Prevalence and Correlates of Depressed Mood Among Youth With Diabetes: The SEARCH for Diabetes in Youth Study

作者：Jean M. Lawrence, Debra A. Standiford, Beth Loots, GEORGEANNA JONES KLINGENSMITH, Desmond E. Williams, Andrea M. Ruggiero, Angela D. Liese, Ronny A. Bell, Beth E. Waitzfelder, Robert E. McKeown, for the SEARCH for Diabetes in Youth Study · 发表于：PEDIATRICS · 年份：2006 · DOI：10.1542/peds.2005-1398 · 被引用次数：332 · 研究领域：Diabetes Management and Research、Diabetes Management and Education、Diabetes and associated disorders

OBJECTIVE: The objective of this study was to determine if depressed mood among youth with diabetes was associated with type and duration of diabetes, mean glycosylated hemoglobin (HbA1c) level, and the frequency of diabetic ketoacidosis (DKA) and hypoglycemic episodes, hospitalizations, and emergency department (ED) visits. METHODS: A total of 2672 youth (aged 10-21 years) who had diabetes for a mean duration of 5 years completed a SEARCH study visit, in which their HbA1c was measured and information about their demographic characteristics, diabetes type and duration, and episodes of DKA, hypoglycemia, hospitalizations, and ED visits over the previous 6 months was collected. Their level of depressed mood was measured using the Center for Epidemiologic Studies Depression Scale (CES-D). RESULTS: Among these youth, 14% had mildly (CES-D 16-23) and 8.6% had moderately or severely (CES-D > or =24) depressed mood. Females had a higher mean CES-D score than males. After adjusting for demographic factors, and duration of diabetes, we found the prevalence of depressed mood to be higher among males with type 2 diabetes than those with type 1 diabetes and to be higher among females with comorbidities than those without comorbidities. Higher mean HbA1c and frequency of ED visits were associated with depressed mood. The prevalence of depressed mood among youth with diabetes was similar to that of published estimates of depressed mood among youth without diabetes. CONCLUSIONS: Physicians ...