Depression and diabetes in children and adolescents

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Purpose of review: Diabetes and depression are each public health concerns. They frequently co-occur, compounding complications of each disease. This review provides recent information regarding the mechanisms of association between the disorders and the availability and effectiveness of interventions for youth with diabetes who are depressed. Implications for primary care physicians are considered, particularly in relation to recognition of depression, and also to preventive strategies that increase the patient's self-efficacy (evidence-based confidence in his/her ability to manage diabetes) and serve as protective factors in the development of depression. Recent findings: Depressive symptoms are strongly associated with diabetes complications. To date, no studies have tested effectiveness of interventions with depressed youth with diabetes. Clinical trials with adults have shown the effectiveness of pharmacotherapy, but those with more complications show the least improvement, and health gains do not persist. In the absence of other data, these findings suggest that it would be prudent to identify and treat comorbid depression in children with diabetes early in the course of their illness, before medical complications develop. Summary: Primary care physicians are in an important position to recognize early signs of depression in youth with diabetes and refer them for treatment. Furthermore, the literature provides numerous strategies that can be employed by primary care doctors that may enhance diabetes management as well as protect against depression.

Original languageEnglish (US)
Pages (from-to)626-631
Number of pages6
JournalCurrent Opinion in Pediatrics
Volume17
Issue number5
DOIs
StatePublished - Oct 2005

Fingerprint

Depression
Primary Care Physicians
Aptitude
Self Efficacy
Diabetes Complications
Primary Health Care
Public Health
Clinical Trials
Drug Therapy
Health
Therapeutics

Keywords

  • Chronic illness
  • Depression
  • Diabetes
  • Psychosocial function

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Depression and diabetes in children and adolescents. / Stewart, Sunita M.; Rao, Uma; White, Perrin.

In: Current Opinion in Pediatrics, Vol. 17, No. 5, 10.2005, p. 626-631.

Research output: Contribution to journalArticle

@article{e133964bc9074bbe81f6392be8d30f51,
title = "Depression and diabetes in children and adolescents",
abstract = "Purpose of review: Diabetes and depression are each public health concerns. They frequently co-occur, compounding complications of each disease. This review provides recent information regarding the mechanisms of association between the disorders and the availability and effectiveness of interventions for youth with diabetes who are depressed. Implications for primary care physicians are considered, particularly in relation to recognition of depression, and also to preventive strategies that increase the patient's self-efficacy (evidence-based confidence in his/her ability to manage diabetes) and serve as protective factors in the development of depression. Recent findings: Depressive symptoms are strongly associated with diabetes complications. To date, no studies have tested effectiveness of interventions with depressed youth with diabetes. Clinical trials with adults have shown the effectiveness of pharmacotherapy, but those with more complications show the least improvement, and health gains do not persist. In the absence of other data, these findings suggest that it would be prudent to identify and treat comorbid depression in children with diabetes early in the course of their illness, before medical complications develop. Summary: Primary care physicians are in an important position to recognize early signs of depression in youth with diabetes and refer them for treatment. Furthermore, the literature provides numerous strategies that can be employed by primary care doctors that may enhance diabetes management as well as protect against depression.",
keywords = "Chronic illness, Depression, Diabetes, Psychosocial function",
author = "Stewart, {Sunita M.} and Uma Rao and Perrin White",
year = "2005",
month = "10",
doi = "10.1097/01.mop.0000176441.49743.ea",
language = "English (US)",
volume = "17",
pages = "626--631",
journal = "Current Opinion in Pediatrics",
issn = "1040-8703",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Depression and diabetes in children and adolescents

AU - Stewart, Sunita M.

AU - Rao, Uma

AU - White, Perrin

PY - 2005/10

Y1 - 2005/10

N2 - Purpose of review: Diabetes and depression are each public health concerns. They frequently co-occur, compounding complications of each disease. This review provides recent information regarding the mechanisms of association between the disorders and the availability and effectiveness of interventions for youth with diabetes who are depressed. Implications for primary care physicians are considered, particularly in relation to recognition of depression, and also to preventive strategies that increase the patient's self-efficacy (evidence-based confidence in his/her ability to manage diabetes) and serve as protective factors in the development of depression. Recent findings: Depressive symptoms are strongly associated with diabetes complications. To date, no studies have tested effectiveness of interventions with depressed youth with diabetes. Clinical trials with adults have shown the effectiveness of pharmacotherapy, but those with more complications show the least improvement, and health gains do not persist. In the absence of other data, these findings suggest that it would be prudent to identify and treat comorbid depression in children with diabetes early in the course of their illness, before medical complications develop. Summary: Primary care physicians are in an important position to recognize early signs of depression in youth with diabetes and refer them for treatment. Furthermore, the literature provides numerous strategies that can be employed by primary care doctors that may enhance diabetes management as well as protect against depression.

AB - Purpose of review: Diabetes and depression are each public health concerns. They frequently co-occur, compounding complications of each disease. This review provides recent information regarding the mechanisms of association between the disorders and the availability and effectiveness of interventions for youth with diabetes who are depressed. Implications for primary care physicians are considered, particularly in relation to recognition of depression, and also to preventive strategies that increase the patient's self-efficacy (evidence-based confidence in his/her ability to manage diabetes) and serve as protective factors in the development of depression. Recent findings: Depressive symptoms are strongly associated with diabetes complications. To date, no studies have tested effectiveness of interventions with depressed youth with diabetes. Clinical trials with adults have shown the effectiveness of pharmacotherapy, but those with more complications show the least improvement, and health gains do not persist. In the absence of other data, these findings suggest that it would be prudent to identify and treat comorbid depression in children with diabetes early in the course of their illness, before medical complications develop. Summary: Primary care physicians are in an important position to recognize early signs of depression in youth with diabetes and refer them for treatment. Furthermore, the literature provides numerous strategies that can be employed by primary care doctors that may enhance diabetes management as well as protect against depression.

KW - Chronic illness

KW - Depression

KW - Diabetes

KW - Psychosocial function

UR - http://www.scopus.com/inward/record.url?scp=26044465098&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26044465098&partnerID=8YFLogxK

U2 - 10.1097/01.mop.0000176441.49743.ea

DO - 10.1097/01.mop.0000176441.49743.ea

M3 - Article

C2 - 16160538

AN - SCOPUS:26044465098

VL - 17

SP - 626

EP - 631

JO - Current Opinion in Pediatrics

JF - Current Opinion in Pediatrics

SN - 1040-8703

IS - 5

ER -