Associate Professor of Pediatric Infectious Disease, Department of Pediatrics, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran.
Assistant Professor of Nursing, Department of Pediatrics, School of Nursing, Zabol University of Medical Sciences, Zabol, Iran.
World J Pediatr. 2022 Jan;18(1):16-26. doi: 10.1007/s12519-021-00485-2. Epub 2021 Nov 22.
Evaluation of psychiatric disorders in children is essential in timely treatment. Despite individual studies, there is no information on the exact status of psychiatric disorders in children. The present study was conducted to determine the prevalence of depression among children with type 1 and type 2 diabetes.
This meta-analysis is registered with PROSPERO (CRD42021231491). Several databases (Web of Science, Scopus, and PubMed) were searched from January 1, 2000 to December 15, 2020. The key words included: depression, anxiety, children, and diabetes. The steps of search, comprising screening, risk of bias, and extraction of study data, were performed separately by two researchers.
It was found that a total of 109 studies had been conducted involving 52,493 children with type 1 and type 2 diabetes. These studies were included in the present review study. The prevalence of depression, anxiety among children with type 1 diabetes were 22.2% [95% confidence interval (CI) 19.2-25.2], and 17.7% (95% CI 15.2-20.1), respectively. The prevalence of depression was higher among girls (29.7%) than boys (19.7%). The prevalence of depression was higher in lower-middle-income countries at 29.3% (95% CI 18.6-40.0). The prevalence of depression among children with type 2 diabetes was 22.7% (95% CI 17.3-28.0).
The results of the present study indicate the importance of paying attention to extensive periodic screening and appropriate activities to reduce pediatric depression.
及时治疗儿童精神障碍至关重要。尽管有个别研究,但没有关于儿童精神障碍确切状况的信息。本研究旨在确定 1 型和 2 型糖尿病儿童中抑郁症的患病率。
本荟萃分析已在 PROSPERO(CRD42021231491)上注册。从 2000 年 1 月 1 日至 2020 年 12 月 15 日,我们在多个数据库(Web of Science、Scopus 和 PubMed)中进行了搜索。关键词包括:抑郁、焦虑、儿童和糖尿病。搜索步骤包括筛选、偏倚风险和研究数据提取,由两名研究人员分别进行。
共发现 109 项研究涉及 52493 名 1 型和 2 型糖尿病儿童。这些研究被纳入本综述。1 型糖尿病儿童的抑郁和焦虑患病率分别为 22.2%(95%可信区间 19.2-25.2)和 17.7%(95%可信区间 15.2-20.1)。女孩的抑郁患病率(29.7%)高于男孩(19.7%)。中低收入国家的抑郁患病率较高,为 29.3%(95%可信区间 18.6-40.0)。2 型糖尿病儿童的抑郁患病率为 22.7%(95%可信区间 17.3-28.0)。
本研究结果表明,重视广泛的定期筛查和适当的活动以减少儿科抑郁是非常重要的。