TY  - JOUR
PY  - 2021//
TI  - Multisite Examination of Depression Screening Scores and Correlates Among Adolescents and Young Adults With Type 2 Diabetes
JO  - Canadian journal of diabetes
A1  - Monaghan, Maureen
A1  - Mara, Constance A.
A1  - Kichler, Jessica C.
A1  - Westen, Sarah C.
A1  - Rawlinson, Alana
A1  - Jacobsen, Laura M.
A1  - Adams, Rebecca N.
A1  - Stone, Jenine Y.
A1  - Hood, Korey K.
A1  - Mulvaney, Shelagh A.
SP  - 411
EP  - 416
VL  - 45
IS  - 5
N2  - OBJECTIVES: Our aim was to evaluate self-reported depressive symptoms and clinical outcomes during routine screening for adolescents and young adults with type 2 diabetes (T2D), and examine associations among depressive symptoms and demographic and clinical characteristics.  METHODS: The Patient Health Questionnaire (PHQ) was administered to 197 adolescents and young adults with T2D using the PHQ-2 or PHQ-9 in routine pediatric diabetes care at 4 academic medical centres. Data from electronic health records were extracted from the screening date and 12 months earlier.  RESULTS: Adolescents and young adults with T2D (mean age, 16.85 years; 57% male; 77.2% non-Caucasian) completed the PHQ as part of routine diabetes care. On the PHQ, 19.3% of adolescents and young adults endorsed elevated depressive symptoms (PHQ score ≥10) and, among a subsample with item-level data (n=53), 18.9% endorsed thoughts of self-harm. Subsequently, 50.0% of those with depressive symptoms had a documented referral for mental health treatment in the electronic health record after the positive screening outcome. Older age, shorter diabetes duration, higher glycated hemoglobin level, being non-Hispanic white, more blood glucose checks per day and being prescribed oral medications were significantly associated with more depressive symptoms.  CONCLUSIONS: Screening for depressive symptoms identifies individuals in need of referral for mental health treatment. A focus on self-harm assessment, standardized methods for documentation of symptoms and mental health referrals and increased referral resources are needed.<p /> <p>Language: en</p>
LA  - en
SN  - 1499-2671
UR  - http://dx.doi.org/10.1016/j.jcjd.2021.01.011
ID  - ref1
ER  -