@article{ref1,
title="Depression and anxiety screening in adolescents with diabetes",
journal="Clinical pediatrics",
year="2020",
author="Watson, Sara E. and Spurling, Sarah E. and Fieldhouse, Abigail M. and Montgomery, Vicki L. and Wintergerst, Kupper A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Adolescents with diabetes are at increased risk for depression and anxiety, which when untreated negatively affects diabetes control. During a 6-month period, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) screening tool was utilized. Those with a positive screen then completed the Patient Health Questionnaire for Adolescents (PHQ-A) and the Generalized Anxiety Disorder 7-item (GAD-7) scale. In this article, we report on the correlations in outcomes between the PHQ-4 and the PHQ-A and GAD-7 and its clinical utility for determining the need for standard versus acute behavioral health care. Over 6 months, 77 patients aged 10 to 18 years screened positive on the PHQ-4. Thirty-two patients had positive screening with the PHQ-A and/or the GAD-7. Thoughts of self-harm were reported by 13 (40%), with 1 experiencing current/active symptoms. The PHQ-4 as a screening tool was able to identify adolescents with symptoms of depression and/or anxiety who would benefit from further evaluation by a behavioral health provider.<p /> <p>Language: en</p>",
language="en",
issn="0009-9228",
doi="10.1177/0009922820905861",
url="http://dx.doi.org/10.1177/0009922820905861"
}