Depressive symptoms and unmet psychological needs of Dutch youth with type 1 diabetes: results of a web-survey

作者：de Wit Maartje^*; Snoek Frank J

来源：Pediatric Diabetes, 2011, 12(3): 172-176.

DOI：10.1111/j.1399-5448.2010.00673.x

• adolescent
• depression
• diabetes mellitus
• health services needs and demand
• type 1

Objective: To examine rates of depression and (un)met psychological needs in youth with type 1 diabetes.
Methods: An open-access web-survey was conducted, collecting data on demographics, self-reported HbA1c, depressive symptoms [Child Depression Inventory (CDI)], wished and received psychological care in youth with type 1 diabetes (9-19 years).
Results: The survey was completed by 233 youth; 17.2% reported elevated depressive symptoms on the CDI, girls more than boys (p = 0.003). Half of the youth did not talk about their feelings with their pediatrician or nurse. Of those youth with elevated depressive symptoms, 28% received psychological care, 25% wished to see a psychologist and 47% did not think it was necessary to receive psychological support.
Discussion: This web-survey confirms the high prevalence of elevated depressive symptoms in youth with type 1 diabetes and the urgency to address their psychological needs. Screening for depressive symptoms in the context of periodic outpatient consultation could improve early detection and treatment of emotional problems.

• 出版日期2011-5