Diabetes distress, depression, and future glycemic control among adolescents with type 1 diabetes.

Document Type

Article

Publication Title

Journal of pediatric endocrinology & metabolism : JPEM

Abstract

OBJECTIVES: Increased diabetes distress and depression in adolescents with type 1 diabetes (T1D) are associated with poor glycemic control but it is not known whether they predict future glycemic control.

METHODS: Patient Health Questionnaire (PHQ-9) and Problem Areas in Diabetes-Teen version (PAID-T) scores were given to 275 adolescents (age 13-17 years) with T1D. Robust rank order multivariate regression analysis was used to assess how age, duration of diabetes diagnosis, HbA

RESULTS: HbA1c and changes in HbA1c after one year were related to baseline HbA1c. At 2 and 3 years HbA1c was related to the initial HbA

CONCLUSIONS: Higher PHQ9 scores and public insurance predict worsening glycemic control over 3 years in adolescents with T1D while increased diabetes distress does not.

First Page

311

Last Page

317

DOI

10.1515/jpem-2024-0524

Publication Date

4-28-2025

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