Acta Medica Okayama 71巻 4号
2017-08 発行

Comparison of Psychological Distress between Type 2 Diabetes Patients with and without Proteinuria

Asakura, Rie Takamatsu City Office
Miyatake, Nobuyuki Department of Hygiene, Faculty of Medicine, Kagawa University
Dokai Mochimasu, Kazumi Department of Hygiene, Faculty of Medicine, Kagawa University
Kurato, Risa Department of Hygiene, Faculty of Medicine, Kagawa University
Kuwana, Susumu Kagawa Medical Office Attached to Takamatsu Municipal Hospital
Publication Date
2017-08
Abstract
We investigated the link between proteinuria and psychological distress among patients with type 2 diabetes mellitus (T2DM). A total of 130 patients with T2DM aged 69.1±10.3 years were enrolled in this cross-sectional study. Urine and blood parameters, age, height, body weight, and medications were analyzed, and each patient’s psychological distress was measured using the six-item Kessler Psychological Distress Scale (K6). We compared the K6 scores between the patients with and without proteinuria. Forty-two patients (32.3%) had proteinuria (≥±) and the level of HbA1c was 7.5±1.3%. The K6 scores of the patients with proteinuria were significantly higher than those of the patients without proteinuria even after adjusting for age and sex. The clinical impact of proteinuria rather than age, sex and HbA1c was demonstrated by a multiple regression analysis. Proteinuria was closely associated with higher psychological distress. Preventing and improving proteinuria may reduce psychological distress in patients with T2DM.
Document Type
Original Article
Keywords
proteinuria
psychological distress
K6
type 2 diabetes mellitus
Link to PubMed
Thumnail 71_4_309.pdf 1.93 MB