The Effects of Psychiatric Disorders and Symptoms on Quality of Life in Patients with Type I and Type II Diabetes Mellitus

The purpose of this study was to evaluate the influence of psychiatric symptoms and illness status on the health-related quality of life (HRQOL) of outpatients with Type I and Type II diabetes mellitus. Using a two-stage design, all patients were assessed by two measures of quality of life (Diabetes...

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Veröffentlicht in:Quality of life research 1997-01, Vol.6 (1), p.11-20
Hauptverfasser: A. M. Jacobson, M. de Groot, Samson, J. A.
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Samson, J. A.
description The purpose of this study was to evaluate the influence of psychiatric symptoms and illness status on the health-related quality of life (HRQOL) of outpatients with Type I and Type II diabetes mellitus. Using a two-stage design, all patients were assessed by two measures of quality of life (Diabetes Quality of Life Measure; Medical Outcome Study Health Survey) and a psychiatric symptoms checklist (SCL-90-R). Patients scoring 63 or greater on the global severity index of the SCL-90-R and 30% below this cutoff were then evaluated using the Structured Clinical Interview for the DSM-III-R (SCID). Quality of life in both Type I and Type II diabetes was influenced by the level of current psychiatric symptoms and presence of co-morbid psychiatric disorder, after controlling for number of diabetic complications (e.g. effect of lifetime psychiatric illness on diabetes-related HRQOL; F = 46.8; df = 3, 135; p < 0.005). These effects were found consistently across specific domains. Both recent and past psychiatric disorders influenced HRQOL. Separate analyses comparing patients with and without depression showed similar effects. No interaction effects between diabetes type, number of complications, and psychiatric status were found in analyses. Finally, increased severity of psychiatric symptoms was correlated with decreased HRQOL in patients without current, recent, or past psychiatric diagnosis. This study shows the consistent, independent contribution of psychiatric symptoms and illness to the HRQOL of patients with a coexisting medical illness. Thus, psychiatric interventions addressing common conditions, such as depression, could improve the HRQOL of patients without changing medical status.
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Quality of life in both Type I and Type II diabetes was influenced by the level of current psychiatric symptoms and presence of co-morbid psychiatric disorder, after controlling for number of diabetic complications (e.g. effect of lifetime psychiatric illness on diabetes-related HRQOL; F = 46.8; df = 3, 135; p &lt; 0.005). These effects were found consistently across specific domains. Both recent and past psychiatric disorders influenced HRQOL. Separate analyses comparing patients with and without depression showed similar effects. No interaction effects between diabetes type, number of complications, and psychiatric status were found in analyses. Finally, increased severity of psychiatric symptoms was correlated with decreased HRQOL in patients without current, recent, or past psychiatric diagnosis. This study shows the consistent, independent contribution of psychiatric symptoms and illness to the HRQOL of patients with a coexisting medical illness. 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This study shows the consistent, independent contribution of psychiatric symptoms and illness to the HRQOL of patients with a coexisting medical illness. Thus, psychiatric interventions addressing common conditions, such as depression, could improve the HRQOL of patients without changing medical status.</abstract><cop>Dordrecht</cop><pub>Rapid Communications of Oxford Ltd</pub><pmid>9062437</pmid><doi>10.1023/A:1026487509852</doi><tpages>10</tpages></addata></record>
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subjects Biological and medical sciences
Depressive disorders
Diabetes
Diabetes Complications
Diabetes mellitus
Diabetes Mellitus - psychology
Diseases
Disorders
Female
Health Status
Humans
Male
Medical sciences
Mental disorders
Mental Disorders - complications
Mental Disorders - psychology
Middle Aged
Miscellaneous
Psychiatric diagnosis
Psychological symptoms
Psychometrics
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Life
Regression Analysis
Type 1 diabetes mellitus
title The Effects of Psychiatric Disorders and Symptoms on Quality of Life in Patients with Type I and Type II Diabetes Mellitus
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