[Depressive symptoms and insulin pump therapy in people with type 1 diabetes mellitus: A systematic review].

Q3 Medicine
Emmanouil S Benioudakis, Eleni Karlafti, Argyroula Kalaitzaki, Triantafyllos Didangelos
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引用次数: 0

Abstract

Type 1 Diabetes mellitus (T1DM) is a chronic, multifactorial metabolic disease that requires constant medical care. T1DM is the result of an irreversible destruction of pancreatic β-cells, inevitably leading individuals to chronic exogenous insulin dependence. The prevalence of depression among T1DM is common and affects both the progression and management of the disease. The aim of this study is to present the depressive symptoms in people with T1DM who apply and those who do not apply the insulin pump therapy method and to highlight differences in terms of gender and age. The literature review was conducted using the databases PubMed, Science-Direct and Scopus. The inclusion criteria were the following: the studies had to be conducted in T1DM patients, study depressive symptomatology, the number of participants in the studies to be more than 70 people and to be in English. Initially, 464 articles were retrieved and 11 articles met the requirements for inclusion in the systematic review. The results of the systematic review, excluding paediatric patients with T1DM, showed that patients who apply the insulin pump therapy method were more likely to have higher prevalence and intensity of depressive symptoms, compared to users of multiple daily injections. Respectively, increased depressive symptoms in women with T1DM were presented, regardless of the method of treatment. Factors that mediate this difference in depressive symptoms are the sense of freedom and flexibility in lifestyle, fewer dietary restrictions, the sense of constant "bonding" and social stigma. Finally, mental health professionals should frequently evaluate the depressive symptoms of the T1DM patients, as it has a direct impact on the development and management of the disease.

[1型糖尿病患者抑郁症状和胰岛素泵治疗:一项系统综述]。
1型糖尿病(T1DM)是一种慢性、多因素的代谢性疾病,需要持续的医疗护理。T1DM是胰腺β细胞不可逆破坏的结果,不可避免地导致个体慢性外源性胰岛素依赖。抑郁症在T1DM患者中的患病率是普遍的,并影响疾病的进展和管理。本研究的目的是介绍使用和不使用胰岛素泵治疗方法的T1DM患者的抑郁症状,并强调性别和年龄方面的差异。文献综述使用PubMed、Science-Direct和Scopus数据库进行。纳入标准如下:研究必须在T1DM患者中进行,研究抑郁症状,参与研究的人数超过70人,并且使用英语。最初,检索到464篇文章,其中11篇符合纳入系统评价的要求。系统评价的结果(不包括患有T1DM的儿科患者)显示,与每日多次注射的患者相比,使用胰岛素泵治疗方法的患者更有可能具有更高的抑郁症状患病率和强度。无论采用何种治疗方法,T1DM患者的抑郁症状均有所增加。导致这种抑郁症状差异的因素是生活方式的自由和灵活性,较少的饮食限制,持续的“联系”感和社会耻辱感。最后,精神卫生专业人员应经常评估T1DM患者的抑郁症状,因为它对疾病的发展和管理有直接影响。
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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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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