Prevalence and risk factors of depression in children with type 1 diabetes
10.3969/j.issn.1006-6187.2017.06.010
- VernacularTitle:1型糖尿病儿童合并抑郁的患病现状调查及危险因素分析
- Author:
Wenzhong NIU
;
Xianchun DING
- Keywords:
Diabetes mellitus,type 1;
Children;
Depression;
Risk factors
- From:
Chinese Journal of Diabetes
2017;25(6):527-531
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of depression in children with type 1 diabetes (T1DM) and analysis its risk factors. Methods A total of 225 children with T1DM were divided into 2 groups according to BDI score:T1DM+depression group (n=123,BDI>10) and T1DM group (n=102,BDI≤10).Then,the subjects in T1DM+depression group were divided into mild depression subgroup (n=42,102 times/d were higher in T1DM+depression group than in T1DM group(P<0.05 or P<0.01).(2) Age,BMI,FPG,HbA1c,insulin doses and ratio of insulin injection>2 times/d were higher in severe depression subgroup than in mild subgroup and medium subgroup,DM course and ratio of insulin injection≤2 times/d were lower in severe depression subgroup than in mild subgroup (P<0.05 or P<0.01).(3) Multiple stepwise regression analysis showed that age,DM course,FPG,HbA1c,incidence of DKA and hypoglycemia,insulin doses and insulin injection>2 times/d were the influencing factors for BDI levels.Logistic regression analysis showed that girl,long DM course,insulin injection>2 times/d,high HbA1c,high incidence of DKA and hypoglycemia were risk factors for depression in T1DM children (P<0.05). Conclusion The higher occurrence of depression in T1DM children indicates that early screening and intervention is necessary.Children with risk factors should be given more psychological care to prevent the occurrence of depression.
