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1. More anxious than depressed: Prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus

Author

Chaturvedi, S, Manche Gowda, S, Ahmed, H, Alosaimi, F, Andreone, N, Bobrov, A, Bulgari, V, Carra, G, Castelnuovo, G, Girolamo, G, Gondek, T, Jovanovic, N, Kamala, T, Kiejna, A, Lalic, N, Lecic-Tosevski, D, Minhas, F, Mutiso, V, Ndetei, D, Rabbani, G, Somruk, S, Srikanta, S, Taj, R, Valentini, U, Vukovic, O, Wolwer, W, Cimino, L, Nouwen, A, Lloyd, C, Sartorius, N, Chaturvedi S. K., Manche Gowda S., Ahmed H. U., Alosaimi F. D., Andreone N., Bobrov A., Bulgari V., Carra G., Castelnuovo G., Girolamo G. D., Gondek T., Jovanovic N., Kamala T., Kiejna A., Lalic N., Lecic-Tosevski D., Minhas F., Mutiso V., Ndetei D., Rabbani G., Somruk S., Srikanta S., Taj R., Valentini U., Vukovic O., Wolwer W., Cimino L., Nouwen A., Lloyd C., Sartorius N., Chaturvedi, S, Manche Gowda, S, Ahmed, H, Alosaimi, F, Andreone, N, Bobrov, A, Bulgari, V, Carra, G, Castelnuovo, G, Girolamo, G, Gondek, T, Jovanovic, N, Kamala, T, Kiejna, A, Lalic, N, Lecic-Tosevski, D, Minhas, F, Mutiso, V, Ndetei, D, Rabbani, G, Somruk, S, Srikanta, S, Taj, R, Valentini, U, Vukovic, O, Wolwer, W, Cimino, L, Nouwen, A, Lloyd, C, Sartorius, N, Chaturvedi S. K., Manche Gowda S., Ahmed H. U., Alosaimi F. D., Andreone N., Bobrov A., Bulgari V., Carra G., Castelnuovo G., Girolamo G. D., Gondek T., Jovanovic N., Kamala T., Kiejna A., Lalic N., Lecic-Tosevski D., Minhas F., Mutiso V., Ndetei D., Rabbani G., Somruk S., Srikanta S., Taj R., Valentini U., Vukovic O., Wolwer W., Cimino L., Nouwen A., Lloyd C., and Sartorius N.

Abstract

Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited. Aims To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries. Methods People aged 18-65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected. Results A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India. Conclusions Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted.

Published
2019

2. More anxious than depressed: Prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus

Author

Chaturvedi, S. K., Manche Gowda, S., Ahmed, H. U., Alosaimi, F. D., Andreone, N., Bobrov, A., Bulgari, V., Carra, G., Castelnuovo, G., Girolamo, G. D., Gondek, T., Jovanovic, N., Kamala, T., Kiejna, A., Lalic, N., Lecic-Tosevski, D., Minhas, F., Mutiso, V., Ndetei, D., Rabbani, G., Somruk, S., Srikanta, S., Taj, R., Valentini, U., Vukovic, O., Wolwer, W., Cimino, L., Nouwen, A., Lloyd, C., Sartorius, N., Castelnuovo G. (ORCID:0000-0003-2633-9822), Chaturvedi, S. K., Manche Gowda, S., Ahmed, H. U., Alosaimi, F. D., Andreone, N., Bobrov, A., Bulgari, V., Carra, G., Castelnuovo, G., Girolamo, G. D., Gondek, T., Jovanovic, N., Kamala, T., Kiejna, A., Lalic, N., Lecic-Tosevski, D., Minhas, F., Mutiso, V., Ndetei, D., Rabbani, G., Somruk, S., Srikanta, S., Taj, R., Valentini, U., Vukovic, O., Wolwer, W., Cimino, L., Nouwen, A., Lloyd, C., Sartorius, N., and Castelnuovo G. (ORCID:0000-0003-2633-9822)

Abstract

Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited. Aims To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries. Methods People aged 18-65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected. Results A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India. Conclusions Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted.

Published
2019

3. Pattern of burns at a paediatric hospital in Nairobi.

Author

Mutiso, V M and Khainga, S

Abstract

Introduction Burns are a common cause of morbidity and mortality in children and are largely preventable. Objective To determine the patterns of burns among admissions at a paediatric hospital in Nairobi. Methodology This was by retrospective survey. Results The age range of the study population was from birth to above 20 years. Ages 1–4 comprised 52.5% and 5–9 years was 27.9% of all admissions respectively. Burns comprised 20.2% of all admissions (202 of 1001) and was the second commonest reason for admission after falls. It was also the second commonest diagnosis with the most common being fractures. The majority of children with burns had burns at multiple sites. The upper limbs were the commonest site with about 5% followed by chest, abdomen and thorax with 35.8%. The neck comprised 23.9%. As mentioned earlier, many were multiple burns and thus had burns in more than one region or site. The gluteal and genital area comprised 8.2% and the least burns was proplited fossa with 1.9%. The most common percentage burns was 5 9% with 33.3%. 10–14% comprised 23.3% while the third commonest percentage burns was below 5%. Only 0.2% received burns above 30% and above. Discussion Burns are a common and significant cause of admission following injury in children. Conclusion Urgent action needs to be taken to prevent burns, threat to life and significantly impact on quality of life among survivors in terms of cosmetic deformities with attendant psychosocial impact and physical deformities that impact ability. [ABSTRACT FROM PUBLISHER]

Published
2010
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4. The prevalence of low back pain Among employees of a paediatric hospital in Nairobi.

Author

Mutiso, V M and Amayo, E

Abstract

Objective To determine the prevalence of Low Back Pain among employees at a paediatric hospital in Nairobi in the year 2005. Design Descriptive Cross sectional study. Setting A medium sized paediatric hospital in Nairobi Results Questionnaires were sent to 347 employees of the hospital. The response rate was 19.3%. The age range was 25–57 years with a mean of 34 year. The majority were female comprising 67.2%.Nurses comprised 42.2% of the total. 63.6%had suffered back pain in that year of which 90.5% was located in the lower back. Conclusion: Low Back Pain is a common affliction among employees at this hospital. [ABSTRACT FROM PUBLISHER]

Published
2010
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