的风险因素,会加重心理社会和抑郁症状。这些发现凸显了 T2D 管理的复杂性,强调了综合护理方法的必要性,其中包括社会心理支持、患者教育和量身定制的治疗方法。本综述强调了解决多方面风险因素以提高 T2D 患者的整体治疗效果和生活质量的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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