Bernstein Carrie M, Stockwell Melissa S, Gallagher Mary Pat, Rosenthal Susan L, Soren Karen
Department of Pediatrics, Columbia University Medical Center, New York, NY 10032, USA.
Clin Pediatr (Phila). 2013 Jan;52(1):10-5. doi: 10.1177/0009922812459950. Epub 2012 Sep 17.
Mental health comorbidities can negatively affect disease management in adolescents with chronic illnesses. This study sought to determine the prevalence and impact of mental health issues in a population of adolescents and young adults with type 1 diabetes. A cross-sectional study of 150 patients aged 11 to 25 years with type 1 diabetes from an urban, academic diabetes center was conducted. Participants completed 3 validated mental health disorder screening instruments: Beck's Depression Inventory, the Screen for Child Anxiety Related Emotional Disorders-41 anxiety screen, and the Eating Disorder Screen for Primary Care. More than a third screened positive: 11.3% for depression, 21.3% for anxiety, and 20.7% for disordered eating (14.7% had ≥2 positive screens). Patients with a positive screen had twice the odds of having poor glycemic control as those without, as measured by HgbA1c. This study supports screening for mental health issues in adolescents and young adults with type 1 diabetes.
心理健康合并症会对患有慢性疾病的青少年的疾病管理产生负面影响。本研究旨在确定1型糖尿病青少年和青年人群中心理健康问题的患病率及其影响。对一家城市学术糖尿病中心的150名年龄在11至25岁之间的1型糖尿病患者进行了横断面研究。参与者完成了3种经过验证的心理健康障碍筛查工具：贝克抑郁量表、儿童焦虑相关情绪障碍筛查量表-41焦虑筛查量表以及初级保健饮食失调筛查量表。超过三分之一的人筛查呈阳性：11.3%为抑郁，21.3%为焦虑，20.7%为饮食失调（14.7%有≥2项阳性筛查结果）。通过糖化血红蛋白测量，筛查呈阳性的患者血糖控制不佳的几率是未呈阳性患者的两倍。本研究支持对1型糖尿病青少年和青年进行心理健康问题筛查。
