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A healthy you means a healthy society. Khaleej Times' latest campaign under the 'KT For Good' umbrella highlights common lifestyle diseases. In Part 8 of our series, Dr Anil Kumar P N tackles how chronic conditions affect patients' mental health
Diabetes, high blood pressure, heart disease and obesity are classified as chronic conditions - which means these are long-standing conditions.
While the traditional management of these issues includes medications, diet and exercise, the psychological aspects of these diseases are overwhelming and often neglected.
Psychological disturbances significantly contribute to poorly perceived health status in these chronic conditions.
The impact of the diagnosis will have a bearing on the person and his or her family and friends. They have to adapt to the changes it asks for and they will be compelled to reach goals they have never thought of before.
The novelty of the diagnosis and the changes expected can at times become a burden they would have to carry 24/7. As they cope with the diagnosis and treatment, these patients develop psychological issues, such as depression, anxiety and anger.
Depression in adults with diabetes is very common - two times greater than for people without diabetes. One in five patients with chronic heart disease or heart failure is depressed, a prevalence that is at least three times greater than in the general population. However, given that depression is not always detected by the healthcare provider, it frequently remains untreated.
This compounds adverse cardiovascular outcomes and increased healthcare costs. Depression directly affects blood glucose control - and high blood glucose results in increased risk of diabetic vascular complications (heart disease and stroke) and nervous system and kidney problems.
Depression in persons with diabetes is associated with poorer diet and medication adherence, leading to functional impairment and higher healthcare costs.
Depression in adults with diabetes is two times greater than for persons without diabetes 1 in 5 patients with chronic heart disease or heart failure is depressed, a prevalence that is at least 3 times greater than in the general population. Depression directly affects blood glucose control - and high blood glucose results in the increased risk of diabetic vascular complications (heart disease and stroke) and nervous system and kidney problems Prevalence of anxiety in people with diabetes is 30% - 40%Research indicates that women with diabetes have significantly higher levels of anxiety than men (55% vs 33% Anxiety, frustration and anger about having these conditions contribute to increased blood pressure and also impact interpersonal relationships |
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