Depressive symptoms predict hospitalization for adolescents with type 1 diabetes mellitus

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

Objective. To examine the role of selfreported 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.

Original languageEnglish (US)
Pages (from-to)1315-1319
Number of pages5
JournalPediatrics
Volume115
Issue number5
DOIs
StatePublished - May 2005

Fingerprint

Type 1 Diabetes Mellitus
Hospitalization
Depression
Glycosylated Hemoglobin A
Epidemiologic Studies
Diabetes Complications
Survival Analysis
Social Class
Self Report
Outpatients
Odds Ratio
Quality of Life
Confidence Intervals
Health

Keywords

  • Adolescent
  • Depression
  • Hospitalization
  • Type 1 diabetes mellitus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Depressive symptoms predict hospitalization for adolescents with type 1 diabetes mellitus. / Stewart, Sunita M.; Rao, Uma; Emslie, Graham J.; Klein, Diane; White, Perrin C.

In: Pediatrics, Vol. 115, No. 5, 05.2005, p. 1315-1319.

Research output: Contribution to journalArticle

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N2 - Objective. To examine the role of selfreported 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.

AB - Objective. To examine the role of selfreported 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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