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Gender-related psychosomatic peculiarities of patients with type 2 diabetes mellitus

Published online by Cambridge University Press:  13 August 2021

N. Chernus ,
L. Kamynina ,
R. Gorenkov  and
A. Sivkov
N. Chernus*
Affiliation:
Department Of Outpatient Therapy, I.M. Sechenov First Moscow State Medical University: Moscow, Russia, Moscow, Russian Federation
L. Kamynina
Affiliation:
Endocrinology, Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation
R. Gorenkov
Affiliation:
Scientific Substantiation Of Health Preservation Of The Population Of The Russian Federation, The N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
A. Sivkov
Affiliation:
The Department Of Clinical Pharmacology And Internal Diseases Propaedeutics, the I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

The problem of specificity of psychological adaptation mechanisms at the patients with Type 2 Diabetes Mellitus (T2DM) is extremely actual. The aim is to investigate gender psychological characteristics associated with T2DM

Objectives

In the comparative study 62 patients (28 male, 34 female; mean age 56,8±2,3 and 55,4±2,7 yrs.) with T2DM (HbA1c 7,3±1,3%) and visceral obesity (Grade 2) were included.

Methods

Research methods: the Depression Scale of Zung, the Spielberger trait scale anxiety, Toronto Alexithymia Scale and MMPI test

Results

T2DM-female-patients in comparison with T2DM-male showed significantly higher personal anxiety scores (51,2+7,6 and 44,1+10,6 respectively; р<0,05), depression scores (44,2+7,6 and 36,7+8,4 respectively; р<0,05), while alexithymia scores were higher at T2DM-males (68,2+9,6 and 71,7+6,4 respectively; p<0,05). In MMPI test (after correction by K-scale) 46,8% of patients demonstrated profiles with elevated scale 1 score (above 70 Т-scores, but below 80 Т-scores) regardless of gender differences. However, the T-scores for T2DM-male patients were on the average by 1,07 higher than for T2DM-female (58,4 vs 54,4 respectively, р˃0,05), that indicated more higher concern related to own physical health condition. The female T2DM-patients significantly more often demonstrated profiles with scale 6 peak (exceeding 65 Т-scores): 79,4% vs. 21,4%, which indicated the more higher accentuation of personality traits (concealed hostility; protest; rigidity, desire to blame the others for one’s failure, et cetera)

Conclusions

The patient’s gender has to be taken into consideration at development of clinical, diagnostic and prevention activities of patients with T2DM and visceral obesity.

Keywords

genderanxietydepressionalexithymia
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S253
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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