Relação entre diabetes e depressão: revisão integrativa.

Abstract

Introduction: Diabetes represents a heterogeneous group of metabolic disorders characterized by a persistent hyperglycemia, and It is currently classified in Diabetes Mellitus type 1 (DM1), Diabetes Mellitus type 2 (DM2), other specific types of DM and gestational DM and It could be associated with medical problems, serious social and psychological comorbidities. Depression is a mental disorder of heterogeneous clinical picture, presenting emotional and cognitive components. The chance of occurrence of depressive symptoms are twice as high among patients with diabetes , which is associated with lower quality in self-care , reducing rates of adherence to medication and non-medication treatment , inefficiency in controlling the blood sugar , the greater number of complications diabetes, reduced physical and mental ability , besides the increase in mortality rates Objective: Evaluate the relationship between depression and patients with diabetes and the impact of the association of these diseases in the management and prognosis of these individuals Methodology: It is an integrative review method of literature, using the descriptors diabetes, depression, adult, review, diabetic, depressão, adultos, revisão. The consulted databases were PubMed, SciELO and CAPES, articles from the past 13 years were selected and those non-related directly to the theme were excluded. Results: The selected seven articles with good evidence level were analyzed. Evidence showed that patients with DM have more than twice as many chances of having depression when compared to non-diabetic patients. It was also noticed that depressive patients have a higher risk of developing type 2 diabetes and a heavier consumption of anti- depressants by diabetic patients. Discussion: The coexistence of the two diseases worsen the prognosis of each of them, requiring strategies of early diagnosis of the conditions for the adequate approach.