Analysis of asthenic phenomens in patients with type 2nd diabetes mellitus in the clinical and psychological aspect

Abstract

Aim – to analyze the peculiarities of asthenic manifestations in patients with type 2^nd diabetes mellitus (DM) in clinical and psychological perspective. Materials and methods. We examined in 543 patients with type 2^nd DM. The first clinical group (CG-1) was 57 patients with type 2^nd DM of mild severity; the average age in the group was (51,80±1,28) years. The second clinical group (CG-2) made up of 312 patients with type 2^nd DM, moderate severity; mean age in the group was (55,10±1,12) years. The third clinical group (CG-3) included 174 patients with type 2^nd DM, severe degree of severity; the average age in the group was (61.80±0,85) years. Research methods: clinical-anamnestic, clinical-psychopathological, statistical. Results. The marked prevalence of asthenic syndrome in patients wath type 2^nd DM 52,30%, which is almost half among all surveyed type 2^nd DM. Discovered the direct correlation of asthenic symptoms with the severity of the type 2^nd DM (r_s = 0.4033, p<0.01). The factors in the risk of asthenic syndrome in patients with type 2^nd DM was installed, among them is dominated by a moderate and severe degree of type 2^nd DM, combined with obesity 2 degrees, DEP II degree, ischemic heart disease, heart failure, degenerative dystrophic lesions of the spine. Established that there is a direct correlation asthenic syndrome to the severity of type 2^nd DM, as well as the accompanying somatic pathology. Established dominance in CG-1 and CG-2 component fatigue "mental fatigue" and CG-3 component "physical fatigue".

Conclusions. Features of asthenic manifestations in patients with type 2^nd DM in clinical and psychological perspective were investigated. The detection rate of asthenic manifestations among patients with type 2^nd DM and the factors for their amplification were established. The organic etiology of asthenic manifestations have been proven; presentation about the stages of development of asthenic symptoms in patients with type 2^nd DM were improved.