Depressive mood and depression in children and adolescents with diabetes

Children with diabetes and their parents are at high risk for experiencing adjustment problems during the initial period following diagnosis. Integrated psychological intervention at diabetes onset can prevent long-standing adjustment difficulties. While children and adolescents with diabetes are not at higher risk for severe clinical depression, there is evidence of a two-to threefold risk for subclinical depressive disorders in this group. Early identification of depressive symptoms as well as providing individualized interventions (counselling, education, training-courses or psychotherapy) can improve long-term glycemic control and psychological well-being. Comorbidity of type 1 diabetes and clinical depression in adolescents increases the risk of vital health complications. An integrated psychiatric and diabetological therapy concept is essential for these young people. Current guidelines therefore recommend that experienced mental health professionals form an integral part of the interdisciplinary diabetes team.