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Chapter-25 Anxiety and Depression

BOOK TITLE: Diabetes Mellitus Issues for the Indian Women

Author
1. Kalra Sanjay
2. Balhara Yatan PS
3. Pal Arghya
ISBN
9789352702596
DOI
10.5005/jp/books/18030_26
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Bharti Hospital, Karnal, Haryana, India, Bharti Hospital and B.R.I.D.E., Karnal 132 001, Haryana, India, Bharti Hospital and BRIDE Karnal; Indian J Endocrinology Metabolism, Bharti Hospital, Karnal, Haryana, India, Bharti Hospital, Karnal-132001, Haryana, India, Indian J Endocrinology and Metabolism; J of Social Health in Diabetes (JoSH Diabetes), Bharti Hospital and BRIDE, Karnal, Haryana, India, Bharti Hospital and BRIDE, Karnal, Haryana, India, Bharti Research Institute of Diabetes and Endocrinology (BRIDE), Karnal, Haryana, India
2. National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, National Drug Dependence Treatment Centre, WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences, New Delhi, India, Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India, Drug Dependence Treatment Center, All India Institute of Medical Sciences, New Delhi, India, Department of Psychiatry and National, Drug Dependence Treatment Center, All India Institute of Medical Sciences, New Delhi, India, Department of Psychiatry and National Drug Dependence Treatment Center, All India Institute of Medical Sciences, New Delhi, India
3. Antara Psychiatric Hospital, Kolkata, West Bengal, India, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India
Chapter keywords
Anxiety, depression, diabetes mellitus, sympathetic nervous system, SNS, monoamine oxidase inhibitor, tricyclic antidepressant, TCA, cognitive behavioral therapy, CBT

Abstract

The chapter is focused at addressing the comorbidity of depressive and anxiety disorders among women diagnosed with diabetes mellitus. Diabetes mellitus is one of the leading causes of mortality and morbidity worldwide. Anxiety and depression are among the most frequent psychiatric comorbidities in patients with diabetes. This co-occurrence has a deleterious effect with regards to the willingness for treatment, decision-making, therapeutic adherence, course, and outcome. The prevalence of diabetes mellitus worldwide is 8.3%. The Indian studies estimate the prevalence to be around 9.3%. In 2013, about 65 million people between 20 and 79 years in India were found to be suffering from diabetes mellitus. By 2035, this number has been predicted to reach 109 million. The treatment of the psychiatric comorbidities remains of utmost importance among women living with diabetes. Hormone replacement therapy (HRT) has been associated with better glycemic control in patients with diabetes. It has also been used for management of the psychological symptoms in patients with menopause.

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