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Autori: Alessandra Pokrajac-Bulian, Sanja Klobučar Majanović, Davor Štimac
Naslov: Illness perception in overweight and obese patients with diabetes mellitus
Skup: European conference of obesity 2016
Mjesto i datum: Gothenburg, Švedska, 1.-4.06.2016
Ključne riječi: illness perception; anxiety; depression; diabetes mellitus; obesity
Background and aims: Most patients with T2DM are overweight or obese, and the global epidemic of obesity largely explains the dramatic increase in the prevalence of T2DM over the past years (1). Prevalence of depressive affect and distress is much higher than the prevalence of any mood disorder in patients with T2DM (2). These subclinical conditions tend to be more persistent over time and are more closely related to diabetes control (3). Subclinical symptoms of depression are also associated with treatment nonadherence and risk of complications and mortality in patients with T2DM (4). Objectives: The purpose of this research was to investigate the determinants of anxiety and depressive disorders in obese or overweight adults with T2DM. Materials and methods: A total of 35 patients (14 women and 21 men) were enrolled in the study, 51% of the subjects were overweight and 49% were obese. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS), the Revised Illness Perception Questionnaire (IPQ-R) assessed the five components of the illness representation – identity, consequences, timeline, control/cure and cause in Leventhal’s Self-Regulatory Model. Results: The regression analysis results indicated that the only significant predictor of anxiety in obese and overweight patients with T2DM was the negative consequences of illness representation. The higher level of body weight, disease duration and the negative consequences of the illness are found to be potential risk factors for the development of depressive symptoms in patients with T2DM. Conclusion: Results of this preliminary study suggest that the cognitive components of patients’ representations of illness, especially negative consequences and chronicity, can serve as important predictors in the risk assessment for the development of anxiety and depressive disorders, rather than the objective features of the disease such as disease duration or diabetes control. References: (1) Eckel RH et al. Diabetes Care 2011 ; 34(6):1424-1430. ; (2) Gonzalez JS et al. Diabetes Care 2011 ; 34(1): 236–239. ; (3) L. Fisher et al. Diabet Med 2008 ; 25(9): 1096– 1101. ; (4) Gonzalez JS et al. Diabetes Care 2007 ; 30(9): 2222–2227.
Vrsta sudjelovanja: Poster
Vrsta prezentacije u zborniku: Sažetak
Vrsta recenzije: Međunarodna recenzija
Izvorni jezik: ENG
Kategorija: Znanstveni
Znanstvena područja:
Upisao u CROSBI: Alessandra Pokrajac-Bulian (, 2. Sij. 2017. u 23:29 sati
This research is a part of the project ‘Biopsychosocial aspects of obesity’ (number: supported by grant from University of Rijeka, Croatia.

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