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Ji L, Zhang Y, Zhang Q, et al. Self-Reported Depressive Symptoms Might be Associated with Sudomotor Dysfunction in Chinese T2DM Patients. Exp Clin Endocrinol Diabetes. 2019;129(9):689-694doi: 10.1055/a-1025-3724.
Ji, L., Zhang, Y., Zhang, Q., Zheng, H., Sun, W., Zhu, X., Zhang, S., Lu, B., Su, L., Shi, H., Li, Y., & Liu, X. (2021). Self-Reported Depressive Symptoms Might be Associated with Sudomotor Dysfunction in Chinese T2DM Patients. Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 129(9), 689-694. https://doi.org/10.1055/a-1025-3724
Ji, Lijin, et al. "Self-Reported Depressive Symptoms Might be Associated with Sudomotor Dysfunction in Chinese T2DM Patients." Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association vol. 129,9 (2021): 689-694. doi: https://doi.org/10.1055/a-1025-3724
Ji L, Zhang Y, Zhang Q, Zheng H, Sun W, Zhu X, Zhang S, Lu B, Su L, Shi H, Li Y, Liu X. Self-Reported Depressive Symptoms Might be Associated with Sudomotor Dysfunction in Chinese T2DM Patients. Exp Clin Endocrinol Diabetes. 2021 Sep;129(9):689-694. doi: 10.1055/a-1025-3724. Epub 2019 Nov 13. PMID: 31724130.
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Exp Clin Endocrinol Diabetes. 2021 Sep;129(9):689-694. doi: 10.1055/a-1025-3724. Epub 2019 Nov 13.

Self-Reported Depressive Symptoms Might be Associated with Sudomotor Dysfunction in Chinese T2DM Patients.

Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association

Lijin Ji, Yuanpin Zhang, Qi Zhang, Hangping Zheng, Wanwan Sun, Xiaoming Zhu, Shuo Zhang, Bin Lu, Liang Su, Hongli Shi, Yiming Li, Xiaoxia Liu

Affiliations

  1. Department of Endocrinology and Metabolism, Huashan Hospital, Shanghai Medical College, Fudan University.
  2. Department of Psychiatry, Huashan Hospital, Shanghai Medical College, Fudan University, China.

PMID: 31724130 DOI: 10.1055/a-1025-3724

Abstract

AIMS: To determine the relationships of sudomotor functions, nerve conductions and self-reported depressive symptoms in Chinese type 2 diabetes (T2DM) patients.

METHODS: T2DM patients in a single community health center were included in this study. Demographic, medical and laboratory data were collected. Michigan Neuropathy Screening Instrument (MNSI) examination was conducted in all patients. SUDOSCAN test and Point-of-care Nerve Conduction Device (DPN-check) were conducted and all the patients finished the Patient Health Questionnaire-9 (PHQ-9).

RESULTS: A total of 162 T2DM patients (74 males and 88 females) were included. The mean age was 69.0±7.2 years and the mean course of diabetes was 10.5±8.0 years with a mean HbA1c level of 7.3±1.4%. Thirty of them (18.5%) had self-reported depressive symptoms (PHQ-9 scores≥5). Diabetic peripheral neuropathy (DPN) was diagnosed according to the MSNI examination in 74 patients. Electrochemical skin conductance (ESC) values of both hands and feet were significantly lower in patients with depressive symptoms (Hands ESC: 60.63±18.92 vs. 67.64±16.02 μS, p<0.05; Feet ESC: 59.60 ± 15.19 vs. 66.19±14.99 μS, p<0.05). The proportion of patients with moderate to severe depressive symptoms were significantly higher in those with ESC values<60 μS (13.33% vs. 3.846%, p<0.05). Hands ESC values were negatively related to PHQ-9 scores (r =- 0.168, p<0.05). After adjusting for variables, hands and feet ESC values remained negatively related with depressive symptoms (β =- 0.036 and-0.038, p<0.05). Female were positively related to depressive symptoms with odds ratio 3.4 (95%CI 1.1-10.5, p<0.05).

CONCLUSION: Self-reported depressive symptoms might be associated with sudomotor dysfunction in Chinese T2DM patients.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

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