ANXIETY AND DEPRESSIVE-DISORDERS IN AN ADULT INSULIN-DEPENDENT DIABETIC MELLITUS (IDDM) POPULATION - RELATIONSHIPS WITH GLYCEMIC CONTROL AND SOMATIC COMPLICATIONS

The frequency of anxiety and depressive disorders was examined in 69 i nsulin-dependent diabetic mellitus (IDDM) outpatients and in two contr ol group. Based on self-report measures, these disorders were similar in IDDM sample and in the control groups. In diabetic outpatients, acc ording to DSM-III-R criteria, there was a high lifetime prevalence of not otherwise specified anxiety and depressive disorders (44% and 41.5 %), of simple phobia (26.8%), social phobia (24.6%), and agoraphobia - with and without panic disorder (14.6%). Current social phobia, dysth ymia and not otherwise specified depressive disorders were associated with impaired glycaemic control. Glycosylated haemoglobin was associat ed with compliance but psychiatric disorders were not, except for soci al phobia which was significantly associated with more frequent consul tations and a bad compliance for dietary regimen (more snacking). Soma tic complications were not associated with anxious and depressive diso rders (current or lifetime) or compliance and were best explained by t he duration of the illness and impaired glycaemic control. (C) 1998 El sevier, Paris.