Characteristics of psychological and social factors in type 2 diabetes patients

Xu Nian-zhen1, He Dan-jun2, Li Yong2, 1Department of Hospital Clinic, 2Department of Clinical Psychology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China  

AIM: To analyze the characteristics of symptoms perception, personality characteristics and social supports, etc. in diabetic patients. METHODS: Ninety-six diabetic patients, who were treated at the out-patient clinic, Department of Endocrinology, First Affiliated Hospital of Nanjing Medical University between March 2003 and December 2004, were selected as observational objects in diabetes group. Sixty-eight normal healthy people, who were made body examination in the First Affiliated Hospital of Nanjing Medical University in the same period, were considered as the normal control group. The social supports, personality characteristics and symptoms perception, etc. were evaluated with psychological social scale in persons of the two groups. Psychological healthy status was assessed with symptom checklist (SCL), which included somatizatiom, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, photic anxiety, paranoid ideation, psychoticism and additional items, etc. 10 factors, using 5-grade score. The personality characteristics was tested with Eysenck Personality Questionnaire (EPQ), including 88 items and 4 sub-scales: neuroticism (N), extraversion (E), psychoticism (P), and social desirability (L). The social support was dected with Social Support Rating Scale (SSRS), which included 10 items, and the results included objective support score, subjective support score and the usage of support and total score. The written examination was conducted under unitive instruction by patients. The questionnaire was taken back on the spot. T-test was used to detect the significance among groups. RESULTS: 164 questionnaires were sent out and 164 qualified questionnaires were received with the 100% effective rate. ① Mean scores on depression, anxiety, obsession and hostility in the diabetes group were higher than those in the normal control group [(1.99±0.75),(1.61±0.61),P 0.05];[(2.33±0.77),(1.79±0.75),P 0.05];[(1.92±0.74),(1.49 ±0.42),P 0.05];[(2.08±1.04),(1.63±0.66),P 0.05]. ② Scores on objective support of SSRS in the diabetes group were higher than those in the normal control group, and the scores on subjective support were lower than those in the control group, and the difference had significance [(9.75±4.75),(6.44±3.36),P 0.05];[(17.15±4.59),(20.05±5.45),P 0.05]. While scores on P, E, N, total score of social support and usage of support in the diabetes group had insignificant difference as compared with the normal control group. CONCLUSION: The diabetic patients have many symptom perceptions of body and mind, such as depression, anxiety, obsessive-compulsive and hostility, and gain more social supports, but subjective support is few. It is aim to strengthen education of psychological rehabilitation.

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【Fund】： 南京医科大学第一附属医院2002年科研经费资助项目(1010NB0212)~~
【CateGory Index】： R395
【DOI】： CNKI:SUN:XDKF.0.2005-44-034

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