Mental health comorbidities in adolescents and young adults with type 2 diabetes.
Mental health comorbidities in adolescents and young adults with type 2 diabetes.
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DOI：
10.1016/j.pedn.2021.07.028
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Malik F
中科院分区：
文献类型：
--
作者：
Roberts AJ;Bao H;Qu P;Moss A;Kim G;Yi-Frazier JP;Pihoker C;Malik F
建议对患有糖尿病的青少年和青壮年（AYAs）进行精神健康合并症筛查。关于AYAs与2型糖尿病（T2D）的精神健康合并症的数据缺乏。通过社会人口学和临床因素评估总体上伴有T2D的aya患者的抑郁、自杀意念和糖尿病困扰（DD）的发生率。2018年3月至2019年6月期间在儿科糖尿病诊所看到的13-21岁T2D的aya完成了用于抑郁症筛查的患者健康问卷-9 （PHQ-9）和糖尿病问题区域-青少年版（pay - t）调查，以评估DD。卡方检验用于评估抑郁症和DD的发生率是否与参与者特征相关。样本包括64例伴有T2D的aya患者（58%为女性，平均年龄15.8±2.0岁，平均HbA1c为8.3%±2.6%，平均BMI z-score为2.2±0.6,59%为胰岛素组）。总体而言，31%的参与者有高度抑郁和/或DD。22%的参与者报告有高度抑郁症状，9%的参与者在PHQ-9上有自杀念头。社会人口学因素对抑郁症的发生率没有影响。23%的参与者报告了DD的高发生率。在使用胰岛素（p=0.014）和公共健康保险（p=0.014）的人群中，DD的发生率更高。几乎三分之一的患有T2D的青少年患有抑郁症和/或DD。我们的研究结果支持了在患有T2D的青少年中进行心理健康筛查的重要性，以及在这一人群中制定解决心理合并症的策略的必要性。
Screening for mental health comorbidities is recommended in adolescents and young adults (AYAs) with diabetes. There is a paucity of data on mental health comorbidities in AYAs with type 2 diabetes (T2D). To assess rates of depression, suicidal ideation, and diabetes distress (DD) in AYAs with T2D overall and by sociodemographic and clinical factors. AYAs with T2D ages 13-21 years seen in a pediatric diabetes clinic between March 2018 and June 2019 completed the Patient Health Questionnaire-9 (PHQ-9) for depression screening and the Problem Areas in Diabetes – teen version (PAID-T) survey to assess DD. Chi-square tests were used to assess whether rates of depression and DD were associated with participant characteristics. The sample consisted of 64 AYAs with T2D (58% female, mean age 15.8 ± 2.0 years, mean HbA1c 8.3% ± 2.6%, mean BMI z-score 2.2 ± 0.6, 59% on insulin). Overall, 31% of participants had high depression and/or DD. Twenty-two percent of participants reported high depressive symptoms and 9% endorsed suicidal ideation on the PHQ-9. There were no differences in rates of depression by sociodemographic factors. Twenty-three percent of participants reported high DD. Rates of DD were higher among those on insulin (p=0.014) and on public health insurance (p=0.014). Almost 1 in 3 AYAs with T2D endorsed depression and/or DD. Our findings support the importance of mental health screening in AYAs with T2D, as well as the need for strategies to address psychological comorbidities in this population.
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影响因子：
4.6
作者：
Nanayakkara N;Pease A;Ranasinha S;Wischer N;Andrikopoulos S;Speight J;de Courten B;Zoungas S
通讯作者：
Zoungas S
影响因子：
16.2
作者：
Majidi, Shideh;O'Donnell, Holly K.;Driscoll, Kimberly A.
通讯作者：
Driscoll, Kimberly A.
DOI：
10.2337/cd20-0037
发表时间：
2021-01
期刊：
Clinical diabetes : a publication of the American Diabetes Association
影响因子：
--
作者：
Roberts AJ;Barry D;Yi-Frazier J;Rutman L;Pihoker C;Malik FS
通讯作者：
Malik FS
影响因子：
3.4
作者：
Hagger, Virginia;Hendrieckx, Christel;Speight, Jane
通讯作者：
Speight, Jane
影响因子：
1.8
作者：
Kuniss, Nadine;Mueller, Ulrich Alfons;Kramer, Guido
通讯作者：
Kramer, Guido