Psychiatria pre prax 4/2016

Effect of a combined psychotherapeutic and psychopharmacologic treatment on a long-term glycemic control in diabetes mellitus type 1 and 2. A retrospective study

Some mental disorders, especially depression, are more prevalent in patients with diabetes mellitus. Comorbid mental disorders deteriorate prognosis of diabetes mellitus and alternatively, diabetes mellitus deteriorates the course of mental diseases. Results of existing research suggest that diabetic patients need a psychiatric intervention in addition to a standard care, nonetheless, the study results are unequivocal regarding effectiveness of the intervention in glycemic control improvement. The retrospective observation in the presented study concerns 72 diabetic patients, who were treated by one psychiatrist over the past few years. A comparison of psychiatric intervation modalities (psychotherapy, psychoactive drug treatmentor a combination of both) in type 1 and type 2 diabetic patients is presented. No association of mental state improvement and glycemic control improvement was found.

Keywords: diabetes mellitus, psychotherapy, psychoactive drugs, glycemic control