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Unlabelled: AIM : Current studies show that diabetic patients are at greater risk of developing psychiatric disorders than general population. The aim of this study was to evaluate the frequency of depressive symptoms in school-aged children with type 1 diabetes (T1D)., Methods: The study involved 477 children with T1D, with mean age of 13.1 ± 2.7 years and mean diabetes duration of 5.0 ± 3.5 years, treated for at least one year. Patients were asked to fill out the Polish version of the Children's Depression Inventory (CDI) and Quality of Life Questionnaire. Demographic data such as height, weight, diabetes duration, daily insulin dose (TDD) was also collected., Results: 17% (81/477) of all participants presented depressive symptoms (CDI . 13 scores), 20.9% of them were children . 12 years of age, and 8.1% of them were children at the age of . 12 years, p = 0.0005. Participants with CDI scores of 13 or higher were older (p = 0.002), had higher BMI (p = 0.029), TDD (p = 0.026) and lower quality of life (p < 0.0001) in comparison with children who scored < 13. There was no difference in glycated hemoglobin (HbA1c) values between groups with and without depressive symptoms (p = 0.249). However, there is a correlation between HbA1c value and CDI score (r = 0.16; p = 0.0002)., Conclusions: Depressive symptoms were observed in 1 out of 12 T1D children in a primary school and in 1 out of 5 teenagers. Depressive symptoms may affect metabolic control and quality of life. Therefore, early detection and treatment of depressive symptoms in T1D school children is needed.

Background: Researchers report co-morbid depressive symptoms in children with poorly controlled type 1 diabetes (T1D). However, excellent diabetes control may be associated with emotional distress as well. The aim of this study was to evaluate the prevalence of depressive symptoms in T1D children with HbA1c <7.5% and ≥ 7.5% treated with insulin pump., Methods: A total of 372 children (186 girls) with a mean age of 14.2 ± 2.0 years and mean diabetes duration of 5.3 ± 3.5 years were included. All subjects were treated for T1D for a minimum of 1 year. Children filled out a Polish version of the Children's Depression Inventory (CDI) and answered questions in the Quality of Life Questionnaire. Statistical analysis was made using Student's t-test, Mann-Whitney U-test, Fisher's exact test and Spearman's rank correlation., Results: Eighteen per cent (31/177) of participants with HbA1c <7.5% and 21% (41/195) with HbA1c ≥ 7.5% reported depressive symptoms (CDI scores ≥ 13). Adolescents with HbA1c <7.5% and CDI ≥ 13 had higher total insulin dose (p = 0.039) and longer diabetes duration (p = 0.043) than subjects with CDI < 13. There was no difference in prevalence of depressive symptoms among patients with HbA1c ≥ 7.5% and HbA1c <7.5% (odds ratio [1.25 95% confidence interval (CI) 0.75-2.11], p = 0.432). In both groups, adolescents with CDI ≥ 13 had worse quality of life than those with CDI < 13 (p < 0.0001)., Conclusions: In both groups, one in five adolescents with either good or poor glycemic control had depressive symptoms compared with <7% in subjects without diabetes. Long-lasting T1D significantly increased the risk of depressive symptoms in well-controlled youth. Depressive symptoms strongly affected the quality of life regardless of diabetes control., (Copyright © 2013 John Wiley & Sons, Ltd.)

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Aim: Current studies show that diabetic patients are at greater risk of developing psychiatric disorders than general population. The aim of this study was to evaluate the frequency of depressive symptoms in school-aged children with type 1 diabetes (T1D). Methods: The study involved 477 children with T1D, with mean age of 13.1 ± 2.7 years and mean diabetes duration of 5.0 ± 3.5 years, treated for at least one year. Patients were asked to fill out the Polish version of the Children's Depression Inventory (CDI) and Quality of Life Questionnaire. Demographic data such as height, weight, diabetes duration, daily insulin dose (TDD) was also collected. Results: 17% (81/477) of all participants presented depressive symptoms (CDI = 13 scores), 20.9% of them were children ≥ 12 years of age, and 8.1% of them were children at the age of ≤ 12 years, p = 0.0005. Participants with CDI scores of 13 or higher were older (p = 0.002), had higher BMI (p = 0.029), TDD (p = 0.026) and lower quality of life (p < 0.0001) in comparison with children who scored < 13. There was no difference in glycated hemoglobin (HbA1c) values between groups with and without depressive symptoms (p = 0.249). However, there is a correlation between HbA1c value and CDI score (r = 0.16; p = 0.0002). Conclusions. Depressive symptoms were observed in 1 out of 12 T1D children in a primary school and in 1 out of 5 teenagers. Depressive symptoms may affect metabolic control and quality of life. Therefore, early detection and treatment of depressive symptoms in T1D school children is needed. [ABSTRACT FROM AUTHOR]

Introduction: Depression is becoming a growing problem among children and adolescents. Therefore, it is important to diagnose it properly and start therapy early. Aim of the study was to assess the occurrence of depressive symptoms among pupils from 9 to 17 years of age. Material and methods: 800 pupils from randomly selected primary, secondary and high schools were included in the study, average age 14.4±1.9 years. The pupils filled in Children's Depression Inventory. α-Cronbach reliability coefficient is between 0.81-0.89. 751 (93.8%) questionnaires were used in this study. The results were assessed by a clinical psychologist. Mann-Whitney's test and exact Fisher's test were used in statistical analysis. Results: Depressive symptoms (T-score ≥70) were diagnosed in 9% (69/751) of children and adolescents. In comparison to children from primary schools (4%, 4/101), depressive symptoms were more frequent among students from secondary schools (9%, 36/413), OR=0.43, 95% CI 0.11-1.24; p=0.146 and high schools (12%, 29/237), OR=0.29, 95% CI 0.07-0.86; p=0.017. There was no statistical difference in the frequency of depressive symptoms among students from secondary and high schools. Suicidal thoughts were statistically more often in the group of children with T-score ≥70 (72%) vs. T-score <70 (17%), OR=12.4, 95% CI 6.88-23.11; p <0.0001. Girls reported more depressive symptoms than boys OR=2.63, 95% CI 1.44-5,03; p=0.0008. Results: One in every eight high school students and one in every eleven secondary school students reported depressive symptoms. Two thirds of students with depressive symptoms declared suicidal thoughts. Our study results indicate a necessity to carry out a multicenter screening covering the whole pediatric population to assess the frequency of depression and plan effective therapeutic intervention. [ABSTRACT FROM AUTHOR]