Dr. Mohammed Mahdi Al-Smaeel / Dr. Ahmed Zaki Alawami
Saudi Board in Family Medicine Residency Program – Dammam University – 2014
Background: Recognition and treatment of emotional distress, which affects 20 to 40% of outpatients with type 1 or type 2 diabetes, are important because of its association with worse diabetes self-care, poor glycemic control, increased rates of mortality and diabetes-related complications, and a rise in healthcare expenditure. However, although the symptoms of emotional distress improve in diabetic patients after psychological and pharmacological interventions, evidence of benefits in glycemic control is still uncertain.
Objective: The aim of this study was to assess the metabolic control in diabetic patients with emotional distress attending primary mental care clinics (PMCC) in the Eastern Province of Saudi Arabia.
Method: This study was a single group pretest-posttest design conducted on adult diabetic patients with emotional distress attending PMCC. Out of 194 attendees, 78 patients who fulfilled the selection criteria were studied. Data was collected from the patients’ records using a worksheet designed for the study. Metabolic parameters including BMI, BP, FBS, HbA1c and lipid profile were recorded before and after the management of emotional distress. Socio-demographic characteristics, complications related to diabetes and co-morbidities were also recorded.
Results: The majority of the patients had type 2 DM (98.6%) and the presence of co-morbidities was high (82%). The rate of improvement of emotional distress was 79.5%. A comparison of the metabolic parameters before and after management of emotional distress, showed a significant reduction in HbA1c and elevation in HDL. No differences in BMI, BP, FBS, TC, TG or LDL were found.
Conclusions: Treating emotional distress in diabetic patients is associated with an improvement in the symptoms of emotional distress, HbA1c and HDL.
Keywords: Diabetes Mellitus, Emotional Distress, Depression, Anxiety, Primary