Psychiatric disorders in adolescents with type 1 diabetes: a case-control study

Almeida, Mireille Coêlho; Claudino, Denise A.; Grigolon, Ruth Bartelli; Fleitlich-Bilyk, Bacy; Claudino, Angélica Medeiros

doi:10.1590/1516-4446-2017-2259

Cited by 12 publications

(7 citation statements)

References 33 publications

(39 reference statements)

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“…Additionally, as many as one-third of children with T1D meet the criteria for at least one psychiatric diagnosis (eating disorders, anxiety and mood disorders -psychoactive substance abuse, personality disorders, depression, neurosis, and schizophrenia) during their lifetime [4,5,8,9]. The presence of mental disorders was found to be associated with higher haemoglobin A 1c and reduced quality of life, increased risk of acute diabetes complications, and hospitalization for other reasons including suicide attempts [5,7].…”

Section: Discussionmentioning

confidence: 99%

Type 1 diabetes in an adolescent with social problems and mental disorders – case report

Grobelczyk¹,

Rusak²,

Seget³

et al. 2021

pedm

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Discontinuation of type 1 diabetes (T1DM) treatment (interruption of insulin therapy) rapidly leads to diabetic ketoacidosis (DKA) which is a life-threatening condition. Our case report is intended to draw attention to persons with T1DM and significant social/ psychological problems. They typically, due to the lack of legal regulations, "fall out of the system", which should provide in such cases additional assistance in care conditioning proper treatment. Psychological an psychiatric disorders and/or social problems may interfere with self-control and diabetes treatment, making it difficult or even impossible. These patients represent a significant challenge for the diabetes team and require individualized management from the social care system. Patient safety-focused support from consulting physicians of other specialties is also essential. The case of our patient highlights the need for relevant legal and administrative regulations that would allow for quick, safe and adequate care.

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Section: Discussionmentioning

confidence: 99%

Type 1 diabetes in an adolescent with social problems and mental disorders – case report

Grobelczyk¹,

Rusak²,

Seget³

et al. 2021

pedm

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“…The demands for self-care of T1D increase the risk of developing psychiatric disorders (4)(5)(6). A frequent problem in clinical practice is that mental health professionals are not always readily available to perform a comprehensive analysis of the patients' psychological profile.…”

Section: Discussionmentioning

confidence: 99%

“…Suicide accounts for 1.5% of all deaths, being among the 20 main causes of general mortality (3). Among patients with diabetes, several studies show higher rates of depression and anxiety than in the general population (4)(5)(6). Diabetes distress, a specific emotional disorder related to the underlying disease (7,8), has an estimated prevalence of 18% to 45%, depending on the geographic population evaluated (9), being the most common psychological disorder.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects

Fritzen¹,

Weinert²,

Denk³

et al. 2021

Archives of Endocrinology and Metabolism

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Objectives: To assess the prevalence of psychiatric disorders in patients with type 1 diabetes mellitus (T1D) and to compare patients with and without psychiatric disorder. Materials and methods: We made a cross-sectional study including patients with T1D assisted in the outpatient clinics of the Brazilian National Health System. To assess depression and anxiety, we used the PHQ-9 questionnaire and the DSM-5th edition criteria, respectively. B-PAID evaluated the level of emotional distress associated with diabetes; EAT-26, eating disorders; SCI-R, adherence to the proposed clinical treatment. Results: We analyzed 166 patients aged 33 (22-45.2) years, 53.6% female. The prevalence of depression and anxiety was 20.5% and 40.4%, respectively. HbA1c was worse in the depressed (9.0% vs. 8.4%, p = 0.008), in the anxious ones (9.0% vs. 8.3%, p = 0.012) and in the patients with high levels of B-PAID (8.8 % vs. 8.3 %, p = 0.009). There was no difference in the prevalence of complications related to diabetes. Conclusions: The prevalence of psychiatric disorders and emotional distress related to diabetes was high in our population of T1D patients, and depression and high levels of B-PAID were associated with the worse glycemic control.

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“…These are the impaired brain functions caused by the micro and macrovascular complications of the disease, and the increased psychosocial burden of the disease [8]. The disease's psychological burden is associated with its chronic course and its treatment requiring frequent invasive procedures and restrictive diet A restrictive diet in terms of content and timing is a challenging stressor especially in adolescence which is characterized by increased autonomy, withdrawal from parental authority, weakness in impulse control and increased self-focus in body appearance [9].…”

Section: Level Of Evidencementioning

confidence: 99%

Do we care about eating problems sufficiently in adolescent Type 1 Diabetes?

Polat

Yılmaz

Çakır

2021

Preprint

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Background Eating problems have been shown to be common in adolescents with T1DM. We aimed to examine the association of eating problems with emotional problems, behavioral attitudes towards treatment and diet adherence. Method: The study was conducted with 132 participants, of them 72 were with T1DM (T1DM group) and 60 were healthy controls group. Participants were evaluated using a data form and self-report scales which were Children's Depression Scale (CDI), Screen for Child Anxiety Related Disorders (SCARED) and the Eating Attitude Test (EAT). Results Rates of having significant scores for CDI, SCARED and EAT in the T1DM group (52.8%, 36.1%, 30.6%, respectively) were higher than control group (21.7%, 8.3%, 3.4,) (p < 0.01). Patients with separate parents, lower parental education, irregular outpatient follow-up, hospitalization in the previous 3 months, diabetes complications and history of refusing insulin injections had higher rates of having significant scores for CDI and/or SCARED (p < 0.05). Having significant scores for EAT was related to person who makes the insulin injections (p < 0.05) and the child's diet adherence (p < 0.01). There was a positive correlation between EAT and CDI scores (r = 0.309; p = 0.008; p < 0.01). Conclusion Adolescents with T1DM have an increased risk of eating and emotional problems. Increasing age, low parental educational level, not taking the responsibility of insulin treatment, strict adherence to diabetic diet and depressive symptomatology were associated with increased risk for eating problems. Identifing the risky cases for eating problems will improve the clinical outcome. Level of Evidence: Level II, Prospective Cross-sectional Clinical Study

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Psychiatric disorders in adolescents with type 1 diabetes: a case-control study

Cited by 12 publications

References 33 publications

Type 1 diabetes in an adolescent with social problems and mental disorders – case report

Type 1 diabetes in an adolescent with social problems and mental disorders – case report

Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects

Do we care about eating problems sufficiently in adolescent Type 1 Diabetes?

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