患有1型糖尿病的青少年患有抑郁症,焦虑症,饮食不良和饮食不良风险:1例对照研究
Aziz Kara1, Hacer Gizem Gerçek1, Yekta Özkan1
1Department of Child and Adolescent Psychiatry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|September 19, 2023
概括
患有1型糖尿病 (T1D) 的儿童和青少年的抑郁和焦虑率高于健康的同龄人. 建议在T1D患者中早期查这些疾病和饮食障碍,以便及时干预.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿童和青少年精神病学
- 临床心理学 临床心理学
背景情况:
- 1型糖尿病 (T1D) 显著影响儿童的心理健康,往往导致痛苦.
- 在T1D中常见的心理问题包括抑郁症,焦虑症和饮食问题.
- 这些心理挑战可能会对正常的童年活动和治疗坚持产生负面影响.
研究的目的:
- 为了比较患有T1D的青少年的抑郁,焦虑和饮食问题与健康对照.
- 为了检查T1D青少年群体中糖尿病特异性饮食障碍的风险.
- 确定患有T1D的青少年中饮食障碍风险的潜在预测因素.
主要方法:
- 一项涉及40名患有T1D的青少年和41名健康青少年的比较研究.
- 使用的标准化尺度:饮食态度测试 (EAT-40),修订儿童焦虑和抑郁量表 (RCADS) 和糖尿病饮食问题调查修订 (DEPS-R).
- 采用二进制后勤回归来分析饮食障碍风险的预测因素.
主要成果:
- 与对照人群相比,患有T1D的青少年对抑郁症,各种焦虑障碍 (社会性,普遍性,恐慌) 和整体焦虑的得分显著更高.
- 在T1D组中,患有糖尿病特异性饮食障碍的高风险个体表现出较高的抑郁和焦虑评分.
- 确定RCADS母形式总量级得分是DEPS-R得分的重要预测因子.
结论:
- 儿童T1D患者的抑郁,焦虑和饮食障碍风险的常规查对于早期检测和干预至关重要.
- 早期识别可以帮助解决可能阻碍治疗坚持的精神病理问题.
- 需要对更大的队列进行进一步的纵向研究,以充分了解这一群体中精神病理,特别是饮食障碍.
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