Anxiety and Depression in Adolescents with Type 1 Diabetes Mellitus (T1DM) and Their Parents, and Its Impact on Metabolic Compensation of Diabetes

Activity: Talk or presentation types › Poster presentation

Description

To determine the symptoms of anxiety and depression in adolescents with type 1 diabetes mellitus and their parents;To evaluate the relationship between parental anxiety, depression and metabolic control of their adolescents with T1DM.. In the quantitative cross-sectional study we determined the prevalence of anxiety and depression in adolescents with T1D and their parents (N = 502). The results were compared with the control group consisting of somatic healthy adolescents and their parents (N = 310). Anxiety symptoms were evaluated applying the Generalized Anxiety Disorder 7-item (GAD 7) scale. Depression symptoms were evaluated using the Patient Health Questionnaire 9 (PHQ 9) scale. 812 respondents were eligible for screening. Glycaemic control of patients was assessed using the last glycated haemoglobin (HbA1c) values. GLM mediation analysis was performed to determine the potential mediating effect of parents’ anxiety and depression on the relationship between anxiety and depression of child on the level of HbA1c.. Anxiety and depression symptoms were seen significantly more frequently (p < 0,001) in the study group than in the control group, both in the child and in the parent subgroups. A strong statistically significant positive correlation (P < 0.001) was observed between anxiety and depression severity and HbA1c – the main criterion for diabetes compensation, and it is fully mediated by parent GAD-7.. Adolescents with Type 1 diabetes and their parents are more predisposed to anxiety and depression symptoms than somatic healthy children and their parents;Anxiety and depression impair the metabolic control and prognosis of diabetes;Glycated haemoglobin in adolescents with Type 1 diabetes is related to adolescents’ mental health via parents’ anxiety;Further multiprofessional research and care is necessary for children with T1D and their families, in order to avoid the development of stress-related mental health disorders.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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