Josip Juraj Strossmayer University of Osijek. Faculty of Medicine.
Abstract
Cilj istraživanja. Cilj istraživanja je bio utvrditi učestalost dijabetesa melitusa tipa II među oboljelima od duševnih poremećaja (shizofrenija i shizofreniji slični poremećaji, afektivni poremećaji, anksiozni poremećaji, bolesti ovisnosti), utvrditi povezanost dijabetesa i tjelesne težine oboljelih, povezanost vrste psihofarmaka i dijabetesa, povezanost trajanja duševnog poremećaja i dijabetesa te povezanost dijabetesa u psihijatrijskih bolesnika s podatcima o dijabetesu među njihovim srodnicima.
Nacrt studije. Presječno istraživanje provedeno je u Klinici za psihijatriju Kliničkog bolničkog centra Osijek.
Ispitanici i metode. Istraživanjem je obuhvaćeno 1264 duševna bolesnika oboljelih duševnih poremećaja (shizofreni i shizofreniji slični poremećaji, afektivni poremećaji, bolesti ovisnosti te anksiozni poremećaji) koji su liječeni u Klinici za psihijatriju KBC-a Osijek od 2010. do 2015. Povijesti bolesti bolesnika korištene su kao izvor podataka.
Rezultati. Utvrđeno je da je dijabetes najučestaliji kod shizofrenih bolesnika te da je najučestaliji kod bolesnika koji su koristili klozapin kao svoju primarnu terapiju. Dijabetes je kod osoba koje su koristile risperidon značajno manji od očekivanog.
Zaključak. Dijabetes melitus tipa II učestaliji je kod psihijatrijskih bolesnika, a najčešći je u skupini oboljelih od shizofrenije. Najviše ispitanika oboljelih od dijabetesa su koristili klozapin.Aim. The aim of the research was to determine the prevalence of diabetes mellitus type II in people suffering from mental diseases (schizophrenia and disorders similar to schizophrenia, affective disorders, anxiety disorders, the disease of addiction), determine if there is a correlation between the diabetes and body weight of patients, determine if there is a correlation between type of psychopharmacological drugs they were taking and diabetes, determine if there is correlation between duration of mental disorder and diabetes and determine if there is correlation between diabetes in patients suffering from mental disease and information about the presence of diabetes in relatives. Study outline. Cross-sectional study was conducted at the Department of Psychiatry, University Hospital Centre Osijek. Patients and methods. The study included 1264 patients suffering from mental diseases (schizophrenia and disorders similar to schizophrenia, affective disorders, the disease of addiction, anxiety disorders) treated at the Department of Psychiatry, University Hospital Centre Osijek 2010 – 2015. Medical history of the patients was used as a source of the data. Results. Diabetes is most commonly found in the schizophrenic patients, and it is most common in patients who have used clozapine as their primary therapy. Diabetes in people who used risperidone was significantly lower than expected. Conclusion. Diabetes mellitus type II is common in psychiatric patients, in the group of patients with schizophrenia respectfully. The most diabetes patients are treated with clozapine
