Depressive Symptoms Predict Hospitalization for Adolescents With Type 1 Diabetes Mellitus
Abstract
Objective. To examine the role of self-reported depressive symptoms in predicting hospitalization for complications of diabetes mellitus over a period of up to 2 years. Study Design. Two hundred thirty-one adolescent outpatients (age range: 11–18 years) with type 1 diabetes completed the Center for Epidemiological Studies Depression Scale, a self-report measure of depressive symptoms. Glycosylated hemoglobin levels were also assessed, to account for this known predictor of hospitalization. With survival analysis methods, hospitalizations for medical complications that occurred up to 2 years after this assessment were recorded. Results. After controlling for age, gender, socioeconomic status, and glycosylated hemoglobin levels at baseline, the odds ratio for prediction offered by Center for Epidemiological Studies Depression Scale scores above the cutoff point (12 for boys and 22 for girls) was 2.58 (95% confidence interval: 1.12–5.98). Conclusions. Young people with type 1 diabetes who show high levels of depressive symptoms are at increased risk for hospitalization for disease complications. Interventions aimed at improving their depressive symptoms may result in positive health outcomes, as well as improved quality of life.
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Youth with type 1 diabetes who have depressive symptoms face a higher risk of poor glycemic control, medical complications, and hospitalizations.
“T1DM youth with depressive symptoms are at higher risk for poor glycemic control, medical complications, and hospitalizations”
From Cognitive-Behavioral Group Therapy for Latino Youth with Type 1 Diabetes and Depression (2017) · cites this paper as Stewart, Rao, Emslie, Klein, & White, 2005
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The CES-D as a Screen for Depression and Other Psychiatric Disorders in Adolescents
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Prevalence and associations of psychological distress in young adults with Type 1 diabetes
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Depression and anxiety screening in adolescents with diabetes
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Cognitive-Behavioral Group Therapy for Latino Youth with Type 1 Diabetes and Depression
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- Authors
- Stewart, S. M., Rao, U., Emslie, G. J., Klein, D., & White, P. C.
- Affiliations
- Department of Psychiatry
- The University of Texas Southwestern Medical Center (US)
- Children's Medical Center (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2005-05-01
- Volume
- 115
- Issue
- 5
- Pages
- 1315-1319
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2112917348
- Cited by
- 159
- References
- 1
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 8 · 2023: 7 · 2022: 1 · 2021: 8 · 2020: 12 · 2019: 8 · 2018: 10 · 2017: 7 · 2016: 5 · 2015: 14 · 2014: 8 · 2013: 13 · 2012: 16
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01MH062464, R01MH068391)
- National Institute on Drug Abuse (R01DA015131, R01DA017804, R01DA014037, R01DA017805)
- 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, depressive symptoms, adolescents, hospitalization, diabetes complications, Center for Epidemiologic Studies Depression Scale, HbA1c, depression screening, quality of life
- MeSH terms
- Adolescent, Depression, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Hospitalization, Humans, Longitudinal Studies, Male, Risk Factors, Socioeconomic Factors, Proportional Hazards Models, Survival Analysis
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