Psychiatric morbidity and health outcome in Type 1 diabetes – perspectives from a prospective longitudinal study
Abstract
AIMS: To describe psychiatric status and relationship to metabolic control in adolescents with Type 1 diabetes studied prospectively from diagnosis. METHODS: Adolescents (n = 41) completed a self-report measure of psychiatric status 10 years after disease onset. Metabolic control information was recorded prospectively from diagnosis. The rate and type of psychiatric disorder were determined and the relationship between mental health status and metabolic control history examined. RESULTS: Thirty-seven per cent of the adolescents met criteria for a DSM-IV psychiatric disorder, two to three times higher than community levels of psychiatric morbidity. Females were significantly more likely to receive a diagnoses (chi2 = 4.98, P < 0.05). Two thirds of participants had experienced at least one serious hypoglycaemic episode and one third had a history of chronic poor metabolic control. DSM-IV diagnoses were present in half of those with a history of chronic poor control, one third of the hypoglycaemia group and one quarter of well controlled participants. Adolescents with a current Mood (t = -2.83, P < 0. 01), Anxiety (t = -3.77, P = 0.001) or Behaviour (t = 2.56, P < 0.05) disorder and those with a history of poorly controlled diabetes (F (2,29) = 5.4, P = 0.01) had higher externalizing behaviour problem scores at diagnosis than those without current disorder. CONCLUSIONS: Adolescents with Type 1 diabetes are at high risk for psychiatric disorder. Poorly controlled diabetes over the first 10 years of illness was associated with pre-existing behaviour problems at diagnosis and there was a trend for an association with current psychiatric status.
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In people with type 1 diabetes, the pooled prevalence of obsessive-compulsive disorder based on interviews was 0.83% (95% CI 0.14-1.52) across 7 studies with a total sample size of 1218.
“| | 7 | Interviews | 1218 | 0.83 | 0.14-1.52 | 42.50% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [48]
The heterogeneity (I2) for the pooled prevalence of obsessive-compulsive disorder in people with type 1 diabetes based on interviews was 42.50%.
“| | 7 | Interviews | 1218 | 0.83 | 0.14-1.52 | 42.50% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [48]
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- Authors
- Northam, E. A., Matthews, L. K., Anderson, P. J., Cameron, F. J., & Werther, G. A.
- Affiliations
- Royal Children's Hospital (AU)
- Corresponding author
- Northam, E. A.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2004-12-20
- Volume
- 22
- Issue
- 2
- Pages
- 152-157
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W1981123070
- Cited by
- 195
- References
- 0
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 10 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 13 · 2018: 9 · 2017: 5 · 2016: 14 · 2015: 19 · 2014: 14 · 2013: 13 · 2012: 9
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- 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, adolescents, psychiatric morbidity, mental health, metabolic control, hypoglycemia, mood disorders, anxiety disorders, behaviour disorders, externalizing problems, sex differences
- MeSH terms
- Adolescent, Child Behavior Disorders, Diabetes Mellitus, Type 1, Female, Humans, Hyperglycemia, Hypoglycemia, Longitudinal Studies, Male, Prognosis, Prospective Studies
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