心理因素与糖尿病的关系

RELATIONSHIP BETWEEN THE PATHOGENSIS OF DIABETES MELLITUS AND PSYCHOLOGICAL FACTORS

目的：探讨心理异常如抑郁、焦虑等与糖尿病（ＤＭ）发生及分型的关系。方法：采用明尼苏达多相人格测验表对８１例ＤＭ患者和８４例正常对照进行测查。结果：ＤＭ组疑病、抑郁、癔病、精神衰弱量表得分显著高于正常对照组（Ｐ＜００１，Ｐ＜００５）；非胰岛素依赖型糖尿病（ＮＩＤＤＭ）中病程≤３ａ组与病程＞３ａ组比较无显著性差异（Ｐ＞００５）；胰岛素依赖型糖尿病（ＩＤＤＭ）组和ＮＩＤＤＭ组疑病、癔病量表得分与正常对照组有显著差别（Ｐ＜００１）；ＩＤＤＭ组与正常组抑郁得分差别显著（Ｐ＜００１）；ＮＩＤＤＭ组与正常组比较抑郁呈边缘相关（Ｐ＝００６２）。结论：心理异常在中国ＤＭ患者中确实存在，且不受ＤＭ病程及分型影响。

Objective:To explore the relationship between the development of diabetes mellitus and psychological factors in Chinese diabetics.Methods:81 diabetic inpatients and 84 healthy subjects were assessed by Minnesota multiphasic personality inventory (MMPI).Results:The diabetics have higher scores in some of MMPI scales compared to controls,such as hypochondriasis(Hs),depression(D),hysteria(Hy),psychasthenia(Pt)( P <0 01, P <0 05).No significant differences were found in patients with diabetic course less than 3 years and more than 3 years( P >0 05).The scales in Hs,Hy of IDDM and NIDDM patients were significant higher than that in healthy subjects( P <0 01).However,the scores of depression was higher in IDDM patients than that in controls.Conclusion:①Chinese diabetics have multiphasic personlity abnormalities;②the abnormalities of MMPI were not associated with the course of diabetes.It suggested that the psychological problems might be a risk factor of diabetes in Chinese population.