Применение личностных опросников для оценки психосоматических соотношений у больных сахарным диабетом 2-го типа
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Бобров А.Е., Карачёва Ю.В., Третьякова Д.А., Старостина Е.Г. Применение личностных опросников для оценки психосоматических соотношений у больных сахарным диабетом 2-го типа // Российский психиатрический журнал. 2023. №4. С. 53-63.
В одномоментном ретроспективном исследовании с целью изучения особенностей личности больных сахарным диабетом 2-го типа с помощью психодиагностических тестов, а также оценки их взаимосвязи с контролем гликемии, психическими и соматическими расстройствами были обследованы 165 пациентов (132 женщины, 33 мужчины, средний возраст 53,5±10,7 года). У 163 из них определялся уровень гликированного гемоглобина (HbAc1), а медицинские карты 71 пациента дополнительно были изучены для выявления осложнений диабета и сопутствующих заболеваний. В результате у 96 (58,2%) пациентов диагностированы тревожно-депрессивные расстройства. У 52 (73,2%) пациентов отмечались ишемическая болезнь сердца, инфаркт миокарда и инсульт в анамнезе, ретинопатия, макулярный отек, хроническая болезнь почек, полинейропатии. Обнаружена значимая ассоциация ряда параметров личности с изученными клиническими характеристиками диабета, что важно учитывать при психотерапевтическом сопровождении таких пациентов. Однако невысокая диагностическая специфичность выделенных параметров указывает на то, что применявшиеся опросники позволяют выявить только часть личностных факторов, связанных с клиникой сахарного диабета 2-го типа.
Ключевые слова сахарный диабет 2-го типа; психосоматические соотношения; личностные особенности; психические расстройства при сахарном диабете 2-го типа; психологические тесты; ММИЛ; 16ЛФ; психотерапевтическое сопровождение
1. Bagher S, Mosallanezhad M, Barzgar F, Azadeh A. The Effect of Spiritual Education on Anxiety, Depression and Glycemic Control in Type 2 Diabetic Patients: A Randomized Controlled Study. Family Medicine and Primary Care Review. 2021;23(3):284–9. DOI: https://doi.org/10.5114/fmpcr.2021.108190 2. Bailey R, Sharpe D, Ringel M, Zeeshan A. Early Combination Therapy for Type 2 Diabetes Mellitus and Common Comorbid Mental Disorders. Focus (Am Psychiatr Publ). 2018;16(1):48–53. DOI: https://doi.org/10.1176/appi.focus.20160048 3. Huang L, Guo H, Xiu L, Wang H. Efficacy of individualized education in patients with type 2 diabetes mellitus: A randomized clinical study protocol. Medicine (Baltimore). 2020;99(50):23625. DOI: https://doi.org/10.1097/MD.0000000000023625 4. Kane N, Bloor LE, Michaels J. Enhancing Diabetes Self-Management Education and Psychological Services for Veterans With Comorbid Chronic Health and Mental Health Conditions. Fed Pract. 2021;38(4):e22–8. DOI: https://doi.org/10.12788/fp.0106 5. Sanatkar S, Baldwin P, Clarke J, et al. The influence of personality on trajectories of distress, health and functioning in mild-to-moderately depressed adults with type 2 diabetes. Psychol Health Med. 2020;25(3):296–308. DOI: https://doi.org/10.1080/13548506.2019.1668567 6. Lindekilde N, Rutters F, Erik Henriksen J, et al. Psychiatric disorders as risk factors for type 2 diabetes: An umbrella review of systematic reviews with and without meta-analyses. Diabetes Res Clin Pract. 2021;176:108855. DOI: https://doi.org/10.1016/j.diabres.2021.108855 7. Nouwen A, Speight J, Pouwer F, Holt R. How psychosocial and behavioural research has shaped our understanding of diabetes. Diabet Med. 2020;37(3):377–9. DOI: https://doi.org/10.1111/dme.14254 8. Alkethiri T, Almtroudi T, Jurays AB, et al. The relationship between type 2 diabetes mellitus with cognitive functions. Heliyon. 2021;7(3):e06358. DOI: https://doi.org/10.1016/j.heliyon.2021.e06358 9. Bădescu S, Tătaru C, Kobylinska L, et al. The association between Diabetes mellitus and Depression. J Med Life. 2016;9(2):120–5. PMID: 27453739 10. Boby J, Jeny S, Noby T. A Study On Association Between Type-2 Diabetes Mellitus And mental Disorders. Research Journal of Pharmaceutical, Biological and Chemical Sciences. 2018;9(5):538–42. 11. Borovcanin MM, Vesic K, Petrovic I, et al. Diabetes mellitus type 2 as an underlying, comorbid or consequent state of mental disorders. World J Diabetes. 2023;14(5):481–93. DOI: https://doi.org/10.4239/wjd.v14.i5.481 12. Claro AE, Palanza C, Mazza M, et al. Evaluation of the prevalence of the most common psychiatric disorders in patients with type 2 diabetes mellitus using the patient health questionnaire: results of the cross-sectional “DIA2PSI” study. Acta Diabetol. 2023;60(2):247–55. DOI: https://doi.org/10.1007/s00592-022-01993-x 13. Cunha LRD, Castro MCM, Duarte GS, et al. Major Depressive Disorder Is Associated With Type 2 Diabetes In Patients With Chronic Hepatitis C Infection. Arq Gastroenterol. 2021;58(4):476–82. DOI: https://doi.org/10.1590/S0004-2803.202100000-86 14. Maia AC, Braga Ade A, Brouwers A, et al. Prevalence of psychiatric disorders in patients with diabetes types 1 and 2. Compr Psychiatry. 2012;53(8):1169–73. DOI: https://doi.org/10.1016/j.comppsych.2012.03.011 15. Griadil T, Chopey I, Chubirko K. Peculiarities of diagnostics of depressions and clinical manifestations in patients with obesity and concomitant type 2 diabetes mellitus. Wiad Lek. 2019;72(4):519–22. PMID: 31055524 16. Guerrero Fernández de Alba I, Gimeno-Miguel A, Poblador-Plou B, et al. Association between mental health comorbidity and health outcomes in type 2 diabetes mellitus patients. Sci Rep. 2020;10(1):19583. DOI: https://doi.org/10.1038/s41598-020-76546-9 17. Nazu N, Wikström K, Lamidi ML, et al. Association of mental disorders and quality of diabetes care – A six-year follow-up study of type 2 diabetes patients in North Karelia, Finland. Diabetes Res Clin Pract. 2020;166:108312. DOI: https://doi.org/10.1016/j.diabres.2020.108312 18. Nieuwenhuijse EA, Struijs JN, Sutch SP, et al. Achieving diabetes treatment targets in people with registered mental illness is similar or improved compared with those without: Analyses of linked observational datasets. Diabet Med. 2022;39(6):14835. DOI: https://doi.org/10.1111/dme.14835 19. Sayed Ahmed HA, Fouad AM, Elotla SF, et al. Prevalence and Associated Factors of Diabetes Distress, Depression and Anxiety Among Primary Care Patients With Type 2 Diabetes During the COVID-19 Pandemic in Egypt: A Cross-Sectional Study. Front Psychiatry. 2022;13:937973. DOI: https://doi.org/10.3389/fpsyt.2022.937973 20. Bobrov AE, Starostina EG, Agamamedova IN, et al. Psixicheskie rasstrojstva pri saxarnom diabete 2-go tipa. Zh Nevrol Psikhiatr Im SS Korsakova. 2021;121(7):22–30. (In Russ.) DOI: https://doi.org/10.17116/jnevro202112107122 21. Yasui-Furukori N, Murakami H, Otaka H, et al. Personality Traits Do Not Have Influence on Glycemic Control in Outpatients with Type 2 Diabetes Mellitus. Psychiatry Investig. 2020;17(1):78–84. DOI: https://doi.org/10.30773/pi.2019.0210 22. Lane JD, McCaskill CC, Williams PG, et al. Personality correlates of glycemic control in type 2 diabetes. Diabetes Care. 2000;23(9):1321–5. DOI: https://doi.org/10.2337/diacare.23.9.1321 23. Vergès B, Brands R, Fourmont C, et al. Fewer type A personality traits in type 2 diabetes patients with diabetic foot ulcer. Diabetes Metab. 2021;47(6):101245. DOI: https://doi.org/10.1016/j.diabet.2021.101245 24. Berezin FB, Miroshnikov MP, Sokolova ED. Metodika mnogostoronnego issledovaniya lichnosti. Struktura, osnovy` interpretacii, nekotory`e oblasti primeneniya. Moscow; 2011. 318 p. (In Russ.) 25. Shmelev AG, Poxil`ko VI, Solovejchik VS. Test-oprosnik 16LF. In: Praktikum po psixodiagnostike. Psixodiagnosticheskie materialy`. Moscow: MGU; 1988. p. 17–42. (In Russ.) 26. Leongard K. Akcentuirovanny`e lichnosti. Per. s nem. VM Leshhinskoj. Kiev; 1981. 390 p. (In Russ.) 27. Shmelev AG. Psixodiagnostika lichnostny`x chert. Saint-Petersburg; 2002. 472 p. (In Russ.) 28. Tyrer P, Mulder R, Kim Y, Crawford M. The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics. Annu Rev Clin Psychol. 2019;15:481–502. DOI: https://doi.org/10.1146/annurev-clinpsy-050718-095736 29. Skenazy J, Bigler E. Psychological adjustment and neuropsychological performance in diabetic patients. J Clin Psychol. 1985;41(3):391–6. DOI: https://doi.org/10.1002/1097-4679(198505)41:3<391::aid-jclp2270410315>3.0.co;2-l 30. Stoimenova-Popova M, Valkova M, Veleva I, Tumbev L. Diabetes Mellitus Type 2 personality and relations with diabetic chronic complications – Pilot Study. Eur Psychiatry. 2017;41(S1):S507. DOI: https://doi.org/10.1016/j.eurpsy.2017.01.647 31. Starostina EG, Bobrov AE. Psixologicheskie e`ffekty` programmy` psixoterapevticheskogo obucheniya bol`ny`x diabetom 1 Tipa. Materialy` Vseross. nauch.-praktich. konf. pamyati prof. AI Belkina. Moscow; 2004. р. 158–61. (In Russ.) 32. Kämmerer W, Reindell A. [Psychosomatic aspects of diabetes mellitus]. Z Psychosom Med Psychoanal. 1977;23(4):351–62. (In Germany). PMID: 595915 33. Conversano C. Common Psychological Factors in Chronic Diseases. Front Psychol. 2019;10:2727. DOI: https://doi.org/10.3389/fpsyg.2019.02727 34. Ibrahim M, Weber K, Courvoisier D, Genevay S. Big Five Personality Traits and Disabling Chronic Low Back Pain: Association with Fear-Avoidance, Anxious and Depressive Moods. J Pain Res. 2020;13:745–54. DOI: https://doi.org/10.2147/JPR.S237522 35. Jokela M, Hakulinen C, Singh-Manoux A, Kivimäki M. Personality change associated with chronic diseases: pooled analysis of four prospective cohort studies. Psychol Med. 2014;44(12):2629–40. DOI: https://doi.org/10.1017/S0033291714000257 36. Sutin A, Zonderman A, Ferrucci L, Terracciano A. Personality traits and chronic disease: implications for adult personality development. J Gerontol B Psychol Sci Soc Sci. 2013;68(6):912–20. DOI: https://doi.org/10.1093/geronb/gbt036 37. Yoda N, Yamashita T, Wada Y, et al. Classification of adult patients with type 2 diabetes using the Temperament and Character Inventory. Psychiatry Clin Neurosci. 2008;62(3):279–85. DOI: https://doi.org/10.1111/j.1440-1819.2008.01794.x 38. Korsah K, Agyeman-Yeboah J. Narratives of type 2 diabetes mellitus patients regarding the influence of social issues on diabetes self-management: Implications for patient care. Nurs Open. 2023;10(8):5741–8. DOI: https://doi.org/10.1002/nop2.1825 39. Milicevic R, Jaksic N, Aukst-Margetic B, Jakovljevic M. Personality traits and treatment compliance in patients with type 2 diabetes mellitus. Psychiatr Danub. 2015;27(Suppl 2):586–9. PMID: 26657986 40. Conti C, Di Francesco G, Fontanella L, et al. Negative Affectivity Predicts Lower Quality of Life and Metabolic Control in Type 2 Diabetes Patients: A Structural Equation Modeling Approach. Front Psychol. 2017;8:831. DOI: https://doi.org/10.3389/fpsyg.2017.00831 41. Lee S, Li C. Personality as a predictor of HbA1c level in patients with type 2 diabetes mellitus. Medicine (Baltimore). 2021;100(27):e26590. DOI: https://doi.org/10.1097/MD.0000000000026590 42. Shao Y, Yin H, Wan C. Type D personality as a predictor of self-efficacy and social support in patients with type 2 diabetes mellitus. Neuropsychiatr Dis Treat. 2017;13:855–61. DOI: https://doi.org/10.2147/NDT.S128432 43. Van Dooren FE, Denollet J, Verhey FR, et al. Psychological and personality factors in type 2 diabetes mellitus, presenting the rationale and exploratory results from The Maastricht Study, a population-based cohort study. BMC Psychiatry. 2016;16:17. DOI: https://doi.org/10.1186/s12888-016-0722-z 44. Fİdan Ö, Takmak Ş, Zeyrek AŞ, Kartal A. Patients With Type 2 Diabetes Mellitus: Obstacles in Coping. J Nurs Res. 2020;28(4):e105. DOI: https://doi.org/10.1097/jnr.0000000000000379 45. Mukherjee N, Chaturvedi S. Depressive symptoms and disorders in type 2 diabetes mellitus. Curr Opin Psychiatry. 2019;32(5):416–21. DOI: https://doi.org/10.1097/YCO.0000000000000528
DOI: http://dx.doi.org/10.34757/1560-957X.2023.27.4.006
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