在患有糖尿病的青少年中识别抑郁症,糖尿病困扰和自杀倾向
Bethany A Glick1, K Ming Chan Hong1, Robert P Hoffman2
1Clinical Medical Social Work, Nationwide Children's Hospital, Columbus, OH, USA.
Social work in health care
|September 18, 2024
概括
患有糖尿病的青少年经历自杀念头往往有更高的抑郁症和糖尿病痛苦得分. 常规查自杀倾向至关重要,因为它甚至可以发生在最小的抑郁症中.
科学领域:
- 青少年医学 青少年医学
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
背景情况:
- 患有糖尿病等慢性疾病的青少年面临心理健康挑战的风险增加.
- 自杀倾向是一个严重的问题,它与这种人群中抑郁症和糖尿病痛苦的关系需要进一步调查.
研究的目的:
- 为了确定患有糖尿病的青少年中自杀念头的频率.
- 检查抑郁症严重程度 (使用PHQ-9) 和糖尿病困扰 (使用PAID-T) 与自杀念头之间的关联.
- 为了比较不同抑郁症严重程度和糖尿病类型的自杀率.
主要方法:
- 这是一项涉及355名患有糖尿病的青少年的横截面研究.
- 使用患者健康问卷 (PHQ-9) 进行抑郁症查,以及糖尿病青少年问题区域 (PAID-T) 进行糖尿病困扰评估.
- 采用奇平方和克鲁斯卡尔-瓦利斯测试,对抑郁症严重程度,糖尿病困扰和自杀念头进行统计分析.
主要成果:
- 在355名青少年中,27名青少年的自杀想法查结果呈阳性.
- 与没有自杀念头的青少年相比,在青少年中观察到明显更高的PHQ-9和PAID-T得分.
- 自杀想法的频率随着抑郁症的严重程度而增加,但在抑郁症最小的青少年中也存在.
结论:
- 自杀念头是患有糖尿病的青少年的一个明显问题,独立于抑郁症严重程度或糖尿病困扰.
- 建议在医疗机构对患有慢性疾病的青少年进行例行,单独的自杀性查.
- 早期识别和干预至关重要,因为即使没有明显的抑郁症状,自杀倾向也可能发生.
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