Resumen
Objetivo: evaluar la prevalencia de síntomas de ansiedad y depresión en personas con diabetes mellitus (DM) tipo 2 e identificar su relación con el autocuidado y con factores individuales y socioeconómicos. Métodos: Se utilizaron un cuestionario sociodemográfico; el Cuestionario de Trastorno de Ansiedad General (GAD-7); el Cuestionario sobre la Salud del Paciente-9 (PHQ-9) para evaluar el riesgo de depresión; y el Resumen de su Autocuidado con la Diabetes (SDSCA-Sp). Resultados: Se evaluaron 78 personas con DM, seguidas en la atención primaria del Sistema Único de Salud (SUS) de Brasil. El 50,0% presentó algún grado de ansiedad y el 25,6% ansiedad clínicamente relevante. Se identificó algún grado de depresión en el 48,7% de los participantes y depresión clínicamente relevante en el 25,6%. El coeficiente de correlación entre las puntuaciones de GAD-7 y PHQ-9 fue alto (ρ = 0,7110; p < 0,0001). Las puntuaciones de GAD-7, PHQ-9 y SDSCA-Sp se correlacionaron con el IMC, el número de comorbilidades y el estado de salud general autoinformado. Conclusión: los cuestionarios utilizados son sencillos de aplicar y facilitan la planificación de la atención integral para personas con DM en el SUS.
Referencias
ABBAS Q, et al. Cognitive behavior therapy for diabetes distress, depression, health anxiety, quality of life and treatment adherence among patients with type-II diabetes mellitus: a randomized control trial. BMC Psychiatry, 2023; 23(1): 86.
ADA. Standards of Care in Diabetes - 2026. Diabetes Care, 2025; 49(Suppl 1): S1-S371. DOI: https://diabetesjournals.org/care/issue/49/Supplement_1.
ALBAI O, et al. Predictive Factors of Anxiety and Depression in Patients with Type 2 Diabetes Mellitus. Journal of Clinical Medicine, 2024; 13(10): 3006.
ALVA ML. Co-occurrence of diabetes and depression in the U.S. PLoS One, 2020; 25;15(6): e0234718.
BERTO LF, et al. Increased Prevalence of Depression and Anxiety Among Subjects With Metabolic Syndrome in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Journal of the Academy of Consultation-Liaison Psychiatry, 2022; 63(6): 529–538.
BRASIL. Pesquisa Nacional de Saúde: 2019: percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal: Brasil e grandes regiões/IBGE, Coordenação de Trabalho e Rendimento - Rio de Janeiro: IBGE, 2020. 113p. Disponível em: https://agenciadenoticias.ibge.gov.br/media/com_mediaibge/arquivos/005355051927a647d3b01a5c8f735494.pdf. Acessado em: 07 de junho de 2026.
BREHMER LCF, et al. Diabetes mellitus: estratégias de educação em saúde para o autocuidado. Revista de Enfermagem da UFPE, 2021; 15: 246321.
CALCULADORA AMOSTRAL. Comentto. Disponível em: https://comentto.com/calculadora-amostral/. Acessado em 07 de junho de 2026.
Chang CY, et al. The status of depression associated with macrovascular and microvascular comorbidities in patients with long-duration type 2 diabetes: A cross-sectional study from the Taiwan diabetes registry. Journal of Psychosomatic Research, 2026; 207: 112662.
CHOWDHURY HA, et al. The effectiveness of diabetes self-management education intervention on glycaemic control and cardiometabolic risk in adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis. PloS One, 2024; 19(2): e0297328.
FRANQUEZ R, et al. Interventions for depression and anxiety among people with diabetes mellitus: Review of systematic reviews. PloS One, 2023; 18(2): e0281376.
GONÇALVES AP, et al. Evidências de Validade para Generalized Anxiety Disorder 7-Item (GAD-7). Revista Psicologia e Saúde, 2023; 15(1): e15101743.
GONZALEZ JS, et al. Emotional distress, self-management, and glycemic control among participants enrolled in the glycemia reduction approaches in diabetes: A comparative effectiveness (GRADE) study. Diabetes Research and Clinical Practice, 2023; 196: 110229.
He J, et al. Aerobic Exercise Improves the Overall Outcome of Type 2 Diabetes Mellitus Among People with Mental Disorders. Depression and Anxiety, 2024: 6651804.
HERHAUS B, et al. Depression, anxiety, and health-related quality of life in normal weight, overweight and obese individuals with diabetes: a representative study in Germany. Acta Diabetologica, 2024; 61(6): 725–734.
IDF-International Diabetes Federation. The Diabetes Atlas. 11th ed. Bruxelas: International Diabetes Federation, 2025. Disponível em: https://diabetesatlas.org/. Acesso em 05 de junho de 2026.
JIANG L, et al. Nurse-led follow-up care versus routine health education and follow-up in diabetes patients: An effectiveness analysis. Medicine, 2024; 103(22): e38094.
KUNHI AA, et al. Diabetes self-care, psychological distress, and quality of life among people with type 2 diabetes in low-income urban communities: An exploratory mixed-methods study in Hyderabad, India. Archives of Gerontology and Geriatrics Plus, 2026; 3(2): 100262.
McINERNEY AM, et al. Diabetes Distress, Depressive Symptoms, and Anxiety Symptoms in People with Type 2 Diabetes: A Network Analysis Approach to Understanding Comorbidity. Diabetes Care, 2022; 45(8): 1715–1723.
MICHELS MJ, et al. Questionário de Atividades de Autocuidado com o Diabetes: tradução, adaptação e avaliação das propriedades psicométricas. Arquivos Brasileiros de Endocrinologia e Metabologia, 2010; 54(7): 644-651.
MORENO AL, et. al. Factor Structure, Reliability, and Item Parameters of the Brazilian-Portuguese Version of the GAD-7 Questionnaire. Temas em Psicologia. 2016; 24(1): 367-376.
MORRISSEY PI, et al. Nutrition interventions for anxiety, depression, stress and/or diabetes-related distress in individuals with diabetes: A systematic review and meta-analysis of randomised controlled trials. Diabetes, Obesity & Metabolism, 2026;28(4): 2697–2712.
POWELL, RE, et al. Strategies for overcoming therapeutic inertia in type 2 diabetes: A systematic review and meta-analysis. Diabetes, Obesity & Metabolism, 2021; 23(9): 2137–2154.
RANASINGHE MP, et al. A structured education program for improving cardiovascular risk and glycaemic control in type 2 diabetes mellitus (the SUGAR study). Primary care diabetes, 2025; 19(6): 592–601
RZEWUSKA M, et al. Epidemiology of multimorbidity within the Brazilian adult general population: Evidence from the 2013 National Health Survey (PNS 2013). PLoS One, 2017; 12(2): e0171813.
SANTOS IS, et al. Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cadernos de Saúde Pública, 2013; 29(8): 1533-1543.
SBD – Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes 2025. Disponível em: https://diretriz.diabetes.org.br/. Acesso em 05 de junho de 2026.
SCHMITT A, et al. Associations of depression and diabetes distress with self-management behavior and glycemic control. Health Psychology, 2021; 40(2): 113-124.
YANG K, et al. Prevalence and risk factors of depression in patients with diabetes mellitus: a systematic review and meta-analysis. Frontiers in Endocrinology, 2025; 16: 1660478.
