OBJECTIVE: While previous work has demonstrated elevation of both comorbid anxiety disorders and diabetes mellitus type II in individuals with serious mental illness, little is known regarding the impact of comorbid anxiety on diabetes mellitus type II outcomes in serious mental illness populations. We analyzed baseline data from patients with serious mental illness and diabetes mellitus type II to examine relationships between comorbid anxiety, glucose control as measured by hemoglobin A1c score, and overall illness burden. METHODS: Using baseline data from an ongoing prospective treatment study involving 157 individuals with serious mental illness and diabetes mellitus type II, we compared individuals with and without a comorbid anxiety disorder and compared hemoglobin A1c levels between these groups to assess the relationship between anxiety and management of diabetes mellitus type II. We conducted a similar analysis using cumulative number of anxiety diagnoses as a proxy for anxiety load. Finally, we searched for associations between anxiety and overall medical illness burden as measured by Charlson score. RESULTS: Anxiety disorders were seen in 33.1% (N=52) of individuals with serious mental illness and diabetes mellitus type II and were associated with increased severity of depressive symptoms and decreased function. Hemoglobin A1c levels were not significantly different in those with or without anxiety, and having multiple anxiety disorders was not associated with differences in diabetes mellitus type II control. However, depressive symptoms were significantly associated with higher hemoglobin A1c levels. Neither comorbid anxiety nor anxiety load was significantly associated with overall medical burden. CONCLUSION: One in three people with serious mental illness and diabetes mellitus type II had anxiety. Depressive symptoms were significantly associated with Hb1Ac levels while anxiety symptoms had no relation to hemoglobin A1c; this is consistent with previously published work. More studies are needed to better understand the relationship between depression, anxiety, and health management in people with serious mental illness and diabetes mellitus type II.
OBJECTIVE: While previous work has demonstrated elevation of both comorbid anxiety disorders and diabetes mellitus type II in individuals with serious mental illness, little is known regarding the impact of comorbid anxiety on diabetes mellitus type II outcomes in serious mental illness populations. We analyzed baseline data from patients with serious mental illness and diabetes mellitus type II to examine relationships between comorbid anxiety, glucose control as measured by hemoglobin A1c score, and overall illness burden. METHODS: Using baseline data from an ongoing prospective treatment study involving 157 individuals with serious mental illness and diabetes mellitus type II, we compared individuals with and without a comorbid anxiety disorder and compared hemoglobin A1c levels between these groups to assess the relationship between anxiety and management of diabetes mellitus type II. We conducted a similar analysis using cumulative number of anxiety diagnoses as a proxy for anxiety load. Finally, we searched for associations between anxiety and overall medical illness burden as measured by Charlson score. RESULTS:Anxiety disorders were seen in 33.1% (N=52) of individuals with serious mental illness and diabetes mellitus type II and were associated with increased severity of depressive symptoms and decreased function. Hemoglobin A1c levels were not significantly different in those with or without anxiety, and having multiple anxiety disorders was not associated with differences in diabetes mellitus type II control. However, depressive symptoms were significantly associated with higher hemoglobin A1c levels. Neither comorbid anxiety nor anxiety load was significantly associated with overall medical burden. CONCLUSION: One in three people with serious mental illness and diabetes mellitus type II had anxiety. Depressive symptoms were significantly associated with Hb1Ac levels while anxiety symptoms had no relation to hemoglobin A1c; this is consistent with previously published work. More studies are needed to better understand the relationship between depression, anxiety, and health management in people with serious mental illness and diabetes mellitus type II.
Authors: Jeff J Guo; Paul E Keck; Patricia K Corey-Lisle; Hong Li; Dongming Jiang; Raymond Jang; Gilbert J L'Italien Journal: J Clin Psychiatry Date: 2006-07 Impact factor: 4.384
Authors: Valerie H Taylor; Roger S McIntyre; Gary Remington; Robert D Levitan; Brian Stonehocker; Arya M Sharma Journal: Can J Psychiatry Date: 2012-01 Impact factor: 4.356
Authors: Amélie M Achim; Michel Maziade; Eric Raymond; David Olivier; Chantal Mérette; Marc-André Roy Journal: Schizophr Bull Date: 2009-12-03 Impact factor: 9.306
Authors: Awais Aftab; Chetan Bhat; Douglas Gunzler; Kristin Cassidy; Charles Thomas; Richard McCormick; Neal V Dawson; Martha Sajatovic Journal: Int J Psychiatry Med Date: 2017-12-27 Impact factor: 1.210
Authors: Fabrizio Grieco; Briana J Bernstein; Barbara Biemans; Lior Bikovski; C Joseph Burnett; Jesse D Cushman; Elsbeth A van Dam; Sydney A Fry; Bar Richmond-Hacham; Judith R Homberg; Martien J H Kas; Helmut W Kessels; Bastijn Koopmans; Michael J Krashes; Vaishnav Krishnan; Sreemathi Logan; Maarten Loos; Katharine E McCann; Qendresa Parduzi; Chaim G Pick; Thomas D Prevot; Gernot Riedel; Lianne Robinson; Mina Sadighi; August B Smit; William Sonntag; Reinko F Roelofs; Ruud A J Tegelenbosch; Lucas P J J Noldus Journal: Front Behav Neurosci Date: 2021-09-24 Impact factor: 3.617
Authors: Eva Szigethy; Francis Solano; Meredith Wallace; Dina L Perry; Lauren Morrell; Kathryn Scott; Megan Jones Bell; Megan Oser Journal: BMJ Open Date: 2018-01-13 Impact factor: 2.692