Symptoms of depression and anxiety in youth with type 1 diabetes: A systematic review and meta-analysis

@article{Buchberger2016SymptomsOD,
  title={Symptoms of depression and anxiety in youth with type 1 diabetes: A systematic review and meta-analysis},
  author={Barbara Buchberger and Hendrik Huppertz and Laura Krabbe and Beate Lux and Jessica Tajana Mattivi and Aris Siafarikas},
  journal={Psychoneuroendocrinology},
  year={2016},
  volume={70},
  pages={70-84}
}
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To investigate depressive symptoms in children and adolescents with type 1 diabetes and their association with demographic, diabetes-specific, and family-functioning variables, 145 youth and their parents who received care at a pediatric diabetes center were investigated.
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New research in the behavioural and psychosocial literature focused on type 1 diabetes in adolescents, including compliance with standards of care, quality of life, depression, psychological burden of type 1abetes, parental involvement, the parent–child relationship, self-management, socioeconomic status and transition and transfer of care are highlighted.
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This study showed moderate associations between depression and poor treatment adherence, however, Targeting behaviour and social environments may ultimately provide more cost-effective health gains than targeting depressive symptoms.
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Young people with type 1 diabetes who show high levels of depressive symptoms are at increased risk for hospitalization for disease complications, and interventions aimed at improving their depressive symptoms may result in positive health outcomes, as well as improved quality of life.
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This review summarizes state-of-the-art presentations and working group scholarly reports from the Mental Health Issues of Diabetes Conference (7–8 October 2013, Philadelphia, PA), which included stakeholders from the National Institutes of Health, people living with type 1 diabetes and their families, diabetes consumer advocacy groups, the insurance industry, as well as psychologists, psychiatrists, endocrinologists, and nurse practitioners.
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TLDR
Diabetes self-management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender and quality of life was sub-optimal.
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TLDR
BGM is a mediator between depressive symptoms and glycemic control in adolescents with type 1 diabetes and 38% of the depression-A1C link can be explained by BGM.
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TLDR
These data suggest that depression reported by youth with diabetes is partially associated with metabolic abnormalities and systemic inflammation.
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