Depressive Symptoms and Quality of Life in Adolescents With Type 2 Diabetes

Author:

Anderson Barbara J.1,Edelstein Sharon2,Abramson Natalie Walders3,Katz Lorraine E. Levitt4,Yasuda Patrice M.5,Lavietes Sylvia J.6,Trief Paula M.7,Tollefsen Sherida E.8,McKay Siripoom Vudhipoom9,Kringas Patricia10,Casey Terri Lynn11,Marcus Marsha D.12

Affiliation:

1. Department of Pediatrics, Section of Psychology, Baylor College of Medicine, Houston, Texas

2. George Washington University Biostatistics Center, Rockville, Maryland

3. Department of Psychiatry and Behavioral Sciences, The Children’s Hospital, University of Colorado Denver School of Medicine, Aurora, Colorado

4. Division of Endocrinology, Children’s Hospital of Philadelphia/University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

5. Center for Endocrinology, Diabetes & Metabolism, Children’s Hospital Los Angeles, Los Angeles, California

6. Department of Pediatric Diabetes, Yale University, New Haven, Connecticut

7. Departments of Psychiatry and Medicine, SUNY Upstate Medical University, Syracuse, New York

8. Department of Pediatrics, Saint Louis University Health Sciences Center, St. Louis, Missouri

9. Department of Pediatric Endocrinology and Metabolism, Baylor College of Medicine, Houston, Texas

10. Naomi Berrie Diabetes Center, Columbia University Medical Center, New York, New York

11. Pediatric Diabetes, Endocrinology and Metabolism, University Hospitals Case Medical Center, Cleveland, Ohio

12. Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Abstract

OBJECTIVE The study objective was to examine the prevalence of depressive symptoms and relationships to quality of life and demographics in the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study’s large, ethnically diverse youth with type 2 diabetes. RESEARCH DESIGN AND METHODS A total of 704 youth with type 2 diabetes <2 years’ duration, aged 10–17 years, and BMI ≥85th percentile completed depressive symptoms and quality of life measures. RESULTS Some 14.8% reported clinically significant depressive symptoms, and older girls had significantly higher rates than older boys. CONCLUSIONS Rates of significant depressive symptoms were similar to those of healthy adolescents and lower than those of teens with type 1 diabetes. Elevated depressive symptoms, particularly in older girls, suggest clinicians assess vulnerability.

Publisher

American Diabetes Association

Subject

Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine

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