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The particularities of microangiopathic and macroangiopathic complications in type 2 diabetes mellitus patients correlated with the presence or absence of type D personality

Published online by Cambridge University Press:  13 August 2021

R. Kalinovic ,
B. Tinca ,
O. Neda-Stepan ,
M. Dinescu ,
C. Giurgi-Oncu ,
I. Enatescu  and
V.R. Enatescu
R. Kalinovic*
Affiliation:
Psychiatry I, “Pius Brinzeu” Emergency County Hospital-Psychiatric Clinic, Timisoara, Romania
B. Tinca
Affiliation:
Psychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
O. Neda-Stepan
Affiliation:
Psychiatry I, “Pius Brinzeu” Emergency County Hospital-Psychiatric Clinic, Timisoara, Romania
M. Dinescu
Affiliation:
Psychiatry I, “Pius Brinzeu” Emergency County Hospital-Psychiatric Clinic, Timisoara, Romania
C. Giurgi-Oncu
Affiliation:
Psychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
I. Enatescu
Affiliation:
Neonatology And Childcare, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
V.R. Enatescu
Affiliation:
Psychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
*
*Corresponding author.

Abstract

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Introduction

According to our national data based on PREDATORR study, the point prevalence of diabetes mellitus in Romania was 11.6 % in adults between 20 and 79 years old. Unequivocally, type 2 diabetes mellitus is highly correlated with psychological and personality factors.

Objectives

The objective of our research was to evaluate the frequency of type D personality in patients suffering from type 2 diabetes and its influence on angiopathic complications.

Methods

A cross-sectional study was conducted in 173 patients with type 2 diabetes who were self-assessed by using Beck Depression Inventory I, STAI-Y scale and DS 14 scale for detection of type D personality.

Results

Both depression (p = 0.012) and state and trait anxiety (p = 0.019 and 0.023 respectively) scores were significantly higher in diabetic patients with type D personality compared with non-type D diabetic patients. Lower limb complications were more frequent in non-type D personality diabetics (p = 0.018) while diabetic retinopathy and diabetic polyneuropathy (p = 0.004 and p = 0.010 respectively).

Conclusions

The presence of type D personality has a supplementary negative impact on type 2 diabetic patients’ affectivity and emotions. On the one hand, the more frequent microangiopathic complications in type D personality diabetic patients confirm that diabetes, at least in part, is an endovascular disease. On the other hand, some factors such as pro-inflammatory biomarkers may be more expressed in type 2 diabetic patients with concomitantly type D personality than those without this type of personality, leading to premature microangiopathic complications.

Keywords

type D personalitydepressionanxietydiabetes mellitus
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S246 - S247
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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