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Anxiety is common and costly in T2DM — why psychology matters

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Psychological problems such as depression and anxiety can hamper self-management in patients with type 2 diabetes mellitus (T2DM). A new prospective study reported that adults with T2DM and diagnosed anxiety disorder had a higher number of emergency visits and a higher cost status, but not total hospitalization costs, than those without diagnosed anxiety disorder.

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References

  1. Ng, C. S. et al. Cost-of-illness studies of diabetes mellitus: a systematic review. Diabetes Res. Clin. Pract. 105, 151–163 (2014).

    Article  Google Scholar 

  2. Iturralde, E. et al. Association of anxiety with high-cost health care use among individuals with type 2 diabetes. Diabetes Care https://doi.org/10.2337/dc18-1553 (2019).

    Article  PubMed  Google Scholar 

  3. Greenberg, P. E. et al. The economic burden of anxiety disorders in the 1990s. J. Clin. Psychiatry 60, 427–435 (1999).

    Article  CAS  Google Scholar 

  4. Nefs, G. et al. Correlates and outcomes of worries about hypoglycemia in family members of adults with diabetes: The second Diabetes Attitudes, Wishes and Needs (DAWN2) study. J. Psychosom. Res. 89, 69–77 (2016).

    Article  Google Scholar 

  5. Nouwen, A. et al. Longitudinal associations between depression and diabetes complications: a systematic review and meta-analysis. Diabet. Med. https://doi.org/10.1111/dme.14054 (2019).

    Article  PubMed  Google Scholar 

  6. van Dooren, F. E. et al. Depression and risk of mortality in people with diabetes mellitus: a systematic review and meta-analysis. PLOS One 8, e57058 (2013).

    Article  Google Scholar 

  7. Naicker, K. et al. Type 2 diabetes and comorbid symptoms of depression and anxiety: longitudinal associations with mortality risk. Diabetes Care 40, 352–358 (2017).

    Article  Google Scholar 

  8. Deschênes, S. S., Burns, R. J. & Schmitz, N. Trajectories of anxiety symptoms and associations with incident cardiovascular disease in adults with type 2 diabetes. J. Psychosom. Res. 104, 95–100 (2018).

    Article  Google Scholar 

  9. Cherrington, A. L. et al. Impact of peer support on acute care visits and hospitalizations for individuals with diabetes and depressive symptoms: a cluster-randomized controlled trial. Diabetes Care 41, 2463–2470 (2018).

    Article  Google Scholar 

  10. Katon, W. J. et al. Long-term effects on medical costs of improving depression outcomes in patients with depression and diabetes. Diabetes Care 31, 1155–1159 (2008).

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Southern Denmark, Odense, Denmark

    Frans Pouwer

  2. STENO Diabetes Center Odense, Odense, Denmark

    Frans Pouwer

  3. School of Psychology, Deakin University, Geelong, Australia

    Frans Pouwer

  4. Radboud University Medical Center, Department of Medical Psychology, Radboud Institute for Health Sciences, Nijmegen, Netherlands

    Giesje Nefs

  5. Diabeter, National Treatment and Research Center for Children, Adolescents and Adults with Type 1 Diabetes, Rotterdam, Netherlands

    Giesje Nefs

  6. Tilburg University, Center of Research on Psychological and Somatic disorders (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands

    Giesje Nefs

Authors
  1. Frans Pouwer
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  2. Giesje Nefs
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Correspondence to Frans Pouwer.

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The authors declare no competing interests.

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Pouwer, F., Nefs, G. Anxiety is common and costly in T2DM — why psychology matters. Nat Rev Endocrinol 15, 567–568 (2019). https://doi.org/10.1038/s41574-019-0244-0

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  • DOI: https://doi.org/10.1038/s41574-019-0244-0

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