PT - JOURNAL ARTICLE AU - Santosh K Chaturvedi AU - Shayanth Manche Gowda AU - Helal Uddin Ahmed AU - Fahad D Alosaimi AU - Nicola Andreone AU - Alexey Bobrov AU - Viola Bulgari AU - Giuseppe Carrà AU - Gianluca Castelnuovo AU - Giovanni de Girolamo AU - Tomasz Gondek AU - Nikola Jovanovic AU - Thummala Kamala AU - Andrzej Kiejna AU - Nebojsa Lalic AU - Dusica Lecic-Tosevski AU - Fareed Minhas AU - Victoria Mutiso AU - David Ndetei AU - Golam Rabbani AU - Suntibenchakul Somruk AU - Sathyanarayana Srikanta AU - Rizwan Taj AU - Umberto Valentini AU - Olivera Vukovic AU - Wolfgang Wölwer AU - Larry Cimino AU - Arie Nouwen AU - Cathy Lloyd AU - Norman Sartorius TI - More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus AID - 10.1136/gpsych-2019-100076 DP - 2019 Aug 01 TA - General Psychiatry PG - e100076 VI - 32 IP - 4 4099 - http://gpsych.bmj.com/content/32/4/e100076.short 4100 - http://gpsych.bmj.com/content/32/4/e100076.full SO - Gen Psych2019 Aug 01; 32 AB - Background Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited.Aims To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries.Methods People aged 18–65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected.Results A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India.Conclusions Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted.