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Diabetes Care. 2015 Dec;38(12):2341-3. doi: 10.2337/dc15-0982. Epub 2015 Oct 12.

Depressive Symptoms in Youth With Type 1 or Type 2 Diabetes: Results of the Pediatric Diabetes Consortium Screening Assessment of Depression in Diabetes Study.

Author information

1
Pediatric Endocrinology, University of Florida, Gainesville, FL.
2
Jaeb Center for Health Research, Tampa, FL.
3
Jaeb Center for Health Research, Tampa, FL pdc@jaeb.org.
4
Barbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado, Aurora, CO.
5
Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA.
6
Children's Hospital of Philadelphia, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
7
U.S. Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX Pediatric Diabetes and Endocrinology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.
8
Department of Pediatric Endocrinology, Mott Children's Hospital, University of Michigan, Ann Arbor, MI.
9
Pediatric Endocrinology, Yale University, New Haven, CT.
10
Pediatric Diabetes and Endocrinology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.

Abstract

OBJECTIVE:

To evaluate the frequency of depressive symptoms and the diagnosis and management of depression in youth with type 1 diabetes (T1D) and type 2 diabetes (T2D) enrolled in the Pediatric Diabetes Consortium T1D and T2D registries.

RESEARCH DESIGN AND METHODS:

The Children's Depression Inventory (CDI) 2 Self-Report (Short) version was completed by 261 T1D and 339 T2D youth aged 10-17 years.

RESULTS:

Symptoms of depression were identified in 13% of T1D and 22% of T2D (P = 0.007) participants; of these, only 4% of T1D and 9% of T2D youth were treated by a therapist within the prior 12 months. Depressive symptoms were associated with lower family income (P = 0.006) and obesity (P = 0.002) in T1D but not T2D youth.

CONCLUSIONS:

Depressive symptoms are more frequent than diagnosed depression in youth with T1D or T2D. These results underscore the need for regular depression screening and appropriate referral for youth with diabetes.

PMID:
26459274
DOI:
10.2337/dc15-0982
[Indexed for MEDLINE]
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