Mental Health Issues in Adolescents and Young Adults With Type 1 Diabetes: Prevalence and Impact on Glycemic Control

被引：163

作者：

Bernstein, Carrie M. ^{[2
]}

Stockwell, Melissa S. ^{[2
,3
]}

Gallagher, Mary Pat ^{[2
,4
]}

Rosenthal, Susan L. ^{[2
,5
]}

Soren, Karen ^{[1
,2
,3
]}

机构：

[1] Columbia Univ, Div Child & Adolescent Hlth, Med Ctr, Dept Pediat, New York, NY 10032 USA

[2] NewYork Presbyterian Morgan Stanley Childrens Hos, New York, NY USA

[3] Columbia Univ, Mailman Sch Publ Hlth, Dept Populat & Family Hlth, New York, NY USA

[4] Columbia Univ, Med Ctr, Naomi Berrie Diabet Ctr, New York, NY USA

[5] Columbia Univ, Dept Psychiat, New York, NY USA

来源：

CLINICAL PEDIATRICS | 2013年 / 52卷 / 01期

关键词：

mental health; diabetes; adolescents; depression; BECK DEPRESSION INVENTORY; EATING-DISORDERS; METABOLIC-CONTROL; ANXIETY; SCREEN; CHILD; RISK; ASSOCIATIONS; RETINOPATHY; BEHAVIORS;

D O I：

10.1177/0009922812459950

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Mental health comorbidities can negatively affect disease management in adolescents with chronic illnesses. This study sought to determine the prevalence and impact of mental health issues in a population of adolescents and young adults with type 1 diabetes. A cross-sectional study of 150 patients aged 11 to 25 years with type 1 diabetes from an urban, academic diabetes center was conducted. Participants completed 3 validated mental health disorder screening instruments: Beck's Depression Inventory, the Screen for Child Anxiety Related Emotional Disorders-41 anxiety screen, and the Eating Disorder Screen for Primary Care. More than a third screened positive: 11.3% for depression, 21.3% for anxiety, and 20.7% for disordered eating (14.7% had >= 2 positive screens). Patients with a positive screen had twice the odds of having poor glycemic control as those without, as measured by HgbA1c. This study supports screening for mental health issues in adolescents and young adults with type 1 diabetes.

引用

页码：10 / 15

页数：6

共 44 条

[1] Disordered eating and body dissatisfaction in adolescents with type 1 diabetes and a population-based comparison sample: comparative prevalence and clinical implications [J].

Ackard, Diann M. ;

Vik, Nicole ;

Neumark-Sztainer, Dianne ;

Schmitz, Kathryn H. ;

Hannan, Peter ;

Jacobs, David R., Jr. .

PEDIATRIC DIABETES, 2008, 9 (04) :312-319

[2]

Allan A.I. C. G., 1995, LANG TEST, V12, P133

[3]

[Anonymous], DAT NAT DIAB FACT SH

[4]

[Anonymous], MAJ DEPR DIS CHILDR

[5] Psychological test usage with adolescent clients: Survey update [J].

Archer, RP ;

Newsom, CR .

ASSESSMENT, 2000, 7 (03) :227-235

[6] PROPERTIES OF THE BECK DEPRESSION INVENTORY AS A SCREENING INSTRUMENT FOR ADOLESCENT DEPRESSION [J].

BARRERA, M ;

GARRISONJONES, CV .

JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 1988, 16 (03) :263-273

[7] Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients [J].

Beck, AT ;

Steer, RA ;

Ball, R ;

Ranieri, WF .

JOURNAL OF PERSONALITY ASSESSMENT, 1996, 67 (03) :588-597

[8] Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study [J].

Birmaher, B ;

Brent, DA ;

Chiappetta, L ;

Bridge, J ;

Monga, S ;

Baugher, M .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1999, 38 (10) :1230-1236

[9] PERFORMANCE OF SCREENING TOOLS FOR MENTAL-HEALTH PROBLEMS IN CHRONICALLY ILL CHILDREN [J].

CANNING, EH ;

KELLEHER, K .

ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 1994, 148 (03) :272-278

[10] The association of lifetime psychiatric illness and increased retinopathy in patients with type I diabetes mellitus [J].

Cohen, ST ;

Welch, G ;

Jacobson, AM ;

DeGroot, M ;

Samson, J .

PSYCHOSOMATICS, 1997, 38 (02) :98-108

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