Correlates of depressive symptoms in adolescents with type 1 diabetes.
Correlates of depressive symptoms in adolescents with type 1 diabetes.
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DOI：
10.1034/j.1399-5448.2002.30303.x
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发表时间：
2002-09-01
影响因子：
3.4
通讯作者：
Grey, Margaret
中科院分区：
文献类型：
--
作者：
Whittemore, Robin;Kanner, Sheri;Grey, Margaret
方法：采用儿童抑郁量表(CDI)、糖尿病家庭行为量表(DFBS)、家庭适应与亲密度量表(FACES)，并在研究开始时和两年随访时复习图表，收集117名参加纵向研究的青少年(女性72人，男性45人；女性95岁；年龄=14.3+/-2.0岁；病程=6.3+/-3.7)的资料。13)在研究开始时和2年后随访时为10%。14.1-16岁的青少年和10岁的糖尿病患者的发病率最高。当人口学/临床变量被控制后，DFBS温暖关怀子量表(p=0.001)和面孔适应性子量表(p=0.005)，而不是DFBS指导-控制(p=0.635)，对研究开始时抑郁症状的解释差异有显著贡献(R(2)=0.27.随访2年时，CDI评分是抑郁症状的唯一有意义的预测因子(R(2)=0.40)。到2岁时，有抑郁症状的青少年HbA1c显著高于没有抑郁症状的青少年(p=0.03)。结论：青少年1型糖尿病患者抑郁症状的发生率以及抑郁症状对代谢控制的潜在影响提示有必要进行早期诊断和治疗。建议更多地关注青年的心理社会后果、家庭功能，以及随着时间的推移糖尿病对青年/家庭的潜在负担。
PURPOSE: To determine correlates of depression in adolescents with type 1 diabetes.METHODS: Data on 117 adolescents participating in a longitudinal study (72 F, 45 M; 95 W; age = 14.3 +/- 2.0 yr; duration = 6.3 +/- 3.7) were collected with the Children's Depression Inventory (CDI), Diabetes Family Behavior Scale (DFBS), Family Adaptability and Cohesion Scale (FACES), and chart review at study entry and 2-year follow-up.RESULTS: Fifteen per cent of adolescents in this sample demonstrated depressive symptoms (CDI > 13) at study entry and 10% at 2 yr follow-up. Adolescents aged 14.1-16 yr and those with diabetes > 10 yr demonstrated the highest rates. When demographic/clinical variables were controlled, the DFBS warmth-caring subscale (p = 0.001) and the FACES adaptability subscale (p = 0.005), but not DFBS guidance-control (p = 0.635), contributed significantly to the explained variance in depressive symptoms (R(2) = 0.27) at study entry. At 2 yr follow-up, study entry CDI scores were the only significant predictor of depressive symptoms (R(2) = 0.40). By 2 yr, adolescents with depressive symptoms had significantly higher HbA1c than those without (p = 0.03).CONCLUSION: The prevalence of depressive symptoms in adolescents with type 1 diabetes coupled with the potential impact of depressive symptoms on metabolic control suggest the need for early diagnosis and treatment. Greater attention to psychosocial outcomes of youth, family functioning, and the potential burden of diabetes over time to youth/families is indicated.