PMID- 31552386
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220410
IS  - 2517-729X (Print)
IS  - 2517-729X (Electronic)
IS  - 2517-729X (Linking)
VI  - 32
IP  - 4
DP  - 2019
TI  - More anxious than depressed: prevalence and correlates in a 15-nation study of 
      anxiety disorders in people with type 2 diabetes mellitus.
PG  - e100076
LID - 10.1136/gpsych-2019-100076 [doi]
LID - e100076
AB  - BACKGROUND: Anxiety disorder, one of the highly disabling, prevalent and common 
      mental disorders, is known to be more prevalent in persons with type 2 diabetes 
      mellitus (T2DM) than the general population, and the comorbid presence of anxiety 
      disorders is known to have an impact on the diabetes outcome and the quality of 
      life. However, the information on the type of anxiety disorder and its prevalence 
      in persons with T2DM is limited. AIMS: To assess the prevalence and correlates of 
      anxiety disorder in people with type 2 diabetes in different countries. METHODS: 
      People aged 18-65 years with diabetes and treated in outpatient settings were 
      recruited in 15 countries and underwent a psychiatric interview with the 
      Mini-International Neuropsychiatric Interview. Demographic and medical record 
      data were collected. RESULTS: A total of 3170 people with type 2 diabetes (56.2% 
      women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The 
      overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; 
      however, 2.8% of the study population had more than one type of anxiety disorder. 
      The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and 
      panic disorder (5.1%). Female gender, presence of diabetic complications, longer 
      duration of diabetes and poorer glycaemic control (HbA1c levels) were 
      significantly associated with comorbid anxiety disorder. A higher prevalence of 
      anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a 
      lower prevalence in Bangladesh and India. CONCLUSIONS: Our international study 
      shows that people with type 2 diabetes have a high prevalence of anxiety 
      disorders, especially women, those with diabetic complications, those with a 
      longer duration of diabetes and poorer glycaemic control. Early identification 
      and appropriate timely care of psychiatric problems of people with type 2 
      diabetes is warranted.
FAU - Chaturvedi, Santosh K
AU  - Chaturvedi SK
AUID- ORCID: 0000-0002-3675-1389
AD  - Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, 
      Bangalore, India.
FAU - Manche Gowda, Shayanth
AU  - Manche Gowda S
AD  - Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, 
      Bangalore, India.
FAU - Ahmed, Helal Uddin
AU  - Ahmed HU
AD  - Child Adolescent and Family Psychiatry, National Institute of Mental Health, 
      Dhaka, Bangladesh.
FAU - Alosaimi, Fahad D
AU  - Alosaimi FD
AUID- ORCID: 0000-0003-1027-5836
AD  - Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia.
FAU - Andreone, Nicola
AU  - Andreone N
AD  - IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy.
FAU - Bobrov, Alexey
AU  - Bobrov A
AD  - National Research Centre for Psychiatry and Narcology, Moscow, Russia.
FAU - Bulgari, Viola
AU  - Bulgari V
AD  - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
FAU - Carra, Giuseppe
AU  - Carra G
AD  - University of Milano-Bicocca, Bicocca, Italy.
FAU - Castelnuovo, Gianluca
AU  - Castelnuovo G
AD  - Department of Psychology, Catholic University, Milan, Italy.
FAU - de Girolamo, Giovanni
AU  - de Girolamo G
AD  - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
FAU - Gondek, Tomasz
AU  - Gondek T
AD  - Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
FAU - Jovanovic, Nikola
AU  - Jovanovic N
AD  - Institute of Mental Health, Belgrade, Serbia.
FAU - Kamala, Thummala
AU  - Kamala T
AD  - Samatvam Endocrinology Diabetes Center and Jnana Sanjeevini Diabetes Hospital and 
      Medical Center, Bangalore, India.
FAU - Kiejna, Andrzej
AU  - Kiejna A
AD  - University of Lower Silesia, Wroclaw, Poland.
FAU - Lalic, Nebojsa
AU  - Lalic N
AD  - Institute of Mental Health, Belgrade, Serbia.
FAU - Lecic-Tosevski, Dusica
AU  - Lecic-Tosevski D
AD  - Institute of Mental Health, Belgrade, Serbia.
FAU - Minhas, Fareed
AU  - Minhas F
AD  - Center for Global Mental Health, Rawalpindi, Pakistan.
FAU - Mutiso, Victoria
AU  - Mutiso V
AD  - University of Nairobi, Nairobi, Kenya.
FAU - Ndetei, David
AU  - Ndetei D
AD  - University of Nairobi, Nairobi, Kenya.
FAU - Rabbani, Golam
AU  - Rabbani G
AD  - Child Adolescent and Family Psychiatry, National Institute of Mental Health, 
      Dhaka, Bangladesh.
FAU - Somruk, Suntibenchakul
AU  - Somruk S
AD  - Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
FAU - Srikanta, Sathyanarayana
AU  - Srikanta S
AD  - Samatvam Endocrinology Diabetes Center and Jnana Sanjeevini Diabetes Hospital and 
      Medical Center, Bangalore, India.
FAU - Taj, Rizwan
AU  - Taj R
AD  - Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
FAU - Valentini, Umberto
AU  - Valentini U
AD  - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
FAU - Vukovic, Olivera
AU  - Vukovic O
AD  - Institute of Mental Health, Belgrade, Serbia.
FAU - Wolwer, Wolfgang
AU  - Wolwer W
AD  - Department of Psychiatry and Psychotherapy, Medical Faculty, University of 
      Dusseldorf, Dusseldorf, Germany.
FAU - Cimino, Larry
AU  - Cimino L
AD  - ProConsult, Owings Mills, Maryland, USA.
FAU - Nouwen, Arie
AU  - Nouwen A
AD  - Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, 
      Bangalore, India.
AD  - Child Adolescent and Family Psychiatry, National Institute of Mental Health, 
      Dhaka, Bangladesh.
AD  - Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia.
AD  - IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy.
AD  - National Research Centre for Psychiatry and Narcology, Moscow, Russia.
AD  - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
AD  - University of Milano-Bicocca, Bicocca, Italy.
AD  - Department of Psychology, Catholic University, Milan, Italy.
AD  - Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
AD  - Institute of Mental Health, Belgrade, Serbia.
AD  - Samatvam Endocrinology Diabetes Center and Jnana Sanjeevini Diabetes Hospital and 
      Medical Center, Bangalore, India.
AD  - University of Lower Silesia, Wroclaw, Poland.
AD  - Center for Global Mental Health, Rawalpindi, Pakistan.
AD  - University of Nairobi, Nairobi, Kenya.
AD  - Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
AD  - Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
AD  - Department of Psychiatry and Psychotherapy, Medical Faculty, University of 
      Dusseldorf, Dusseldorf, Germany.
AD  - ProConsult, Owings Mills, Maryland, USA.
FAU - Lloyd, Cathy
AU  - Lloyd C
AD  - Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, 
      Bangalore, India.
AD  - Child Adolescent and Family Psychiatry, National Institute of Mental Health, 
      Dhaka, Bangladesh.
AD  - Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia.
AD  - IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy.
AD  - National Research Centre for Psychiatry and Narcology, Moscow, Russia.
AD  - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
AD  - University of Milano-Bicocca, Bicocca, Italy.
AD  - Department of Psychology, Catholic University, Milan, Italy.
AD  - Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
AD  - Institute of Mental Health, Belgrade, Serbia.
AD  - Samatvam Endocrinology Diabetes Center and Jnana Sanjeevini Diabetes Hospital and 
      Medical Center, Bangalore, India.
AD  - University of Lower Silesia, Wroclaw, Poland.
AD  - Center for Global Mental Health, Rawalpindi, Pakistan.
AD  - University of Nairobi, Nairobi, Kenya.
AD  - Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
AD  - Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
AD  - Department of Psychiatry and Psychotherapy, Medical Faculty, University of 
      Dusseldorf, Dusseldorf, Germany.
AD  - ProConsult, Owings Mills, Maryland, USA.
FAU - Sartorius, Norman
AU  - Sartorius N
AUID- ORCID: 0000-0001-8708-6289
AD  - Department of Psychiatry, National Institute of Mental Health and Neuro-Sciences, 
      Bangalore, India.
AD  - Child Adolescent and Family Psychiatry, National Institute of Mental Health, 
      Dhaka, Bangladesh.
AD  - Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia.
AD  - IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy.
AD  - National Research Centre for Psychiatry and Narcology, Moscow, Russia.
AD  - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
AD  - University of Milano-Bicocca, Bicocca, Italy.
AD  - Department of Psychology, Catholic University, Milan, Italy.
AD  - Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
AD  - Institute of Mental Health, Belgrade, Serbia.
AD  - Samatvam Endocrinology Diabetes Center and Jnana Sanjeevini Diabetes Hospital and 
      Medical Center, Bangalore, India.
AD  - University of Lower Silesia, Wroclaw, Poland.
AD  - Center for Global Mental Health, Rawalpindi, Pakistan.
AD  - University of Nairobi, Nairobi, Kenya.
AD  - Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
AD  - Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
AD  - Department of Psychiatry and Psychotherapy, Medical Faculty, University of 
      Dusseldorf, Dusseldorf, Germany.
AD  - ProConsult, Owings Mills, Maryland, USA.
LA  - eng
PT  - Journal Article
DEP - 20190809
PL  - England
TA  - Gen Psychiatr
JT  - General psychiatry
JID - 101735271
PMC - PMC6738670
OTO - NOTNLM
OT  - anxiety disorders
OT  - diabetes mellitus
OT  - multicentre study
OT  - panic disorders
OT  - prevalence
COIS- Competing interests: AB has received a research grant from Abbott, and fees for 
      lectures from Lundbeck. CL has received travel expenses paid by unrestricted 
      grants from Eli Lily and Sanofi to attend the World Diabetes Congress and the 
      American Psychiatric Association conference. The Association for the Improvement 
      of Mental Health Programs, which sponsored this programme and financially 
      supported tasks related to its management and data analysis, received 
      unrestricted grants from Eli Lilly and Sanofi. NS received travel support and 
      fees from Janssen, Cilag, Lundbeck International Neuroscience Foundation, 
      Servier: all outside the activities related to work on this study or on this 
      paper. WW has received personal fees from Roche Pharma, outside the submitted 
      work.
EDAT- 2019/09/26 06:00
MHDA- 2019/09/26 06:01
PMCR- 2019/08/09
CRDT- 2019/09/26 06:00
PHST- 2019/04/10 00:00 [received]
PHST- 2019/07/11 00:00 [revised]
PHST- 2019/07/14 00:00 [accepted]
PHST- 2019/09/26 06:00 [entrez]
PHST- 2019/09/26 06:00 [pubmed]
PHST- 2019/09/26 06:01 [medline]
PHST- 2019/08/09 00:00 [pmc-release]
AID - gpsych-2019-100076 [pii]
AID - 10.1136/gpsych-2019-100076 [doi]
PST - epublish
SO  - Gen Psychiatr. 2019 Aug 9;32(4):e100076. doi: 10.1136/gpsych-2019-100076. 
      eCollection 2019.