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Updated: Mar 19, 2026

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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
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UTILITY OF PSYCHOLOGICAL SCREENING OF YOUNG ADULTS WITH TYPE 1 DIABETES TRANSITIONING TO ADULT PROVIDERS
Summary
Screening for psychological issues like depression and disordered eating in youth with type 1 diabetes (T1D) is crucial. Early detection and treatment during care transition can improve metabolic control.
Area of Science:
- Endocrinology
- Psychology
- Adolescent Medicine
Background:
- Type 1 diabetes (T1D) management in youth is complex, with psychological comorbidities impacting glycemic control.
- Screening for depression, diabetes distress, and disordered eating is recommended but lacks standardized, disease-specific measures.
- Transition from pediatric to adult care is a critical period for identifying and managing these comorbidities.
Purpose of the Study:
- To evaluate the utility of disease-specific and general screening measures for psychological comorbidities in young adults with T1D during care transition.
- To compare screening results with clinician's chart review findings.
- To assess the correlation between psychological distress and glycemic control (HbA1c).
Main Methods:
- Forty-three young adults with T1D at a transition clinic completed the Patient Health Questionnaire, Diabetes Distress Scale, and Diabetes Eating Problem Survey-Revised.
- Chart review was conducted to identify previously noted symptoms.
- Metabolic data, including HbA1c and BMI, were collected.
Main Results:
- Screening identified additional cases of depression and diabetes distress missed by chart review.
- Disordered eating was not detected by chart review but identified in 23.5% of patients via screening.
- Depression, diabetes distress, and particularly disordered eating significantly correlated with higher HbA1c levels.
Conclusions:
- Formal screening effectively detects psychological problems in young adults with T1D during transition.
- Addressing these psychological issues through screening and treatment can optimize metabolic control.
- Disease-specific screening tools are valuable for identifying comorbidities impacting glycemic control in T1D management.
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