Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus
Yıl: 2023 Cilt: 26 Sayı: 2 Sayfa Aralığı: 143 - 148 Metin Dili: İngilizce DOI: 10.5505/kpd.2023.85451 İndeks Tarihi: 05-07-2023
Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus
Öz: Objective: Type 2 Diabetes Mellitus (DM) is a chronic metabolic disease and a global health problem. Inadequate glycemic control and diabetes self-manage- ment can cause many secondary diseases. There are few studies on the association between attention deficit hyperactivity disorder (ADHD) and type 2 DM. Our study compares adult and childhood ADHD symptoms and signs and impulsivity in type 2 DM patients and healthy controls. Method: In this case-control study, data were collected voluntarily. The study was carried out with a total of 200 participants, including 100 people in both the Type 2 diabetes group and the healthy control group. The Barratt Impulsivity Scale version 11 (BIS-11), Adult ADHD Self-Report Scale (ASRS), Wender-Utah Rating Scale (WURS) and demographic information form were applied to the participants and compared between the groups. Results: The mean ASRS attention score, ASRS hyperactivity score, ASRS total score, WURS total score, BIS total score of the type 2 DM group were significantly higher than the control group. Moreover, the probability of ADHD was evaluated using the cut-off scores in the ASRS and WURS scales, and it was detected in signifi- cantly more people in the type 2 DM group. Discussion: Our study revealed that attention deficit, hyperactivity, and impulsivity symptoms are more com- mon in type 2 DM patients than controls. Evaluation of these symptoms may be beneficial in the self-manage- ment of diabetes and in improving glycemic control.
Anahtar Kelime: Tip 2 diyabet tanılı hastalarda dikkat eksikliği, hiperaktivite ve dürtüsellik semptomlarının değerlendirilmesi
Öz: Amaç: Kronik, metabolik bir hastalık olan tip 2 Diyabetes Mellitus (DM), küresel bir sağlık sorunudur. Yetersiz diya- bet özyönetimi ve glisemik kontrol birçok ikincil hastalığa sebep olabilir. Dikkatsizlik, motor hiperaktivite ve dürtüsellik ile karakterize Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) ve tip 2 DM arasındaki ilişki hakkında yeterince çalışma yoktur. Çalışmamızda tip 2 DM hastalarında ve sağlıklı kontrollerde erişkin ve çocukluk çağındaki DEHB belirti ve bulguları ile dürtüselliği karşılaştırmayı amaçladık. Yöntem: Araştırmamız bir olgu-kontrol çalışması olup veriler gönüllü katılım esasına göre toplandı. Çalışma Tip 2 diyabet ve sağlıklı kontrol grubunda 100 kişi olmak üzere toplam 200 katılımcı ile gerçekleştirildi. Çalışmaya alınan katılımcılara Erişkin Dikkat Eksikliği Hiperaktivite Bozukluğu Öz Bildirim Ölçeği (EDHÖ), Wender-Utah Derecelendirme Ölçeği (WUDÖ), Barratt Dürtüsellik Ölçeği 11. versiyon (BIS-11), demografik bilgi formu uygulandı ve gruplar arasında karşılaştırıldı. Bulgular: Tip 2 DM grubunun ortalama EDHÖ dikkat puanı, EDHÖ hiperaktivite puanı, EDHÖ toplam puanı, WUDÖ toplam puanı, BDÖ toplam puanı, kontrol grubuna göre anlamlı olarak yüksek bulundu. Ayrıca EDHÖ, WUDÖ ölçeklerinde kesme puan- lar kullanılarak DEHB olasılığı değerlendirildi ve tip 2 DM grubunda anlamlı olarak daha fazla kişide tespit edildi. Sonuç: Çalışmamızda tip 2 DM hastalarında dikkat eksikliği, hiperaktivite ve dürtüsellik semptomları kon- trollere göre daha fazla bulundu. Diyabetin öz yöneti- minde ve glisemik kontrolün iyileştirilmesinde bu semptomların değerlendirilmesi faydalı olabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Alberti KGMM, Zimmet PZ. Definition, diagnosis and classi- fication of diabetes mellitus and its complications. Part 1: diag- nosis and classification of diabetes mellitus. Provisional report of a WHO Consultation. Diabet Med 1998;15(7):539-53.
- 2.Bruno G, Runzo C, Cavallo-Perin P, Merletti F, Rivetti M, Pinach S, Novelli G, Trovati M, Cerutti F, Pagano G. Incidence of Type 1 and Type 2 Diabetes in Adults Aged 30-49 Years. The population-based registry in the province of Turin, Italy. Diabetes Care 2005;28(11):2613-9.
- 3.Holman N, Young B, Gadsby R. What is the current preva- lence of diagnosed and yet to be diagnosed diabetes in the UK. Diabet Med 2014;31(5):510-1.
- 4.Emerging Risk Factors Collaboration; Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, Di Angelantonio E, Ingelsson E, Lawlor DA, Selvin E, Stampfer M, Stehouwer CD, Lewington S, Pennells L, Thompson A, Sattar N, White IR, Ray KK, Danesh J. Diabetes mellitus, fasting blood glucose concen- tration, and risk of vascular disease: a collaborative meta-analy- sis of 102 prospective studies. Lancet. 2010 Jun 26;375(9733):2215-22. doi: 10.1016/S0140-6736(10)60484-9.
- 5.Van Damme H, Limet R. Amputation in diabetic patients. Clin Pediatr Med Surg 2007;24(3):569-582.
- 6.Saran R, Li Y, Robinson B, Ayanian J, Balkrishnan R, Bragg- Gresham J, Chen JTL, Cope E, Gipson D, He K, Herman W, Heung M,Hirth RA, Jacobsen SS,Kalantar-Zadeh K, Kovesdy CP, Leichtman AB, Lu Y, Molnar MZ, Morgenstern H, Nallamothu B, O'Hare AM, Pisoni R, Plattner B, Port FK, Rao P, Rhee CM, Schaubel DE, Selewski DT, Shahinian V, Sim JJ, Song P,Streja E, Tamura MK, Tentori F, Eggers PW, Agodoa LYC, Abbottet KC. US Renal Data System 2014 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis 2015;66(1):1-305.
- 7.Tuomilehto J, Rastenyte D, Jousilahti P, Sarti C, Vartiainen E. Diabetesmellitus as a risk factor for death from stroke: prospec- tive study of the middle-aged Finnish population. Stroke 1996;27(2):210-5.
- 8.Çelik S, Kayar Y, Önem Akçakaya R, Uyar ET, Kalkan K, Yazısız V, Aydın Ç, Yücel B. Correlation of bingeeating disorder with level of depression and glycemic control in type 2 diabetes mellitus patients. Gen Hosp Psychiatry 2015;37(2):116-9.
- 9.de Jonge P, Alonso J, Stein DJ, Kiejna A, Aguilar-Gaxiola S, Viana MC, Liu Z, O’Neill S, Bruffaerts R, Caldas-de-Almeida JM, Lepine JP, Matschinger H, Levinson D, de Girolamo G, Fukao A, Bunting B, Haro JM, Posada-Villa JA, Al- HamzawiAO, Medina-Mora ME, Piazza M, Hu C, Sasu C, Lim CCW, Kessler RC, Kate M. Associations between DSM-IV men- tal disorders and diabetes mellitus: a role for impulse control disorders and depression. Diabetologia. 2014;57(4):699–709.
- 10.Thapar A, Cooper M. Attention deficit hyperactivity disor- der. Lancet 2016;387:1240–50.
- 11.Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA.Theworldwideprevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 2007;164:942-8.
- 12.Moreno-Alcázar A, Ramos-Quiroga JA, Radua J, Salavert J, Palomar G, Bosch R, Salvador R, Blanch J, Casas M, Mckenna PJ, Pomarol-Clotet E. Brain abnormalities in adults with atten- tion deficit hyperactivity disorder revealed by voxel-based mor- phometry. Psychiatry Res Neuroimaging 2016;254:41–7.
- 13.Feldman HM, Reiff MI. Attention deficit–hyperactivity dis- order in children and adolescents. N Engl J Med 2014;370:838-46.
- 14.Cortese S, Tessari L. Attention-deficit/hyperactivity disorder (ADHD) and obesity: update 2016. Curr Psychiatry Rep 2017;19:4.
- 15.Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hırıpı E, Howes MJ, Jın R, Secnık K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general pop- ulation. Psychol Med 2005; 35:245-56.
- 16.Dogan S, Oncu B, Varol-Saracoglu G, Kucukgoncu S. Validity and reliability of the Turkish version of the Adult ADHD Self-Report Scale (ASRS-v1.1). Anadolu Psikiyatri Derg 2009;10:77-87.
- 17.Güleç H, Tamam L, Yazıcı Güleç M, Turhan M, Karakuş G, Stanford MS. Psychometric properties of the Turkish version of the barratt impulsiveness scale 11. Klinik Psikofarmakol Bulteni 2008; 18: 251-8.
- 18.Oncu B, Olmez S, Senturk V. Validity and reliability of the Turkish version of the Wender Utah Rating Scale for attention- deficit/hyperactivity disorder in adults. Turk Psikiyatri Derg 2005;16(4): 252-9.
- 19.Čukić I, Mõttus R, Realo A, Allik J. Eluci dating the links between personality traits and diabetes mellitus: Examiningt he role of facets, assessment methods, and selected mediators. Pers Individ Dif 2016; 94:377-82.
- 20.Terracciano A, Sutin AR, McCrae RR, Deiana B, Ferrucci L, Schlessinger D, Uda M, Costa PT. Facets of personality linked to under weight and over weight. Psychosom Med 2009; 71(6):682- 9.
- 21.Jacobs E, Hoyer A, Brinks R, Icks A, Kuß O, Rathmann W. Healthcare costs of Type 2 diabetes in Germany. Diabet Med 2017; 34(6):855–61.
- 22.Eckstrand KL, Mummareddy N, Kang H, Cowan R, Zhou M, Zald D, Silver HJ, Niswender KD, Avison MJ. An insulin resis- tance associated neural correlate of impulsivity in type 2 dia- betes mellitus. PLoS One 2017; 12(12):e0189113.
- 23.Chen Q, Hartman CA, Haavik J, Harro J, Klungsøyr K, Hegvik TA, Wanders R, Ottosen C, Dalsgaard S, Stephen V. Faraone SV, HenrikLarsson H. Common psychiatric and metabolic comorbidity of adult attention-deficit/hyperactivity disorder: a population-based cross-sectional study. PLoS One 2018;13:e0204516.
- 24.Chen M-H, Pan T-L, Hsu J-W, Huang K-L, MD; Su T-P, Li C- T, Lin W-C, Tsai S-J, Chang W-H, Chen T-J, Bai Y-M. Risk of type 2 diabetes in adolescents and young adults with attention deficit/hyperactivity disorder. J Clin Psychiatry 2018;79(3):429.
- 25.Hsu JL, Chen YL, Leu JG, Lee CH, Tsai YF, Hsu CY, Bai CH, Leemans A. Microstructural white matter abnormalities in type 2 diabetes mellitus: a diffusion tensör imaging study. Neuroimage 2012;59:1098-105.
- 26.Novak V, Last D, Alsop DC, Abduljalil AM, Hu K, Lepicoysky L, Cavallerano J, Lipsitz LA. Cerebral blood flow velocity and periventricular white matter hyperintensities in type 2 diabetes. Diabetes Care 2006;29:1529–34.
- 27.Niwa H, Koumoto C, Shiga T, Takeuchi J, Mishima S, Segawa T, Atsumi T, Shimizu C, Koike T, Yoshioka N. Clinical analysis of cognitive function in diabetic patients by MMSE and SPECT. Diabetes Res Clin Pract 2006;72:142-7.
- 28.Duncan J, Owen AM. Common regions of the human frontal lobe recruited by diverse cognitive demands. Trends Neurosci 2000;23:475-83.
- 29.Goldman-Rakic PS. Topography of cognition: parallel dis- tributed networks in primate association cortex. Annu Rev Neurosci 1988;11:137-56.
- 30.Makris N, Meyer JW, Bates JF, Yeterian EH, Kennedy DN, Caviness VS. MRI-Based topographic parcellation of human cerebral white matter and nuclei II. Rationale and applications with systematics of cerebral connectivity. Neuroimage 1999;9:18-45.
| APA | İnaltekin A, yağcı i, ATALAY E (2023). Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. , 143 - 148. 10.5505/kpd.2023.85451 |
| Chicago | İnaltekin Ali,yağcı ibrahim,ATALAY ERAY Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. (2023): 143 - 148. 10.5505/kpd.2023.85451 |
| MLA | İnaltekin Ali,yağcı ibrahim,ATALAY ERAY Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. , 2023, ss.143 - 148. 10.5505/kpd.2023.85451 |
| AMA | İnaltekin A,yağcı i,ATALAY E Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. . 2023; 143 - 148. 10.5505/kpd.2023.85451 |
| Vancouver | İnaltekin A,yağcı i,ATALAY E Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. . 2023; 143 - 148. 10.5505/kpd.2023.85451 |
| IEEE | İnaltekin A,yağcı i,ATALAY E "Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus." , ss.143 - 148, 2023. 10.5505/kpd.2023.85451 |
| ISNAD | İnaltekin, Ali vd. "Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus". (2023), 143-148. https://doi.org/10.5505/kpd.2023.85451 |
| APA | İnaltekin A, yağcı i, ATALAY E (2023). Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. Klinik Psikiyatri Dergisi, 26(2), 143 - 148. 10.5505/kpd.2023.85451 |
| Chicago | İnaltekin Ali,yağcı ibrahim,ATALAY ERAY Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. Klinik Psikiyatri Dergisi 26, no.2 (2023): 143 - 148. 10.5505/kpd.2023.85451 |
| MLA | İnaltekin Ali,yağcı ibrahim,ATALAY ERAY Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. Klinik Psikiyatri Dergisi, vol.26, no.2, 2023, ss.143 - 148. 10.5505/kpd.2023.85451 |
| AMA | İnaltekin A,yağcı i,ATALAY E Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. Klinik Psikiyatri Dergisi. 2023; 26(2): 143 - 148. 10.5505/kpd.2023.85451 |
| Vancouver | İnaltekin A,yağcı i,ATALAY E Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus. Klinik Psikiyatri Dergisi. 2023; 26(2): 143 - 148. 10.5505/kpd.2023.85451 |
| IEEE | İnaltekin A,yağcı i,ATALAY E "Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus." Klinik Psikiyatri Dergisi, 26, ss.143 - 148, 2023. 10.5505/kpd.2023.85451 |
| ISNAD | İnaltekin, Ali vd. "Evaluation of attention deficit, hyperactivity, and impulsivity symptoms in patients with type 2 diabetes mellitus". Klinik Psikiyatri Dergisi 26/2 (2023), 143-148. https://doi.org/10.5505/kpd.2023.85451 |
