Anxiety and depression in type 1 diabetes - first screening results of mental comorbidities in adolescents and young adults of the COACH consortium

被引：0

作者：

Koestner, Katharina ^{[1
]}

Geirhos, Agnes ^{[2
]}

Ranz, Ramona ^{[3
]}

Galler, Angela ^{[4
,5
,6
]}

Schoettler, Hanna ^{[7
]}

Klose, Daniela ^{[8
]}

Feldhahn, Lutz ^{[9
]}

Flury, Monika ^{[10
]}

Schaaf, Katja ^{[11
]}

Holterhus, Paul-Martin ^{[12
]}

Meissner, Thomas ^{[13
]}

Warschburger, Petra ^{[14
]}

Minden, Kirsten ^{[4
,5
,6
,15
]}

Temming, Svenja ^{[16
]}

Mueller-Stierlin, Annabel S. ^{[17
]}

Baumeister, Harald ^{[2
]}

Holl, Reinhard W. ^{[3
]}

机构：

[1] Sozialpadiatr Zentrum Garmisch Partenkirchen, Deutsch Zentrum Kinder & Jugendrheumatol, Gehfeldstr 24, D-82467 Garmisch Partenkirchen, Germany

[2] Univ Ulm, Klin Psychol & Psychotherapie, Inst Psychol & Padag, Ulm, Germany

[3] Univ Ulm, Inst Epidemiol & Med Biometrie, ZIBMT, Ulm, Germany

[4] Charite Univ Med Berlin, Berlin, Germany

[5] Free Univ Berlin, Berlin, Germany

[6] Humboldt Univ, Sozialpadiatr Zentrum, Berlin, Germany

[7] Darmstadter Kinderkliniken Prinzessin Margaret, Darmstadt, Germany

[8] Univ Klinikum Heidelberg, Zentrum Kinder & Jugendmed, Heidelberg, Germany

[9] Kinderklin Boblingen, Boblingen, Germany

[10] Univ Kinderklin Dresden, Dresden, Germany

[11] Elisabeth Krankenhaus Essen, Klin Kinder & Jugendmed, Essen, Germany

[12] UKSH, Klin Kinder & Jugendmed 1, Fachbereich Padiatr Endokrinol & Diabetol, Campus Kiel, Kiel, Germany

[13] Univ Klinikum Dusseldorf, Klin Allgemeine Padiatrie Neonatol & Kinderkardio, Dusseldorf, Germany

[14] Univ Potsdam, Beratungspsychol, Potsdam, Germany

[15] Deutsch Rheuma Forschungszentrum Berlin, Berlin, Germany

[16] Charite Univ Med Berlin, Klin Padiatrie Schwerpunkt Pneumol Immunol & Inte, Berlin, Germany

[17] Univ Ulm, Klin Psychiat & Psychotherapie 2, Ulm, Germany

来源：

DIABETOLOGIE UND STOFFWECHSEL | 2022年 / 17卷 / 03期

关键词：

anxiety; depression; mental health comorbidities; screening; adolescents; type; 1; diabetes; PRELIMINARY VALIDATION; PROTECTIVE FACTORS; METABOLIC-CONTROL; SUICIDE RISK; PRIMARY-CARE; CHILDREN; DISORDERS; SYMPTOMS; PREVALENCE; INTERVENTIONS;

D O I：

10.1055/a-1589-7922

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The multi-center collaborative COACH consortium (Chronic Conditions in Adolescents - Implementation and Evaluation of Patient-centered Collaborative Healthcare) aims to examine mental health comorbidities in adolescents and young adults with chronic diseases. 1023 patients with type 1 diabetes at the age of 12 to 21 years were screened for symptoms of anxiety using the Generalized Anxiety Disorder Scale (GAD-7) and depression using the Patient Health Questionnaire (PHQ-9) during routine visits. Almost every third patient showed a positive screening test result. 17.8% of screenings for anxiety and 25.6 % of screenings for depression were pathological with screening results >= 7, respectively. In these patients with positive screenings, glycated hemoglobin (HbA(1c)), reflecting the adjustment and control of blood glucose, was higher than in those with negative screenings (p<0.0001). As early diagnosis and intervention have relevant impact for treatment of the somatic disease all adolescents with type 1 diabetes should be regularly screened for mental comorbidities. Based on the COACH study results evidence-based recommendations for treatments of adolescents and young adults with chronic diseases will be developed so that mental health problems will be better taken into account in the future.

引用

页码：197 / 207

页数：11

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