1
|
Glick BA, Chan Hong KM, Hoffman RP. Identifying depression, diabetes distress, and suicidality among adolescents with diabetes. SOCIAL WORK IN HEALTH CARE 2024; 63:489-500. [PMID: 39292600 DOI: 10.1080/00981389.2024.2400883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 08/26/2024] [Indexed: 09/20/2024]
Abstract
This study explored the frequency of adolescents with diabetes who endorse suicidality on the Patient Health Questionnaire (PHQ-9) with varying degrees of depression scores. Additionally, compared whether diabetes distress levels from the Problem Areas in Diabetes-Teen (PAID-T) assessment tool is associated with and without suicidal ideation. Χ2 analysis was used to assess differences in subjects with or without suicidal ideation based on depression severity. Since all the data were nonparametrically distributed (Shapiro-Wilk test, p < .05), Kruskal-Wallis test assessed differences in continuous variables. Overall, 27 of 355 adolescents screened endorsed suicidal ideation. Both PHQ-9 [13 (9-17.8) vs 1 (0-4.5)] and PAID-T [88 (61.8-104.5) vs 40 (30-58.8)] scores were significantly higher in patients with suicidal ideation. The frequency of suicidal ideation increased with the severity of depression. The frequency of severe depression was higher in adolescents with type 2 diabetes (n = 48) than in type 1, but there was no difference in suicidality. Adolescents with no demonstrable or minimal depression can still have potential suicidal ideation. Suicidality is a separate construct that should be screened routinely and apart from any measures screening for distress or adjustment disorders associated with adolescents experiencing life-long chronic conditions in a healthcare follow-up setting.
Collapse
Affiliation(s)
- Bethany A Glick
- Clinical Medical Social Work, Nationwide Children's Hospital, Columbus, OH, USA
| | - K Ming Chan Hong
- Clinical Medical Social Work, Nationwide Children's Hospital, Columbus, OH, USA
| | - Robert P Hoffman
- Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA
| |
Collapse
|
2
|
Seiffge-Krenke I, Volz M. Effectiveness of psychodynamic treatment: Comparing trajectories of internalizing and externalizing psychopathology of adolescents in treatment, healthy and physically ill adolescents. Dev Psychopathol 2024; 36:478-493. [PMID: 36744527 DOI: 10.1017/s0954579422001341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Effectiveness of psychodynamic therapy for adolescents in reducing internalizing and externalizing psychopathology was determined by comparing treated adolescents (86 sessions) with the normative developmental progression in two groups without treatment: healthy and diabetic adolescents. In a three-wave longitudinal study, n = 531 adolescents (n = 303 patients, n = 119 healthy, n = 109 diabetics) and their mothers filled out psychopathology questionnaires (Youth Self-Report and Child Behavior Checklist). Latent growth curve modeling and multilevel modeling were used to analyze and compare within-person symptoms changes across groups. Analyses showed a significant reduction over the course of treatment for internalizing (Cohen's d = .90-.92) and externalizing (d = .58-.72) symptoms, also when the developmental progression of both control groups was accounted for (d = .48-.76). Mothers reported lower levels than their children in internalizing symptoms (p ≤ .01) while this discrepancy increased over time for treated adolescents (p = .02). Results established the effectiveness of psychodynamic treatment for adolescents both with externalizing and internalizing symptoms in comparison with growth and change in nonclinical samples. Cross-informant differences and age-specific trajectories require attention in psychotherapy treatment and research.
Collapse
Affiliation(s)
| | - Matthias Volz
- Department of Psychology, University of Kassel, Kassel, Germany
| |
Collapse
|
3
|
Geirhos A, Domhardt M, Galler A, Reinauer C, Warschburger P, Müller-Stierlin AS, Minden K, Temming S, Holl RW, Baumeister H. Psychische Komorbiditäten bei Jugendlichen und jungen Erwachsenen mit Typ-1-Diabetes. DIABETOL STOFFWECHS 2020. [DOI: 10.1055/a-1264-6590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
ZusammenfassungJugendliche und junge Erwachsene mit Typ-1-Diabetes sind häufig von komorbiden psychischen Störungen betroffen. Dabei zeigt die Studienlage zur Verbreitung ein heterogenes und inkonsistentes Bild. Diagnose und Behandlung der somatopsychischen Begleiterkrankungen beeinflussen den Behandlungs- und Krankheitsverlauf sowie die Lebensqualität der Betroffenen. Trotzdem wird dies in der klinischen Praxis selten frühzeitig berücksichtigt. Das multizentrische Verbundprojekt COACH verfolgt das Ziel, die Erkennung und Behandlung psychischer Komorbidität für diese Zielgruppe in der bundesweiten Routineversorgung zu optimieren.
Collapse
Affiliation(s)
- Agnes Geirhos
- Klinische Psychologie und Psychotherapie, Institut für Psychologie und Pädagogik, Universität Ulm, Germany
| | - Matthias Domhardt
- Klinische Psychologie und Psychotherapie, Institut für Psychologie und Pädagogik, Universität Ulm, Germany
| | - Angela Galler
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Sozialpädiatrisches Zentrum, Pädiatrische Endokrinologie und Diabetologie, Berlin, Germany
| | - Christina Reinauer
- Klinik für Allgemeine Pädiatrie, Neonatologie und Kinderkardiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | | | - Annabel S. Müller-Stierlin
- Sektion Gesundheitsökonomie und Versorgungsforschung, Klinik für Psychiatrie und Psychotherapie II, Universität Ulm, Germany
| | - Kirsten Minden
- Klinik für Rheumatologie und klinische Immunologie, Charité – Universitätsmedizin Berlin, kooperatives Mitglied der Freien Universität Berlin, der Humboldt-Universität zu Berlin und des Berliner Instituts für Gesundheitsforschung, Germany
- Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie, Germany
| | - Svenja Temming
- Klinik für Pädiatrie mit Schwerpunkt Pneumologie, Immunologie und Intensivmedizin, Charité – Universitätsmedizin Berlin, Germany
| | - Reinhard W. Holl
- ZIBMT, Institut für Epidemiologie und medizinische Biometrie, Universität Ulm, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherburg, Germany
| | - Harald Baumeister
- Klinische Psychologie und Psychotherapie, Institut für Psychologie und Pädagogik, Universität Ulm, Germany
| |
Collapse
|
4
|
Kostev K, Teichgräber F, Konrad M, Jacob L. Association between chronic somatic conditions and depression in children and adolescents: A retrospective study of 13,326 patients. J Affect Disord 2019; 245:697-701. [PMID: 30447568 DOI: 10.1016/j.jad.2018.11.014] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 09/23/2018] [Accepted: 11/03/2018] [Indexed: 12/13/2022]
Abstract
AIMS The goal of this study was to analyze the association between chronic somatic conditions and depression diagnosis in children and adolescents. METHODS The present case-control study included 13,326 children and adolescents with depression as well as controls without depression followed in 243 pediatric practices between 2010 and 2015. Cases and controls were matched by age, gender, index year, and physician. The effect of several chronic disorders in terms of the risk of developing depression was estimated using logistic regression models. RESULTS Depression was diagnosed in 0.7% of the population. The prevalence of depression increased with age from 0.2% in individuals aged 7 years to 2.0% in those aged 15 years. Depression was significantly associated with anorexia nervosa (OR = 6.69), ADHD (OR = 2.32), chronic sinusitis (OR = 1.82), short stature due to endocrine disorder (OR = 1.70), obesity (OR = 1.57), disorders of the thyroid gland (OR = 1.53) and certain disorders involving the immune mechanism (OR = 1.42). The risk of a depression diagnosis also increased with the number of chronic conditions (one condition: OR = 1.69; two conditions: OR = 1.81; more than two conditions: OR = 2.03). CONCLUSIONS Depression was associated with several chronic disorders and the number of such conditions in pediatric practices in Germany. Therefore, depression should be regularly assessed in young patients affected by chronic disorders.
Collapse
Affiliation(s)
- Karel Kostev
- Epidemiology, IQVIA, Darmstädter Landstraße 108, Frankfurt, 60598, Germany.
| | | | - Marcel Konrad
- Health & Social, FOM University of Applied Sciences for Economics and Management, Frankfurt am Main, Germany
| | - Louis Jacob
- Faculty of Medicine, University of Paris 5, Paris, France
| |
Collapse
|
5
|
Glick BA, Hong KMC, Obrynba K, Kamboj MK, Hoffman RP. Identifying depressive symptoms among diabetes type and the impact on hemoglobin A1c. J Pediatr Endocrinol Metab 2018; 31:39-44. [PMID: 29303779 DOI: 10.1515/jpem-2017-0241] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 11/10/2017] [Indexed: 11/15/2022]
Abstract
BACKGROUND This study was designed to determine the effects of diabetes type and gender on depression risk determined by a highly sensitive screening questionnaire in adolescents. Glycemic control and counseling affect were also studied. METHODS A retrospective chart review of patients seen between 2013 and 2015 was performed. Five hundred and thirty adolescents with type 1 (T1DM) or 2 (T2DM) diabetes mellitus completed the Patient Health Questionnaire-9 (PHQ-9) to identify depressive symptoms. Hemoglobin A1c (HbA1c) was measured when the PHQ-9 was given, and at 1 year. Patients with increased depression risk were referred for counseling and comparisons were made between those who did and did not attend. RESULTS Females with T2DM, but not males, had increased depression compared to T1DM. Females had increased depression compared to males in T1DM (p = 0.046) and a near significant increase in T2DM (p = 0.069). In T1DM, but not T2DM, HbA1c levels were increased in high and moderate, compared to low, risk depression risk groups (p = 0.007). Follow-up HbA1c was unchanged 1 year later and there were no differences between those involved in counseling and those who refused to attend. Sex and type of diabetes had no effect on response to counseling. CONCLUSIONS These results demonstrate increased depression in adolescents with T2DM compared to T1DM and in females compared to controls. Glycemic control did not change in adolescents who reported moderate to severe symptoms of depression and received counseling intervention compared to adolescents who declined counseling.
Collapse
Affiliation(s)
- Bethany A Glick
- Nationwide Children's Hospital, Pediatric Endocrinology, 700 Children's Drive, Columbus, OH, USA
| | - K Ming Chan Hong
- Nationwide Children's Hospital, Pediatric Endocrinology, 700 Children's Drive, Columbus, OH, USA
| | - Kathryn Obrynba
- Nationwide Children's Hospital, Pediatric Endocrinology, 700 Children's Drive, Columbus, OH, USA
| | - Manmohan K Kamboj
- Nationwide Children's Hospital, Pediatric Endocrinology, 700 Children's Drive, Columbus, OH, USA
| | - Robert P Hoffman
- Nationwide Children's Hospital, Pediatric Endocrinology, 700 Children's Drive, Columbus, OH, USA
| |
Collapse
|
6
|
Huston SA, Blount RL, Heidesch T, Southwood R. Resilience, emotion processing and emotion expression among youth with type 1 diabetes. Pediatr Diabetes 2016; 17:623-631. [PMID: 26771087 DOI: 10.1111/pedi.12347] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2015] [Revised: 11/19/2015] [Accepted: 11/20/2015] [Indexed: 12/28/2022] Open
Abstract
UNLABELLED Poor adherence to self-care among youth with type-1 diabetes (YWD) can lead to significant long-term health problems. Negative diabetes-related emotions (NDRE) are common, and are significantly correlated with poor/deteriorating A1c. Resilient youth handle diabetes self-care challenges, such as adjusting for diabetes in public, better. Resiliency skills and perceptions include benefit finding (BF), fitting in with friends (FI), diabetes acceptance (DA), emotion processing (EP) and emotion expression (EE). First study goal: to verify structure of underlying measurement variables: NDRE, EP, EE, BF, DA, FI and comfort in adjusting for diabetes in public (CA) among youth 11-16 yr of age with diabetes. We also hypothesize: (i) YWD who engage in EP and EE will have higher levels of BF, FI, DA, (ii) EP and EE will moderate NDRE impact and (iii) higher levels of EP, EE, BF, FI and DA will be associated with higher CA. SUBJECTS 243 summer diabetes campers between 11-16 yr of age. METHODS Pre-camp survey. RESULTS Measurement variables were verified. EP and EE to friends were positively associated with BF, FI and DA for most YWD. NDRE was negatively associated with FI and DA, and for YWD aged 14-16 yr with CA. FI was positively associated with CA. EE moderated the impact of NDRE on CA among youth 11-13 yr. R2 for CA in youth 14-16 yr was 48.2%, for 11-13 yr was 38.3%. DA was positively associated with CA for youth 14-16 yr. CONCLUSIONS Resilience factors appear to influence CA either directly or indirectly.
Collapse
Affiliation(s)
- Sally A Huston
- Department of Clinical and Administrative Sciences, Keck Graduate Institute School of Pharmacy, Claremont, CA, USA.
| | - Ronald L Blount
- Department of Psychology, University of Georgia, Athens, GA, USA
| | - Troy Heidesch
- School of Nursing , College of Health Sciences, Brenau University, Gainesville, GA, USA
| | - Robin Southwood
- Department of Clinical and Administrative Sciences, University of Georgia, Athens, GA, USA
| |
Collapse
|
7
|
Yi-Frazier JP, Cochrane K, Mitrovich C, Pascual M, Buscaino E, Eaton L, Panlasigui N, Clopp B, Malik F. Using Instagram as a Modified Application of Photovoice for Storytelling and Sharing in Adolescents With Type 1 Diabetes. QUALITATIVE HEALTH RESEARCH 2015; 25:1372-82. [PMID: 25904674 PMCID: PMC5565207 DOI: 10.1177/1049732315583282] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Photovoice is a research method developed to help communities share images as a tool for discussion of key issues. Although this may be useful to promote healthy behavior, using Photovoice in adolescents has been logistically challenging. Given adolescents' engagement in social media, our study explored the feasibility of using a photo-sharing mobile phone application, Instagram, to accomplish the principles of Photovoice. Twenty adolescents 14 to 18 years old with type 1 diabetes were asked to use Instagram to post any diabetes-related photo for 3 weeks. Individual interviews and a focus group were also offered, and recruitment and retention statistics were tracked. Of those approached (n = 47), 43% agreed to participate. Twelve were actively engaged. Shared photos were most likely to fall into the categories of diabetes care, humor, or food. Engaged participants universally reported the project to be a positive experience; however, there were technological and personal factors to consider for widespread implementation.
Collapse
Affiliation(s)
- Joyce P Yi-Frazier
- University of Washington, Seattle, Washington, USA Seattle Children's Research Institute, Seattle, Washington, USA
| | | | | | - Michael Pascual
- Seattle Children's Research Institute, Seattle, Washington, USA
| | - Emil Buscaino
- Seattle Children's Research Institute, Seattle, Washington, USA
| | - Lauren Eaton
- Seattle Children's Research Institute, Seattle, Washington, USA
| | - Neil Panlasigui
- Seattle Children's Research Institute, Seattle, Washington, USA
| | - Bailey Clopp
- Seattle Children's Research Institute, Seattle, Washington, USA
| | - Faisal Malik
- Seattle Children's Research Institute, Seattle, Washington, USA
| |
Collapse
|
8
|
Peterson CM, Fischer S, Young-Hyman D. Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes. J Pediatr Psychol 2015; 40:385-90. [PMID: 25502449 PMCID: PMC4425840 DOI: 10.1093/jpepsy/jsu106] [Citation(s) in RCA: 59] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2014] [Revised: 11/05/2014] [Accepted: 11/10/2014] [Indexed: 01/28/2023] Open
Abstract
OBJECTIVES Provide an updated literature review on prevalence, measurement, and correlates of disordered eating in youth with Type 1 diabetes (T1D), present a novel theoretical risk model (i.e., The Modified Dual Pathway Model) for disordered eating in youth with T1D incorporating psychosocial and physiological risk factors, and discuss clinical implications. METHODS Literature review of prevalence, correlates, risk factors, and outcomes of disordered eating behavior (DEB) in youth with T1D. RESULTS Insulin treatment, subsequent weight gain, and disruptions to hunger and satiety regulation are hypothesized disease-related mechanisms through which the treatment of T1D may increase vulnerability to development of behavior characterized as DEB. The Modified Dual Pathway Model integrates these factors with a validated psychosocial risk (body dissatisfaction, depression, and abstinence violation) model for DEB in nondiabetic youth. CONCLUSIONS The Modified Dual Pathway model of DEB in youth with T1D is a comprehensive representation of both psychosocial and T1D-related risk factors with the potential to inform future interventions for this population.
Collapse
Affiliation(s)
- Claire M Peterson
- Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, George Mason University, and Office of Behavioral and Social Science Research, Office of the Director, NIH
| | - Sarah Fischer
- Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, George Mason University, and Office of Behavioral and Social Science Research, Office of the Director, NIH
| | - Deborah Young-Hyman
- Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, George Mason University, and Office of Behavioral and Social Science Research, Office of the Director, NIH
| |
Collapse
|
9
|
Fritsch SL, Overton MW, Robbins DR. The interface of child mental health and juvenile diabetes mellitus. Psychiatr Clin North Am 2015; 38:59-76. [PMID: 25725569 DOI: 10.1016/j.psc.2014.11.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Diabetes mellitus is a common childhood illness, and its management is often complicated by mental health challenges. Psychiatric comorbidities are common, including anxiety, depression, and eating disorders. The illness can profoundly affect the developing brain and family functioning and have lifelong consequences. The child mental health provider can provide valuable assistance to support the child and family and assessment and treatment of comorbid mental health problems and to promote positive family functioning and normal developmental progress.
Collapse
Affiliation(s)
- Sandra L Fritsch
- Child and Adolescent Psychiatry, Maine Medical Center, Tufts University School of Medicine, 22 Bramhall Street, Portland, ME 04102, USA; Department of Psychiatry, Child & Adolescent Psychiatry Fellowship, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA.
| | | | - Douglas R Robbins
- Child and Adolescent Psychiatry, Maine Medical Center, Tufts University School of Medicine, 22 Bramhall Street, Portland, ME 04102, USA; Department of Psychiatry, The Glickman Family Center for Child & Adolescent Psychiatry, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA; Department of Psychiatry, Child & Adolescent Psychiatry, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA
| |
Collapse
|
10
|
Jaacks LM, Bell RA, Dabelea D, D'Agostino RB, Dolan LM, Imperatore G, Klingensmith G, Lawrence JM, Saydah S, Yi-Frazier J, Mayer-Davis EJ. Diabetes self-management education patterns in a US population-based cohort of youth with type 1 diabetes. THE DIABETES EDUCATOR 2014; 40:29-39. [PMID: 24248833 PMCID: PMC4076934 DOI: 10.1177/0145721713512156] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE The purpose of this study is to describe (1) the receipt of diabetes self-management education (DSME) in a large, diverse cohort of US youth with type 1 diabetes (T1DM), (2) the segregation of self-reported DSME variables into domains, and (3) the demographic and clinical characteristics of youth who receive DSME. METHODS Data are from the US population-based cohort SEARCH for Diabetes in Youth. A cross-sectional analysis was employed using data from 1273 youth <20 years of age at the time of diagnosis of T1DM. Clusters of 19 self-reported DSME variables were derived using factor analysis, and their associations with demographic and clinical characteristics were evaluated using polytomous logistic regression. RESULTS Nearly all participants reported receiving DSME content consistent with "survival skills" (eg, target blood glucose and what to do for low or high blood glucose), yet gaps in continuing education were identified (eg, fewer than half of the participants reported receiving specific medical nutrition therapy recommendations). Five DSME clusters were explored: receipt of specific MNT recommendations, receipt of diabetes information resources, receipt of clinic visit information, receipt of specific diabetes information, and met with educator or nutritionist. Factor scores were significantly associated with demographic and clinical characteristics, including race/ethnicity, socioeconomic status, and diabetes self-management practices. CONCLUSIONS Health care providers should work together to address reported gaps in DSME to improve patient care.
Collapse
Affiliation(s)
- Lindsay M Jaacks
- the Department of Nutrition, University of North Carolina, Chapel Hill, NC (Ms Jaacks, Dr Mayer-Davis)
| | - Ronny A Bell
- Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC (Dr Bell)
| | - Dana Dabelea
- Department of Pediatrics and Barbara Davis Center, University of Colorado, Denver, CO (Dr Dabelea, Dr Klingensmith)
| | - Ralph B D'Agostino
- Department of Biostatistics, Wake Forest School of Medicine, Winston-Salem, NC (Dr D’Agostino)
| | - Lawrence M Dolan
- Cincinnati Children’s Hospital Medical Center, Cincinnati, OH (Dr Dolan)
| | | | - Georgeanna Klingensmith
- Department of Pediatrics and Barbara Davis Center, University of Colorado, Denver, CO (Dr Dabelea, Dr Klingensmith)
| | - Jean M Lawrence
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA (Dr Lawrence)
| | - Sharon Saydah
- Centers for Disease Control and Prevention, Atlanta, GA (Dr Imperatore, Dr Saydah)
| | | | - Elizabeth J Mayer-Davis
- the Department of Nutrition, University of North Carolina, Chapel Hill, NC (Ms Jaacks, Dr Mayer-Davis)
- Department of Medicine, University of North Carolina, Chapel Hill, NC (Dr Mayer-Davis)
| |
Collapse
|
11
|
Yi-Frazier JP, Yaptangco M, Semana S, Buscaino E, Thompson V, Cochrane K, Tabile M, Alving E, Rosenberg AR. The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: variable- and person-focused approaches. J Health Psychol 2013; 20:1196-206. [PMID: 24271691 DOI: 10.1177/1359105313509846] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
This study explored the association between personal resilience and distress, coping, and diabetes outcomes in 50 adolescents with type 1 diabetes. Resilience was defined by a factor score derived from validated instruments measuring self-efficacy, optimism, and self-esteem. Variable- and person-focused methodologies were used to explore these associations. Low resilience was associated with higher distress, poor quality of life, and poor glycemic control. Participants with low resilience used more maladaptive coping strategies and were at greatest risk of poor outcomes. Findings suggest that resilience is a promising candidate for interventions designed to reduce distress and improve outcomes for adolescents with type 1 diabetes.
Collapse
Affiliation(s)
- Joyce P Yi-Frazier
- University of Washington School of Medicine, USA Seattle Children's Research Institute, USA
| | | | | | | | | | | | | | | | - Abby R Rosenberg
- University of Washington School of Medicine, USA Seattle Children's Research Institute, USA
| |
Collapse
|
12
|
Goal disturbance and coping in children with type I diabetes mellitus: relationships with health-related quality of life and A1C. Can J Diabetes 2013; 37:169-74. [PMID: 24070839 DOI: 10.1016/j.jcjd.2013.02.058] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2012] [Revised: 02/18/2013] [Accepted: 02/21/2013] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Our first objective was to compare the health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (8-12 years) with that of a healthy reference group, and to compare glycated hemoglobin (A1C) values of these children to recommended guidelines. Our second objective was to examine how goal disturbance and coping behaviour were related to HRQoL and A1C. METHOD Forty-three children, 8-12 years of age, completed a set of questionnaires that assessed generic and diabetes-specific HRQoL, goal disturbance and coping behaviour. Demographic and clinical characteristics were extracted from medical records. RESULTS Children with type 1 diabetes reported lower psychosocial HRQoL than healthy references (d=-0.48), especially on emotional functioning (d=-0.58). Goal disturbance was associated with lower generic HRQoL. Furthermore, the coping strategies avoidance, emotional reaction and wishful thinking were negatively associated with lower generic and disease-specific HRQoL (r ranged from -0.33 to -0.65), whereas acceptance was positively associated with disease-specific HRQoL (r=0.36). The average A1C was with 8.1% significantly above the recommended guidelines of 7.5%. Moreover, the coping strategies avoidance (r=0.31) and emotional reaction (r=0.32) were positively associated with higher blood glucose levels. CONCLUSIONS The psychosocial HRQoL of children with type 1 diabetes was affected, which was directly associated with the inability to reach personal goals (goal disturbance). An accepting coping strategy might solve these HRQoL problems and additionally improve A1C values.
Collapse
|
13
|
McGrady ME, Hood KK. Cognitive–behavioral therapy for adolescents with Type 1 diabetes and subclinical depressive symptoms. ACTA ACUST UNITED AC 2013. [DOI: 10.2217/dmt.13.11] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
14
|
Céspedes-Knadle YM, Muñoz CE. Development of a Group Intervention for Teens With Type 1 Diabetes. JOURNAL FOR SPECIALISTS IN GROUP WORK 2011. [DOI: 10.1080/01933922.2011.613898] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
|
15
|
Hillege S, Beale B, McMaster R. Enhancing management of depression and type 1 diabetes in adolescents and young adults. Arch Psychiatr Nurs 2011; 25:e57-67. [PMID: 22114807 DOI: 10.1016/j.apnu.2011.08.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2011] [Revised: 07/15/2011] [Accepted: 08/08/2011] [Indexed: 11/28/2022]
Abstract
Anxiety, depression, and eating disorders are higher in adolescents and young adults with diabetes than in their unaffected counterparts worldwide. This descriptive qualitative research paper, using secondary analysis, described the experiences of adolescents and young adults living with depression and Type 1 diabetes. The study showed that depression negatively affected the participants physically, emotionally, and socially and impacted on their relationships. Negative dimensions of self had a flow-on effect for health management. A deeper understanding of these experiences may assist health professionals to enhance the management of affected adolescents and young adults, leading to better health outcomes.
Collapse
Affiliation(s)
- Sharon Hillege
- School of Nursing & Midwifery, College of Health and Science, the University of Western Sydney, NSW, Australia.
| | | | | |
Collapse
|
16
|
Fritsch SL, Overton MW, Robbins DR. The interface of child mental health and juvenile diabetes mellitus. Pediatr Clin North Am 2011; 58:937-54, xi. [PMID: 21855715 DOI: 10.1016/j.pcl.2011.06.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Diabetes mellitus is a common childhood illness, and its management is often complicated by mental health challenges. Psychiatric comorbidities are common, including anxiety, depression, and eating disorders. The illness can profoundly affect the developing brain and family functioning and have lifelong consequences. The child mental health provider can provide valuable assistance to support the child and family and assessment and treatment of comorbid mental health problems and to promote positive family functioning and normal developmental progress.
Collapse
Affiliation(s)
- Sandra L Fritsch
- Child and Adolescent Psychiatry, Maine Medical Center, University of Vermont College of Medicine, Tufts University School of Medicine, 22 Bramhall Street, Portland, ME 04102, USA.
| | | | | |
Collapse
|
17
|
Fritsch SL, Overton MW, Robbins DR. The interface of child mental health and juvenile diabetes mellitus. Child Adolesc Psychiatr Clin N Am 2010; 19:335-52, ix. [PMID: 20478503 DOI: 10.1016/j.chc.2010.01.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Diabetes mellitus is a common childhood illness, and its management is often complicated by mental health challenges. Psychiatric comorbidities are common, including anxiety, depression, and eating disorders. The illness can profoundly affect the developing brain and family functioning and have lifelong consequences. The child mental health provider can provide valuable assistance to support the child and family and assessment and treatment of comorbid mental health problems and to promote positive family functioning and normal developmental progress.
Collapse
Affiliation(s)
- Sandra L Fritsch
- Child and Adolescent Psychiatry, Maine Medical Center, University of Vermont College of Medicine, Tufts University School of Medicine, Portland, ME 04102, USA.
| | | | | |
Collapse
|
18
|
Makay B, Emiroğlu N, Ünsal E. Depression and anxiety in children and adolescents with familial Mediterranean fever. Clin Rheumatol 2009; 29:375-9. [DOI: 10.1007/s10067-009-1330-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2009] [Revised: 11/09/2009] [Accepted: 12/05/2009] [Indexed: 10/20/2022]
|
19
|
Nardi L, Zucchini S, D'Alberton F, Salardi S, Maltoni G, Bisacchi N, Elleri D, Cicognani A. Quality of life, psychological adjustment and metabolic control in youths with type 1 diabetes: a study with self- and parent-report questionnaires. Pediatr Diabetes 2008; 9:496-503. [PMID: 18507786 DOI: 10.1111/j.1399-5448.2008.00414.x] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To evaluate self and parent reports on quality of life (QoL) and psychological adjustment of youths with type 1 diabetes, in comparison to a general paediatric population, and identify relationships between disease duration, metabolic control and psychological parameters. RESEARCH DESIGN AND METHODS Participants included 70 youths with type 1 diabetes and their parents. They were compared with 70 non-diabetic subjects. Data were analyzed in the whole group and in subgroups aged 6-10, 11-13 and 14-18 yr. All cases performed pediatric QoL, Child Behaviour Checklist, filled in by parents, and Youth Self-Report, filled in by youths. Data were compared with haemoglobin A1c (HbA1c) values and disease duration. RESULTS Self-reports showed a psychological adjustment of youths with type 1 diabetes similar to that of controls. Parent reports showed that parents of children with type 1 diabetes were more worried than those of controls (p < 0.01). Adolescents showed a worse QoL and more frequent psychological disturbances. In this group, for youth and parent reports, HbA1c levels correlated positively with psychological problems (p < 0.05) and negatively with QoL (p < 0.05). Only for parent reports, in the whole group and in subgroups aged 6-10 and 11-13 yr, disease duration correlated positively with psychological adjustment (p < 0.05). CONCLUSIONS Before adolescence, youths with type 1 diabetes showed only slight problems in psychological adjustment and QoL, with an association with disease duration reported by parents. In adolescence, both youths and their parents reported more emotional and behavioural problems, independent of disease duration. Better metabolic control and psychological well-being seemed directly related.
Collapse
Affiliation(s)
- Laura Nardi
- Department of Pediatrics, Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Via Massarenti, Bologna, Italy
| | | | | | | | | | | | | | | |
Collapse
|
20
|
Abstract
This study was undertaken to consider the psychological aspect of diabetes with regard to improving clinical outcomes. The review was limited to literature reports on the causes, solutions, and treatments of some common psychological problems known to complicate diabetes management. A literature search was undertaken using Pub-Med, CINAHL, Proquest, Elsevier, Blackwell Synergy, Ovid, Ebsco, Rose net, and Google websites, including studies published in English journals between 1995 and 2006. Therefore about 88 articles were selected based on the inclusion criteria. In earlier studies, relatively little empirical research was found to substantiate the effect of psychological counseling in complicated diabetes. The greatest deficits were seen in areas of mental health, self-esteem parent impact, and family cohesion. There were some different factors, which influence the psychological aspect of diabetic patients, such as age, gender, place of living, familial and social support, motivation, energy, life satisfaction, and lifestyle. There are various types of solutions for coping with the psychological problems in diabetic clients. The most essential solution lies in educating the patients and healthcare providers on the subject. Before initiating each educational intervention, a thorough assessment would be crucial. Treatment plans may benefit from cognitive behavior therapy (CBT), behavior family therapy, improving family communication, problem-solving skills, and providing motivation for diabetic patients. Moreover, it seems that the close collaboration between diabetologists and psychologists would be fruitful.
Collapse
Affiliation(s)
- Fatemeh Adili
- Endocrinology and Metabolism Research Centre of Tehran University of Medical Sciences, 5th Floor, Dr. Shariati Hospital, North Kargar Ave., Tehran 14114, Iran.
| | | | | |
Collapse
|
21
|
Simons A, Eyskens F, De Groof A, Van Diest E, Deboutte D, Vermeiren R. Cognitive functioning and psychiatric disorders in children with a metabolic disease. Eur Child Adolesc Psychiatry 2006; 15:207-13. [PMID: 16532265 DOI: 10.1007/s00787-006-0524-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/09/2006] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To report on the intelligence scores and the psychiatric pathology of distinct groups of children with metabolic diseases. METHODS The study population consists of 53 children between 0 and 18 years of age. Diagnostic assessment included a semi-structured interview, self-report questionnaires and a standard intelligence test. RESULTS In 40% of the children older than 5 years, a child psychiatric diagnosis was made. While CBCL total and internalizing scores did not differ between metabolic disease groups, the CBCL externalizing scores for some groups did. Two fifths of the children showed a below normal intelligence, while a performal-verbal IQ discrepancy was found in half of the children. Of the school aged children almost one third attended a special needs school. CONCLUSION In spite of the small sample size, the results suggest substantial psychiatric problems in children with a metabolic disease. Further study on larger groups is warranted, which should enable further comparison of patients affected by specific metabolic diseases.
Collapse
Affiliation(s)
- Annik Simons
- University Hospital of Child and Adolescent Psychiatry, Middelheim Hospital, Lindendreef 1, 2020 Antwerp, Belgium
| | | | | | | | | | | |
Collapse
|
22
|
Abstract
Depression is a common psychiatric disorder that is acknowledged to be increasing in disease burden. The rates of adolescent depression is particularly concerning as they continue to increase. The seriousness and pervasive effects of depression on young people's lives supports the view that research that extends the knowledge in this area is vital. This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.
Collapse
Affiliation(s)
- Marie Crowe
- Youth Specialty Service, Mental Health Division, Canterbury District Health Board, Christchurch, New Zealand.
| | | | | | | |
Collapse
|
23
|
Abstract
O diabetes mellitus como uma doença crônica exige adaptação nos âmbitos psicológico, social e físico. Este estudo tem por objetivo compreender a experiência da criança na vivência com a doença. Os referenciais teórico e metodológico utilizados foram o Interacionismo Simbólico e a Teoria Fundamentada nos Dados, respectivamente. Entrevistou-se 12 crianças na faixa etária entre 7 e 14 anos. Um total de 7 temas foram identificados nos dados coletados, sendo eles: "Vivendo algo inesperado", "Enfrentando uma dura realidade", "Tendo medo do que está acontecendo", "Vivendo sob controle", "Tentando adaptar-se à nova realidade", "Amadurecendo com a convivência", "Olhando para a doença de um jeito diferente". A vivência com o diabetes é algo que a criança enfrenta a cada dia, desde o momento do diagnóstico, tendo limitações na dieta, a inserção da insulinoterapia, a mudança no estilo de vida, fatos esses que desencadeiam sentimentos que oscilam entre medo, insegurança, revolta, aceitação e adaptação.
Collapse
|
24
|
Abstract
OBJECTIVE To determine the association between self-reported diabetes and posttraumatic stress disorder (PTSD) among adults in the community and to investigate the specificity of this link. METHOD Data were drawn from the National Comorbidity Survey (NCS), a household probability sample of adults ages 15-54 in the United States. Multiple logistic regression analyses were used to investigate the association between self-reported diabetes and PTSD (past 12-month prevalence), adjusted for differences in sociodemographic characteristics. RESULTS Self-reported diabetes was associated with an increased likelihood of PTSD [OR = 2.3 (1.02, 5.21)], which persisted after adjusting for differences in sociodemographic characteristics. Self-reported diabetes was not associated with a significantly increased likelihood of any other mental disorders. CONCLUSIONS These findings are consistent with and extend previous data suggesting that there is an association between self-reported diabetes and PTSD by showing that this link appears to have some specificity and is generalizable to adults in the community. These data do not address the possible mechanisms of this association. Our results do not support a link between depression and diabetes, which has been previously reported. Replication of these results is needed with longitudinal, epidemiologic data, which include ages of onset and physiologic data in diagnosis of diabetes. If these findings are replicated, further investigation into the possible mechanisms of this association may be fruitful.
Collapse
Affiliation(s)
- Renee D Goodwin
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
| | | |
Collapse
|
25
|
Leonard BJ, Jang YP, Savik K, Plumbo MA. Adolescents with type 1 diabetes: family functioning and metabolic control. JOURNAL OF FAMILY NURSING 2005; 11:102-21. [PMID: 16287821 DOI: 10.1177/1074840705275152] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Families play central roles in the care of their adolescents with chronic illnesses. This study examined the relationship between family functioning and metabolic control in adolescents with Type 1 diabetes. The McMaster Family Assessment Device (FAD) measured family functioning; the Youth Self-Report Form (YSR) measured adolescent behavior. Older adolescents reported increased family dysfunction. Adolescents who reported family dysfunction on affective responsiveness had HbA(1c) levels greater than 9. Older adolescents, males, and adolescents who reported a greater number of behavior problems were significantly more likely to have HbA(1c) levels greater than 9. Considered together, older age and greater attention problems were most significantly associated with higher HbA(1c) levels. These findings suggest the importance of the relationship between the adolescent's perception of family functioning and metabolic control in the adolescents with Type 1 diabetes.
Collapse
Affiliation(s)
- Barbara J Leonard
- University of Minnesota School of Nursing, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
| | | | | | | |
Collapse
|
26
|
Abstract
Diabetes and depression have become increasingly linked. The incidence of depression in the adolescent diabetic population is especially concerning. The purpose of this article is to raise awareness of the association between diabetes and depression particularly in the adolescent population. It also discusses treatment techniques for the same population. Several treatment techniques have proved successful in this population. Psychiatric nurse practitioners and advanced practiced nurses are poised to implement these treatments and interventions.
Collapse
|