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Vulnerability to stress, anxiety and depressive symptoms and metabolic control in Type 2 diabetes

dc.contributor.authorGois, Carlos
dc.contributor.authorDias, Vasco V.
dc.contributor.authorRaposo, João F.
dc.contributor.authorDo Carmo, Isabel
dc.contributor.authorBarbosa, Antonio
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2018-12-13T23:21:36Z
dc.date.available2018-12-13T23:21:36Z
dc.date.issued2012-06-11
dc.description.abstractBackground: Vulnerability to stress has been associated to distress, emotional distress symptoms and metabolic control in type 2 diabetes mellitus (T2DM) patients as well. Furthermore some conflicting results were noticed. We aimed to evaluate the effect over metabolic control in what concerns vulnerability to stress beyond depressive and anxiety symptoms. Findings. This cross-sectional study assessed 273 T2DM patients with depressive and anxiety symptoms using the Hospital Anxiety Depression Scale (HADS) and the 23 Questions to assess Vulnerability to Stress (23QVS), along with demographic and clinical diabetes-related variables. Hierarchical logistic regression models were used to investigate predictors of poor glycemic control. The results showed an association of depressive symptoms (odds ratio=1.12, 95%CI=1.01-1.24, P=0.030) with increased risk of poor glycemic control. Anxiety symptoms and vulnerability to stress on their own were not predictive of metabolic control, respectively (odds ratio=0.92, 95%CI=0.84-1.00, P=0.187 and odds ratio=0.98, 95%CI=0.95-1.01, P=0.282). Conclusions: Our data suggested that vulnerability to stress was not predictive of poor glycemic control in T2DM, but depressive symptoms were.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent286641
dc.identifier.doi10.1186/1756-0500-5-271
dc.identifier.otherPURE: 6645749
dc.identifier.otherPURE UUID: a63ce1ac-d4c5-4ed5-910b-21be571932b0
dc.identifier.otherScopus: 84861864761
dc.identifier.otherPubMed: 22676426
dc.identifier.urihttp://www.scopus.com/inward/record.url?scp=84861864761&partnerID=8YFLogxK
dc.identifier.urlhttps://www.scopus.com/pages/publications/84861864761
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAnxiety symptoms
dc.subjectDepressive symptoms
dc.subjectMetabolic control
dc.subjectType 2 diabetes mellitus
dc.subjectVulnerability to stress
dc.subjectGeneral Biochemistry,Genetics and Molecular Biology
dc.subjectGeneral Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleVulnerability to stress, anxiety and depressive symptoms and metabolic control in Type 2 diabetesen
dc.typejournal article
degois.publication.titleBMC Research Notes
degois.publication.volume5
dspace.entity.typePublication
rcaap.rightsopenAccess

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