Objective To analyze related factors of type 2 diabetes mellitus patients with early anxiety and depression. Methods Cross-sectional survey about Hamilton rating scale for anxiety ( HAMA ) and depression self-rating scale ( HAMD ) of 200 patients with type 2 diabetes were carried out to assess the prevalence of anxiety and depression, from different gender, age, economic status, education level to analyze the data. Meanwhile, correlation analysis was carried out to assess the blood sugar control, whether hypertension, hyperlipidemia, diabetes and other chronic complications. Results Compared with the domestic mode, diabetes HAMD score( 38 ± 9 ), HAMA score( 26 ± 9 )existed statistically significant( P ＜0.01 ),and statistically significant also existed in HAMD and HAMA score among men and women, different age, education level, economic conditions, whether combined with other chronic diseases and diabetic complications( P ＜ 0.05, P ＜ 0.01 ).Conclusion The early stage of diabetes patients often suffered from anxiety, depression, and also influenced by gender, age,education level, and economic conditions. Poor glycemic control associated with hypertension, hyperlipidemia and diabetes chronic complications prone to suffer severe depression. The two negative psychological states of anxiety and depression are likely to coexist.%目的 分析2型糖尿病患者早期焦虑抑郁状态的相关因素.方法 采用汉密尔顿焦虑自评量表(HAMA)和抑郁自评量表(HAMD)对200例2型糖尿病早期患者进行横断面调查,评价焦虑和抑郁患病情况,从不同性别、年龄、经济状况、文化程度等方面进行分析,并对血糖控制情况、是否合并高血压、血脂异常、糖尿病慢性并发症等因素进行相关性分析.结果 糖尿病患者HAMD评分(38±9)分、HAMA评分(26±9)与国内常模比较,差异有统计学意义(P<0.01),且男女之间、不同年龄段、文化程度、经济状况及合并其他慢性病及糖尿病并发症患者进行HAMD、HAMA评分比较,差异具有统计学意义(P<0.05,P<0.01).结论 糖尿病早期患者常存在焦虑、抑郁心理,且受性别、年龄、文化程度和经济状况的影响,同时血糖控制差、合并有高血压、高血脂及糖尿病慢性并发症者,抑郁倾向更加显著;焦虑和抑郁2种负性心理状态易同时并存.
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