Maternal depressive symptoms predict adolescent healthcare utilization and charges in youth with Type 1 diabetes (T1D).

Clayton, Kyle M.; Stewart, Sunita M.; Wiebe, Deborah J.; McConnel, Charles E.; Hughes, Carroll W.; White, Perrin C.

doi:10.1037/a0032761

Cited by 16 publications

(12 citation statements)

References 32 publications

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“…There were no significant differences concerning the mothers' assessment of their child's HRQOL in the intervention group versus the control group. Earlier studies show that mothers often tend to be over-involved and internalize psychological aspects of their child's disease [30]. This fact might be reflected in our results.…”

Section: Discussionsupporting

confidence: 65%

Improved Health-related Quality of Life in Children and Adolescents with Type 1diabetes: A Two-year Prospective Family Intervention RCT Study

Sand¹,

Kljajić²,

Forsander³

2017

JHS

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Abstract:The aim of this two-year prospective RCT-study was to evaluate children's HRQOL after a family intervention providing support with four sessions for six months following diagnosis of type 1 diabetes (T1DM), with follow-up sessions at 12, 18, and 24 months. Ninety-eight children aged 3-15 years, recently diagnosed with T1DM, participated with their parents. At six and 24 months after diagnosis, the child, mother, and father independently completed the PedsQL 4.0 Generic Scale and PedsQL 3.0 Diabetes Module Scale, and the child's glycemic control (HbA1c value) was measured. After six months, children in the intervention group had better generic HRQOL than the control group (P < 0.03). At 24 months, these children and their fathers rated the child's diabetes-specific HRQOL as significantly better (P < 0.01, P < 0.04) and the child's worry as lower (P < 0.02, P < 0.03) compared to the control group. Communication skills improved significantly over time in the intervention group (P < 0.01). There were no significant differences between control and intervention group regarding glycemic control, measured as HbA1c, either at 6 or 24 months. This study highlights the importance of psychological support after the onset of T1DM, especially facilitating communication skills within the family in the immediate and ongoing care.

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Section: Discussionsupporting

confidence: 65%

Improved Health-related Quality of Life in Children and Adolescents with Type 1diabetes: A Two-year Prospective Family Intervention RCT Study

Sand¹,

Kljajić²,

Forsander³

2017

JHS

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“…High levels of depression in mothers of children with T1DM may lead to difficulties in paying attention to the medical care of their children. A study by Clayton et al [20] has shown that adolescents of mothers with high depressive symptoms were twice as likely to have an emergency room visit and 3 times as likely to be hospitalized. It is clear that people who suffer from both diabetes and depression have poorer metabolic control [8].…”

Section: Discussion ▼mentioning

confidence: 99%

Quality of Life and Psychological Screening in Children with Type 1 Diabetes and their Mothers

Duru

Çivilibal

Elevli

2015

Exp Clin Endocrinol Diabetes

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This study aimed to assess the levels of depression in children with type 1 diabetes mellitus (T1DM) and evaluate the quality of life as well as levels of depression and anxiety of their mothers.30 children with T1DM (mean age: 12.9±2.9 years) and their mothers (mean age: 40.0±7.5 years) were included in the study. Control group consisted of 30 healthy children (mean age: 12.7±2.7 years) and their mothers (mean age: 39.8±7.2 years). The presence and severity of depressive symptoms in the children were evaluated using the Children's Depression Inventory (CDI). The short form 36-health survey (SF-36), the Beck Depression Inventory (BDI), and Spielberg's State-Trait Anxiety Inventory (STAI) were administered to all mothers.The children with T1DM had higher scores of depression compared to healthy children in the control group. The mothers of children with T1DM had significantly lower scores on all subscales of SF-36 except the bodily pain subscale. We observed a significant difference between groups in their BDI scores; the mean BDI score was higher in mothers of children with T1DM (p=0.004). There was a significant difference in STAI scores between groups. CDI scores positively correlated with the ages of and HgA1C levels in the children with T1DM. There was a positive correlation between CDI scores of children with T1DM and BDI scores of their mothers. In addition, CDI sores negatively correlated with the scores of vitality and social functioning subscales of SF-36.Our findings suggest screening for mental health issues and quality of life in diabetic children and their mothers.

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“…Most studies examining psychosocial problems in youth with type 1 diabetes (T1D) have focused on rates of depressive symptoms [10], the negative impact of depressive symptoms on health outcomes including glycemic control [11, 12••], and the impact of self-reported and maternal depressive symptoms on hospitalizations in youth with T1D [13,14]. Fewer studies have specifically examined the occurrence of anxiety in individuals with T1D diabetes, and those that have primarily focused on fear of hypoglycemia (FOH) and needles.…”

Section: Introductionmentioning

confidence: 99%

Anxiety in Children and Adolescents With Type 1 Diabetes

2015

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Although anxiety is a normal and developmentally appropriate experience of childhood and anxiety disorders are among the most commonly diagnosed disorders, the prevalence of anxiety symptomatology and anxiety disorders in children with type 1 diabetes (T1D) is not well documented. Most studies have focused on anxiety-related syndromes associated with T1D including fear of hypoglycemia, specific phobia of needles (i.e., needle anxiety), and anxiety related to uptake of new and sophisticated diabetes technology (e.g., continuous glucose monitors, continuous subcutaneous infusion therapy), but the extant literature is sparse, and more research is greatly needed. Identification, prevention, and treatment of anxiety are critical to providing comprehensive diabetes care and management. This review provides a summary of the literature focused on anxiety in children and adolescents with T1D with suggestions for future research and clinical implications.

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Maternal depressive symptoms predict adolescent healthcare utilization and charges in youth with Type 1 diabetes (T1D).

Cited by 16 publications

References 32 publications

Improved Health-related Quality of Life in Children and Adolescents with Type 1diabetes: A Two-year Prospective Family Intervention RCT Study

Improved Health-related Quality of Life in Children and Adolescents with Type 1diabetes: A Two-year Prospective Family Intervention RCT Study

Quality of Life and Psychological Screening in Children with Type 1 Diabetes and their Mothers

Anxiety in Children and Adolescents With Type 1 Diabetes

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