Eating behaviors and emotional distress are predicted by treatment and adverse outcome in patients with type 2 diabetes

Arnulfo González-Cantú, Leonor Mireles-Zavala, Anabel Rodríguez-Romo, Elizabeth Olavide-Aguilar, Natalia Eloisa De la Garza-Hernández, Maria Elena Romero-Ibarguengoitia

Resultado de la investigaciónrevisión exhaustiva

4 Citas (Scopus)

Resumen

Depression and anxiety are hightly prevalent among patients with Type 2 Diabetes (T2D), however not commonly related to outcomes, treatment and comorbidities. Eating behaviors could also have an implication. To evaluate the relation between mood and eating behaviors with demographic, physical, treatment, biochemical profiles and chronic comorbidities in T2D we conducted this exploratory cross sectional study in a population from Mexico. Hospital Anxiety and Depression Scale and the Three Factor Eating Questionnaire Revised 21 (TFEQ-R21) were correlated with age, gender, blood pressure, treatment and comorbidities (nephropathy, neuropathy, retinopathy and cardiopathy). Multi-linear regression models and 2 k factorial analyses were conducted. Sixty-one patients (31 male) 55 years old (SD 13) with at least 5 years of T2D were included. Anxiety correlated with depression (r = 0.25, p < 0.05). Gender (women) (std B 0.026, p < 0.001), insulin therapy (std B 0.3, p = 0.11), systolic blood pressure (std B 0.263, p = 0.02) and cardiovascular disease (std B 0.232, p = 0.035) predicted depression. Insulin therapy had a positive effect in cognitive restraint. (std B 0.32, p = 0.001). Age (std B 0.37, p = 0.003) and systolic blood pressure (std B 0.237, p = 0.048) predicted positively emotional eating (not previously published). 2 k factorial analyses proved additive interaction between complications and insulin therapy with depression. This study supports the relation between mood disorders and eating behaviors with demographic, physical, treatment, biochemical profiles and chronic comorbidities in T2D and the additive interaction between factors and mood disorders.

Idioma originalEnglish
Páginas (desde-hasta)325-336
Número de páginas12
PublicaciónPsychology, Health and Medicine
Volumen23
N.º3
DOI
EstadoPublished - 6 sep 2018
Publicado de forma externa

All Science Journal Classification (ASJC) codes

  • Psicología clínica
  • Psicología aplicada
  • Psiquiatría y salud mental

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