Depression in context: Important considerations for youth with type 1 vs type 2 diabetes

Wong, Jessie J.; Addala, Ananta; Abujaradeh, Hiba; Adams, Rebecca N.; Barley, Regan C.; Hanes, Sarah; Iturralde, Esti; Lanning, Monica S.; Naranjo, Diana; Tanenbaum, Molly L.; Hood, Korey K.

doi:10.1111/pedi.12939

Cited by 19 publications

(14 citation statements)

References 41 publications

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“…However, our study identified similar proportions of youth with anxiety and disordered eating reported in other studies 31 . Rates of moderate depressive symptoms were somewhat lower than what has been reported in other clinics, 11,15‐17 but rates of mild depressive symptoms were somewhat higher 13 15 . Notably, only 27.2% of adolescents with an elevation on at least one psychosocial variable were elevated for mild depressive symptoms, highlighting the importance of screening for other psychosocial concerns.…”

Section: Discussionsupporting

confidence: 81%

“…The Patient Health Questionnaire (PHQ‐9) 14 is used most frequently to screen for depressive symptoms. Using this tool, rates of positive screens have ranged widely, with 6.7–17.3% reporting at least mild symptoms (PHQ‐9 ≥ 5) 13,15 and 4.9–14.3% reporting at least moderate symptoms (PHQ‐9 ≥ 10 or 11) 11 15‐17 . One recent program used the Children's Depression Inventory and reported 12% of adolescents with moderate depressive symptoms 12 .…”

Section: Introductionmentioning

confidence: 99%

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Comprehensive psychosocial screening in a pediatric diabetes clinic

et al. 2021

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Objective: The ISPAD recommends routine, comprehensive psychosocial screening for adolescents with diabetes. However, few clinics have implemented procedures consistent with these guidelines. This study describes the results of a universal, comprehensive psychosocial screening program in an integrated pediatric diabetes clinic located within an academic medical center.Research Design and Methods: Participants included 232 ethnically diverse adolescents with type 1 diabetes (55.5% female; M age = 14.85; 58.5% Hispanic; 20% Black). Adolescents completed screening measures on iPads in the waiting room before their medical visit. The proportion of adolescents screening positive on each psychosocial measure was assessed, and regression analyses evaluated how psychosocial variables accounted for variance in insulin non-adherence and glycemic control (measured by A1c).Results: Psychosocial concerns were common and ranged from 7% of adolescents screening positive for disordered eating and suicide risk to 52% screening positive for low motivation to manage diabetes. A1c and insulin non-adherence were positively correlated with suicide risk, depressive symptoms, anxiety, disordered eating, diabetes stress, blood glucose monitoring stress, family conflict, and total number of elevations, and negatively correlated with intrinsic motivation. Insulin non-adherence, disordered eating, diabetes stress, and family conflict uniquely predicted A1c. Age, motivation, and family conflict uniquely predicted insulin non-adherence. Eightythree percent of eligible youth completed the screener. Referrals by physicians to the team psychologist increased by 25% after the screening program was implemented.Conclusions: Comprehensive psychosocial screening can be effectively implemented as part of routine pediatric diabetes care and can identify adolescents in need of additional supports.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Comprehensive psychosocial screening in a pediatric diabetes clinic

et al. 2021

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“…Thirdly, despite being different diseases, some studies do not differentiate between Type 1 and Type 2 diabetes. Both should be considered separately due to the different life implications of having one type of diabetes or another ( Wong et al, 2020 ). Most studies included in the review have focused on Type 2, which usually appears in adulthood.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Emotional Intelligence and Diabetes Management: A Systematic Review

Pérez‐Fernández

Gutiérrez‐Cobo

2021

Front. Psychol.

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Diabetes has been associated with affective disorders which complicate the management of the disease. Emotional intelligence (EI), or the ability to perceive, facilitate, understand, and regulate emotions, has shown to be a protective factor of emotional disorders in general population. The main objective of this study was to systematically review the role of the EI construct in Type 1 and Type 2 diabetics and to observe how EI is related to biological and psychological variables. Comprehensive searches were conducted in PubMed, Scopus, PsycInfo, and Cochrane without time limitations, for studies examining the link between diabetes and EI. A total of 12 eligible studies were selected according to the inclusion criteria. We divided the results into four sections: (1) EI and hemoglobin glycosylated (HbA1c), (2) EI training effects, (3) differences in EI between persons with diabetes and without diabetes, and (4) EI and psychological adjustment and well-being. The results showed negative correlations between EI and HbA1c, positive effects of EI training on quality of life, anxiety, and glycemic control, no differences in EI between people with diabetes and healthy individuals, and, finally, negative correlations between EI and different psychological variables such as diabetes-related anxiety and distress, and positive correlations with quality of life, well-being, and marital satisfaction. This systematic review offers a starting point for a theoretical and practical understanding of the role played by EI in the management of diabetes and reveals that EI is a promising protective factor for biological and psychological variables in this population.

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“…They felt different from their peers, choosing to hide the health condition from their peers [ 12 , 13 , 14 ]. Furthermore, duration of T2D has a positive relationship with diabetes distress [ 15 ]. Because higher depressive symptoms over time, associated with chronic diabetes distress, were found in young people with diabetes [ 16 ], surveillance of mental health is necessary [ 15 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Self-Efficacy in Self-Management on Diabetes Distress in Young People with Type 2 Diabetes

et al. 2021

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To understand the relationship among glycemic control, self-efficacy in diabetes management, and diabetes distress in young people with type 2 diabetes, a cross-sectional descriptive study with convenience sampling was designed. A total of 60 young people who had type 2 diabetes (T2D), with 24 (40%) males and 36 (60%) females were included. The mean age was 17.2 and ranged from 10.5 to 24.5 years, and they completed a Perceived Diabetes Self-Management Scale, the Problem Areas in Diabetes Scale and their pharmacologic management and life adjustment. Glycated hemoglobin (HbA1c) was routinely drawn before the outpatient visit. HbA1c and diabetic distress were positively correlated. Self-efficacy was negatively correlated with HbA1c and diabetic distress. In the hierarchical multiple regression analysis, only the duration of illness and self-efficacy remained significant in the final model. The variance for the overall model was 64%, with self-efficacy alone explaining 30% of the variance. In addition, 31.6% of participants had extremely high levels of psychological distress. Conclusions: T2D is an early onset chronic disease, and the young people may have had other health problems, which made the diabetes management a complex process. Nursing staff should regularly assess both the confidence and ability to manage treatment regimen of young people with type 2 diabetes and their psychological distress.

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Depression in context: Important considerations for youth with type 1 vs type 2 diabetes

Cited by 19 publications

References 41 publications

Comprehensive psychosocial screening in a pediatric diabetes clinic

Comprehensive psychosocial screening in a pediatric diabetes clinic

The Relationship Between Emotional Intelligence and Diabetes Management: A Systematic Review

The Effect of Self-Efficacy in Self-Management on Diabetes Distress in Young People with Type 2 Diabetes

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