Prevalence and course of mood and anxiety disorders, and correlates of symptom severity in adolescents with type 1 diabetes: Results from diabetes LEAP.
| Autor: | Nguyen LA; Department of Medical and Clinical Psychology, Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands.; Department of Medical Psychology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands., Pouwer F; Department of Psychology, University of Southern Denmark, Odense, Denmark.; School of Psychology, Deakin University, Geelong, Victoria, Australia.; STENO Diabetes Center Odense, Odense, Denmark., Winterdijk P; DIABETER, Diabetes Center, Rotterdam, The Netherlands., Hartman E; Department of Medical and Clinical Psychology, Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands., Nuboer R; Department of Pediatrics, Meander Medical Centre, Amersfoort, The Netherlands., Sas T; DIABETER, Diabetes Center, Rotterdam, The Netherlands.; Department of Pediatrics, Albert Schweitzer Hospital, Dordrecht, The Netherlands.; Department of Pediatric Endocrinology, Erasmus Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands., de Kruijff I; Department of Pediatrics, Diabetes Central, St. Antonius Hospital, Nieuwegein, The Netherlands., Bakker-Van Waarde W; DIABETER, Diabetes Center, Rotterdam, The Netherlands., Aanstoot HJ; DIABETER, Diabetes Center, Rotterdam, The Netherlands., Nefs G; Department of Medical and Clinical Psychology, Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands.; Department of Medical Psychology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.; DIABETER, Diabetes Center, Rotterdam, The Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric diabetes [Pediatr Diabetes] 2021 Jun; Vol. 22 (4), pp. 638-648. Date of Electronic Publication: 2021 Mar 16. |
| DOI: | 10.1111/pedi.13174 |
| Abstrakt: | Objectives: We aim to determine the prevalence and the course of anxiety and mood disorders in Dutch adolescents (12-18 years old) with type 1 diabetes, and to examine correlates of symptom severity, including parental emotional distress. Methods: Participants were 171 adolescents and 149 parents. The Diagnostic Interview Schedule for Children-IV was used to assess current, past year and lifetime anxiety and mood disorders in adolescents. Symptom severity and diabetes distress were measured with validated questionnaires. Correlates of these symptoms were examined using hierarchical regression analyses and included demographics (adolescent sex and age), clinical factors (diabetes duration, treatment modality, most recent glycated hemoglobin A Results: Twenty-four (14%) adolescents met the criteria for ≥1 disorder(s) in the previous 12 months. Anxiety disorders were more prevalent than mood disorders (13% vs. 4%). Lifetime prevalence of anxiety and mood disorders was 29% (n = 49). The presence of any of these disorders earlier in life (from 5 years old up to 12 months prior to assessment) was associated with disorders in the past 12 months (OR = 4.88, p = 0.001). Higher adolescent diabetes distress was related to higher symptoms of anxiety (b = 0.07, p = 0.001) and depression (b = 0.13, p = 0.001), while demographics, clinical characteristics, and parental emotional distress were not related. Conclusions: Anxiety and mood disorders are common among adolescents and related to earlier disorders. Higher diabetes distress was related to higher symptom severity. Clinicians are advised to address past psychological problems and remain vigilant of these problems. (© 2020 The Authors. Pediatric Diabetes published by John Wiley & Sons Ltd.) |
| Databáze: | MEDLINE |
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