The clinical picture of diabetes melhtus and its relationship to the psychodynamic features of the nervous system

Abstract

A hundred and fifty patients with types 1 (n = 90) and 2 (n = 60) diabetes mellitus (DM) were examined to elucidate its clinical picture and its relationship to psychophysiological parameters. Hypernosognosia with anxiety and hypochondria was found to be more common in high-anxiety persons with a preponderance of inhibitory processes, with a low agility of nervous processes, a low need for activities and familiarization of disciplines, low levels of activation, activities, vitality, and a high emotional response to a situation. Hyponosognosia is associated with a low anxiety, a preponderance of excitative processes, with a high agility of nervous processes, a great need for activities and familiarization of disciplines, a prompt performance of operations while making any activity, and a low emotionality. The found specific features suggest that there is a relationship of the psychodynamic traits of a personality to the formation of the type of an attitude to the disease. For adequate correction of DM, when an aid delivered to the patients, it is necessary to take into account their psychodynamic traits, i e. the predominance of excitative or inhibitory processes, the agility of nervous processes, the need for activities, the speed of its performance, the level of anxiety and emotional responsiveness, which determine the type of an attitude to the disease.