Open Access Ozdemir et al., J Diabetes Metab 2012, 3:9 DOI: 10.4172/2155-6156.1000221 Volume 3 • Issue 9 • 1000221 J Diabetes Metab ISSN:2155-6156 JDM, an open access journal Research Article Keywords: Diabetes mellitus; Type 2- psychiatric symptoms; Quality of life; Chronic disease Introduction Type 2 is the most commonly encountered form of diabetes, representing 90% of cases. Te current fgure of 150 million diabetics is expected to rise to 300 million in 2025 [1]. Type 2 diabetes mellitus (DM) gives rise to acute metabolic complications developing in the long term (coronary disease, peripheral artery disease, cerebrovascular disease) and to microvascular complications (nephropathy, retinopathy) [2]. Although type 2 DM is essentially a disease of the endocrine system, it also has psychosocial and psychological dimensions that impact on several systems. It can also lead to psychiatric disorders by afecting cerebral functions, and perception of the disease and its impact on the patient’s spheres of life can also give rise to psychiatric problems [3,4]. In addition to physical treatment, consideration of patients with diabetes as a whole requires diagnosis and treatment of the mental, psychological, psychophysical and psychosocial pictures accompanying the disease. Te majority of studies aimed at determining quality of life in patients with diabetes have shown a decline in quality of life with increasing duration of type 2 DM [5,6]. Te presence of complications, failure to establish sufcient metabolic control, the presence of other chronic diseases and previous psychological diseases, all have a negative impact on quality of life [7]. In another study, quality of life in patients reported as receiving insulin treatment was lower than that of patients receiving oral treatment. Conditions accompanied by obesity and complications also accompany a low quality of life [8]. In the presence of changes in blood glucose levels, disease-associated complications and other co-morbid chronic diseases, physical functioning impairment, problems and psychiatric disorders emerging as the duration of the disease increases all have an efect on emotional state and the difculties imposed on the patient by the disease. Tese difculties in turn impact on social functioning. Quality of life has been reported to be worse in diabetic individuals compared to the general population in several studies [9,10]. Signifcant advances in the treatment of diseases have led to an intensifcation of eforts directed toward the extension of average life expectancies and, in association with this, increasing quality of life in individuals with chronic diseases. Studies evaluating the efect on quality of life in patients with type 2 DM of diferent treatment modalities, symptom severity and other physical diseases accompanied by complications, report that these all have a negative impact [11-13]. Te aim of this study was to investigate the associations between quality of life and psychiatric symptoms observed in patients with type 2 DM and other co-morbid chronic physical diseases and sociodemographic variables. Methods Sample groups Te cases enrolled in the study were selected from consecutive patients under observation with a diagnosis of type 2 DM at the *Corresponding author: Cicek Hocaoglu, Department of Psychiatry, Medical School, University of Recep Tayyip Erdogan, 53000, Rize, Turkey, Tel: +90 464 2123000; E-mail: cicek.hocaoglu@rize.edu.tr Received August 30, 2012; Accepted October 15, 2012; Published October 21, 2012 Citation: Ozdemir I, Hocaoglu C, Kocak M, Ersoz OH (2012) The Effect on Quality of Life and Psychiatric Symptoms of other Co-morbid Chronic Diseases on Patients with Type 2 Diabetes Mellitus. J Diabetes Metab 3: 221. doi:10.4172/2155- 6156.1000221 Copyright: © 2012 Ozdemir I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Objective: This study was intended to examine the associations between psychiatric symptoms and quality of life in patients with diabetes and other co-morbid chronic physical diseases and sociodemographic variables. Method: One hundred randomly selected consecutive patients with type 2 diabetes mellitus (DM) admitted to the Department of Endocrinology out-patient clinic at the Karadeniz Technical University were enrolled. One hundred age-, gender- and marital status-matched volunteers served as the control group. The sociodemographic data form, Hospital Anxiety and Depression Scale (HAD) and Short Form-36 (SF–36) were completed for all participants. Results: Patient group education and income levels were lower than those of the controls. When SF-36 scores were compared in terms of presence or absence of co-morbid disease in addition to diabetes, mean scores of subjects with chronic disease were lower in the patient and control groups. When HAD-A and HAD-D mean scores were compared in terms of the presence or absence of other co-morbid chronic disease, both sub-scale scores were higher in those members of the patient group with chronic diseases. Conclusions: This study establishes that diabetes causes an extreme deterioration in patients’ quality of life and gives rise to many accompanying clinical signs. Our study thus emphasizes the need for consultation and liaison between departments. The Effect on Quality of Life and Psychiatric Symptoms of other Co-morbid Chronic Diseases on Patients with Type 2 Diabetes Mellitus Ilkay Ozdemir 1 , Cicek Hocaoglu 2 *, Mustafa Kocak 3 and Onder H Ersoz 3 1 Health Directorate, Trabzon, Turkey 2 Department of Psychiatry, University of Recep Tayyip Erdogan, Rize, Turkey 3 Department of Endocrinology and Metabolism, Karadeniz Technical University, Trabzon, Turkey J o u r n a l o f D i a b e t e s & M e t a b o l i s m ISSN: 2155-6156 Journal of Diabetes and Metabolism