The Mental Health in Austrian Teenagers (MHAT)-Study: preliminary results from a pilot study

Philipp, Julia; Zeiler, Michael D.; Waldherr, Karin; Nitsch, Martina; Dür, W.; Karwautz, Andreas; Wagner, Gudrun

doi:10.1007/s40211-014-0131-9

Cited by 24 publications

(22 citation statements)

References 21 publications

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“…We found female patients to be at higher risk for both psychiatric disorders and insulin-manipulation. This result corresponds to many epidemiological studies finding internalizing psychiatric disorders to be pronounced in female gender 10,64 and therefore might reflect a general pattern in psychiatry.…”

Section: Gender Aspectssupporting

confidence: 90%

Association of insulin-manipulation and psychiatric disorders: A systematic epidemiological evaluation of adolescents with type 1 diabetes in Austria

et al. 2018

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Background/Objective The aim of this study was to systematically assess the association of insulin‐manipulation (intentional under‐ and/or overdosing of insulin), psychiatric comorbidity and diabetes complications. Methods Two diagnostic interviews (Diabetes‐Self‐Management‐Patient‐Interview and Children's‐Diagnostic‐Interview for Psychiatric Disorders) were conducted with 241 patients (age 10‐22) with type 1 diabetes (T1D) from 21 randomly selected Austrian diabetes care centers. Medical data was derived from medical records. Results Psychiatric comorbidity was found in nearly half of the patients with insulin‐manipulation (46.3%) compared to a rate of 17.5% in patients, adherent to the prescribed insulin therapy. Depression (18.3% vs 4.9%), specific phobia (21.1% vs 2.9%), social phobia (7.0% vs 0%), and eating disorders (12.7% vs 1.9%) were elevated in patients with insulin‐manipulation. Females (37.7%) were more often diagnosed (P = 0.001) with psychiatric disorders than males (18.4%). In females, the percentage of psychiatric comorbidity significantly increased with the level of non‐adherence to insulin therapy. Insulin‐manipulation had an effect of +0.89% in HbA1c (P = <0.001) compared to patients adherent to insulin therapy, while there was no association of psychiatric comorbidity with metabolic control (HbA1c 8.16% vs 8.12% [65.68 vs 65.25 mmol/mol]). Ketoacidosis, severe hypoglycemia, and frequency of outpatient visits in a diabetes center were highest in patients with insulin‐manipulation. Conclusions This is the first study using a systematic approach to assess the prevalence of psychiatric disorders in patients who do or do not manipulate insulin in terms of intentional under‐ and/or overdosing. Internalizing psychiatric disorders were associated with insulin‐manipulation, especially in female patients and insulin‐manipulation was associated with deteriorated metabolic control and diabetes complications.

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Section: Gender Aspectssupporting

confidence: 90%

Association of insulin-manipulation and psychiatric disorders: A systematic epidemiological evaluation of adolescents with type 1 diabetes in Austria

et al. 2018

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“…Questionnaires were available as online or paper–pencil version and were administered during a school lesson (approximately 50 min). The feasibility and acceptability of the procedure for teachers and the feasibility of the online-application were confirmed in a pilot study [38]. …”

Section: Methodsmentioning

confidence: 99%

Prevalence of emotional and behavioral problems and subthreshold psychiatric disorders in Austrian adolescents and the need for prevention

Philipp

Zeiler

Waldherr

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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PurposeEpidemiological data are crucial to plan adequate prevention strategies. Thus, this study aims at obtaining the prevalence of mental health problems (MHP) and subthreshold psychiatric disorders based on a representative sample of Austrian adolescents.MethodsAdolescents aged 10–18 were recruited from Austrian schools. Emotional and behavioral problems were determined using the Youth Self-Report (YSR); the point prevalence of subthreshold psychiatric disorders was assessed using structured diagnostic interviews. Sociodemographic variables including socioeconomic background, migration status, family structure, and place of residence were obtained. In addition, a non-school sample (unemployed adolescents, and child and adolescent psychiatry patients) was included to enhance representativeness and generalizability.Results3446 students, 37 unemployed adolescents, and 125 child and adolescent psychiatric patients provided analyzable YSR data sets. In the school sample, 16.5% scored in the clinically relevant range, while internalizing problems were more prevalent (17.8%) than externalizing problems (7.4%). These prevalences increased by 0.7–2.0% when the non-school sample was taken into account. A low socioeconomic status (SES) and living in single parent families were associated with higher problem scores. Regarding the interviewed sample (377 students and 407 parents), subthreshold psychiatric disorders were observed in 12.7% of students. 92.5% of them have not yet received any kind of help.ConclusionsA significant proportion of Austrian adolescents are at risk for MHP. A non-responder analysis indicates that the observed prevalence may be even underestimated. These findings emphasize the urgent need for targeted prevention, especially for reducing anxiety and depressive symptoms and for adolescents in disadvantaged families.

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“…Dependent on the available technical equipment of the schools, adolescents completed either the online questionnaire or the paper‐pencil version. Operability of the online version and feasibility of the screening phase procedure were evaluated in a previously conducted pilot study (Philipp et al, ). The flow of the entire recruitment process is depicted in Figure .…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Eating Disorder Risk and Associations with Health‐related Quality of Life: Results from a Large School‐based Population Screening

Zeiler

Waldherr

Philipp

et al. 2015

Euro Eating Disorders Rev

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The Mental Health in Austrian Teenagers (MHAT)-Study: preliminary results from a pilot study

Abstract: The results demonstrate that mental health problems affect approximately one fifth of the adolescents. A Non-Responder Analysis suggests that the prevalence of behavioral and emotional problems is underestimated.

Cited by 24 publications

References 21 publications

Association of insulin-manipulation and psychiatric disorders: A systematic epidemiological evaluation of adolescents with type 1 diabetes in Austria

Association of insulin-manipulation and psychiatric disorders: A systematic epidemiological evaluation of adolescents with type 1 diabetes in Austria

Prevalence of emotional and behavioral problems and subthreshold psychiatric disorders in Austrian adolescents and the need for prevention

Prevalence of Eating Disorder Risk and Associations with Health‐related Quality of Life: Results from a Large School‐based Population Screening

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