This study examines how often depression and anxiety, in patients with diabetes, are detected by health professionals; and whether detection is influenced by patient characteristics (age, gender), illness factors (duration of illness, diabetes control), and self-reported levels of depression and anxiety. Prevalence rates of clinically significant depression and anxiety were high (57% and 36%, respectively); however, of those identified, only 44 and 36 per cent, respectively, were detected by staff as depressed or anxious. The only significant predictors of detection were severity of depressive and anxious symptoms. Patient and illness characteristics did not influence whether professionals identified emotional problems in their patients.
This study aims to compare rates of depressive and anxious symptoms among older adults with and without diabetes. The study also examines differences in depression, anxiety, and diabetes-related emotional distress between middle-aged and older adults with diabetes. A total of 224 participants completed a range of questionnaires measuring depression, anxiety, and diabetes-related emotional distress (if applicable). One hundred and three adults with diabetes (55 middle-aged, mean age = 47 years, range 40-59 years and 48 older, mean age = 69 years, range 60-81 years) were recruited from a tertiary diabetes clinic. One hundred and twenty-one adults without diabetes (72 middle-aged, mean age = 52 years, range 40-59 years and 49 older, mean age = 65 years, range 60-76 years) were recruited from either a university student pool or a registry of adults aged 50 and above. Older adults with diabetes had significantly higher levels of depression and comparable levels of anxiety with older adults without diabetes. Older adults with diabetes had significantly lower levels of depression, anxiety, and diabetes-related distress than middle-aged adults with diabetes. Diabetes is associated with high rates of depression and anxiety, with middle-aged adults more adversely affected than older adults.
What is already known on this topic1 People with diabetes experience disproportionately higher rates of depression and anxiety than people without diabetes. 2 Depression plays an important role in both the development and worsening of diabetes. 3 The risk of developing T2DM increases with age, with older adults constituting half the diabetic population.
What this paper adds1 Older adults with diabetes experience significantly higher rates of depressive symptoms than older adults without diabetes. 2 Diabetes is not associated with higher rates of anxiety symptoms among older adults. 3 Older adults with diabetes have lower rates of psychological symptoms than middle-aged adults with diabetes.bs_bs_banner Australian Psychologist 47 (2012) 90-97
This study investigated parents' satisfaction with postdisaster school-based screening and whether satisfaction was related to follow-through with screening recommendations. From among 1,268 there were 224 children, ages 7-18 years (M = 10.97, SD = 2.44 years) screened for emotional distress 4 months after a flood and 130 parents who completed the screening evaluation. Of the 44 children who showed severe emotional distress, less than 50% of their parents reported concerns and only 29.5% had sought assistance. Following screening, 86.7% of these children completed treatment. Overall satisfaction ratings by parents were high, with 99.2% very or mostly satisfied.
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