Adolescents with diabetes should be screened for depression with caution: study | health

According to a recent study published in the American Journal of diabetic Journal of the Diabetes Care Association, Results of commonly used depression screening methods should be carefully altered to better detect disease in adolescents with type 1 diabetes (T1D).

This study is the first to broadly evaluate the effectiveness of such assays for this population when compared to diagnostic interviews. The study was led by researchers from Children’s Basic Hospital and Nemours Children’s Health in Jacksonville. The data was collected jointly with Children’s Mercy Kansas City when both researchers were affiliated with the University of Kansas Medical Center, which provided funding for the trial.

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According to previous research, teens with T1D are more likely than their peers without it Diabetes to develop depression. In addition, depression, according to the researchers, can affect blood sugar control, cause poor blood glucose control, and lead to frequent hospitalizations. For these reasons, regular depression screenings according to national and international standards are recommended for all adolescents with diabetes.

“Screening for depression is critical for affected youth type 1 diabetes Because treating depression is likely to keep them healthier now and in the long term, said the paper’s lead author, Arwen M.Marker, Ph. The tools offer the best performance and the best way to use them in this population, so we never fail to identify children with depression and provide them with the support they need.”

The research team collected 100 T1D adolescents (ages 12-17) and conducted clinical interviews with each of them, considered the gold standard for identifying depression. Participants were also given five regularly used depression screening tools, each of which took one to three minutes to complete. The results of each screening tool were then compared with the results of the interviews. The majority of examiners’ usual diagnostic cut-off scores had to be lowered in order to maximize their sensitivity to adolescent patients with T1D, they claimed, which shocked them.

Marker said: “We thought we might need to increase the cut-off scores for accuracy with this population, believing that common symptoms of diabetes and depression would inflate the number of depression diagnoses, suggesting that more people had depression when diabetes symptoms were the cause. “. . “However, we generally found the opposite – we needed to lower the cut-off scores to more accurately identify young people with depressive symptoms.”

Most of the screening tools evaluated in the study were made with adults in mind. None of them were explicitly designed for people with T1D, and none have been demonstrated to reliably define adolescent depression in the past. The researchers suggested that diabetes care professionals use the CDI-2 Short, PHQ-9A, and SMFQ, which have been shown to have the highest accuracy in this population.

According to co-author Susanna Patton, PhD, ABPP, CDE, principal research scientist at Nemours Children’s Health in Jacksonville, “Without the right sensitivity limits, even great screening tools will miss some teens with depression, which means they won’t receive mental health services and can go on to exposure to depression. This also means that some T1D teens may have more difficulty controlling their diabetes.

The autoimmune condition known as type 1 diabetes occurs when the body’s immune system inadvertently kills the insulin-producing cells in the pancreas. There is currently no known cure, and its causes are unclear. The disorder, which affects an estimated 244,000 children and adolescents in the United States, can lead to significant health problems either early in life or later in life.

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