Depressive symptoms and unmet psychological needs of Dutch youth with type 1 diabetes: results of a web-survey
Open accessAbstract
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.
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Only a small proportion of adolescents and young adults with chronic conditions in need of mental health services actually receives professional support.
“Only a small proportion of AYA with chronic conditions in need of mental health services actually receives professional support [6, 14, 15].”
From Feasibility and potential efficacy of a guided internet- and mobile-based CBT for adolescents and young adults with chronic medical conditions and comorbid depression or anxiety symptoms (youthCOACHCD): a randomized controlled pilot trial (2022) · cites this paper as [15]
The Elevated depressive symptoms section (page not provided) reports that 28% of youth with elevated depressive symptoms received psychological care; the Discussion similarly says only about one fourth of depressed youth received care. This supports the claim for Dutch youth with type 1 diabetes, but the paper does not establish the same rate across adolescents and young adults with chronic conditions generally. (LLM, conf=0.87)
Experimental — accuracy not yet measuredIn a Dutch web-survey of adolescents and young adults with type 1 diabetes, only 28% of participants with symptoms of depression received psychological care.
“In a Dutch web-survey of AYA with type 1 diabetes (T1D) only 28% of participants with symptoms of depression received psychological care [15].”
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Flagged first, then by citations
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“In a Dutch web-survey of AYA with type 1 diabetes (T1D) only 28% of participants with symptoms of depression received psychological care [15].”
Background
- Authors
- de Wit, M., & Snoek, F. J.
- Affiliations
- Amsterdam Public Health (NL)
- ORCID
- Snoek, Frank J
- Venue
- Pediatric Diabetes
- Publisher
- Hindawi Limited
- Published
- 2011-04-26
- Volume
- 12
- Issue
- 3pt1
- Pages
- 172-176
- ISSN
- 1399-543X (ISSN-L)
- OpenAlex
- W1995590184
- Cited by
- 58
- References
- 24
- Citations by year
- 2024: 5 · 2023: 7 · 2022: 5 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 7 · 2014: 4 · 2013: 2 · 2012: 6
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- type 1 diabetes, youth, depressive symptoms, unmet psychological needs, psychological care, Children's Depression Inventory, gender differences, help-seeking, depression screening, pediatric diabetes care, HbA1c
- MeSH terms
- Adolescent, Psychology, Adolescent, Depression, Diabetes Mellitus, Type 1, Female, Humans, Male, Netherlands, Prevalence, Health Care Surveys, Needs Assessment, Internet
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