Analysis of asthenic phenomens in patients with type 2nd diabetes mellitus in the clinical and psychological aspect

O. V. Tkachenko

Abstract


Aim – to analyze the peculiarities of asthenic manifestations in patients with type 2nd diabetes mellitus (DM) in clinical and psychological perspective. Materials and methods. We examined in 543 patients with type 2nd DM. The first clinical group (CG-1) was 57 patients with type 2nd DM of mild severity; the average age in the group was (51,80±1,28) years. The second clinical group (CG-2) made up of 312 patients with type 2nd DM, moderate severity; mean age in the group was (55,10±1,12) years. The third clinical group (CG-3) included 174 patients with type 2nd DM, severe degree of severity; the average age in the group was (61.80±0,85) years. Research methods: clinical-anamnestic, clinical-psychopathological, statistical. Results. The marked prevalence of asthenic syndrome in patients wath type 2nd DM 52,30%, which is almost half among all surveyed type 2nd DM. Discovered the direct correlation of asthenic symptoms with the severity of the type 2nd DM (rs = 0.4033, p<0.01). The factors in the risk of asthenic syndrome in patients with type 2nd DM was installed, among them is dominated by a moderate and severe degree of type 2nd DM, combined with obesity 2 degrees, DEP II degree, ischemic heart disease, heart failure, degenerative dystrophic lesions of the spine. Established that there is a direct correlation asthenic syndrome to the severity of type 2nd DM, as well as the accompanying somatic pathology. Established dominance in CG-1 and CG-2 component fatigue "mental fatigue" and CG-3 component "physical fatigue".

Conclusions. Features of asthenic manifestations in patients with type 2nd DM in clinical and psychological perspective were investigated. The detection rate of asthenic manifestations among patients with type 2nd DM and the factors for their amplification were established. The organic etiology of asthenic manifestations have been proven; presentation about the stages of development of asthenic symptoms in patients with type 2nd DM were improved.


Keywords


type 2nd diabetes, asthenic syndrome, mental pathology, psychodiagnosis

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References


The Protocol of rendering medical care to patients not complicated by diabetes. Approved by Order of Ministry of Healthcare of Ukraine from 22.05.2009 year № 356 in the wording of the order MH of Ukraine from 05.08.2009 № 574. – Access mode: http://www.moz.gov.ua/ua/portal/dn_20090805_574.html

Unified clinical protocol of primary, emergency, secondary (specialized) and tertiary (highly specialized) medical care. Diabetes in young people and adults. Approved by Order of Ministry of Healthcare of Ukraine from 29.12.2014 year №1021. – Access mode: http://mtd.dec.gov.ua/images/dodatki/2014_1021_CD1_dor/2014_1021_nakaz_CD1_dor.pdf

Demirci A., Bal O., Durnali A., Ekinci A.Ş., Eşbah O., Alkiş N., Oksüzoğlu B. (2014) Sunitinib-induced severe hypoglycemia in a diabetic patient. J. Oncol. Pharm. Pract., 20(6), 469-472.

Gooßen K., Gräber S. (2012) Longer term safety of dipeptidyl peptidase-4 inhibitors in patients with type 2 diabetes mellitus: systematic review and meta-analysis. Diabetes. Obes. Metab., 14(12), 1061-1072.

Hamdan A. L., Jabbour J., Nassar J., Dahouk I., Azar S. T. (2012) Vocal characteristics in patients with type 2 diabetes mellitus. Eur. Arch. Otorhinolaryngol., 269(5), 1489-1495.

Noviello T. B., Noviello T. C., Purisch S., Lamounier R. N., Reis J. S., Menezes P. A., Calsolari M. R. (2008) [Diabetes ketoacidosis associated with Guillan-Barré syndrome] [Article in Portuguese]. Arq. Bras. Endocrinol. Metabol., 52(3), 562-565.

Rangel M.A., Baptista C., Santos F., Real M.V., Campos R.A., Leite A.L. (2015) Acute mononeuropathy in a child with newly diagnosed type 1 diabetes mellitus. J. Pediatr Endocrinol Metab., 28(3-4), 341-344.




DOI: http://dx.doi.org/10.5281/zenodo.1000976

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