Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes
Background Adolescents with type 1 diabetes (T1D) are at increased risk for depression. A history of recurrent depression (HRD) may relate to worse health outcomes than single-episode depression. However, no study has explored this issue among T1D adolescents. Participants and procedure We examined...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2023-04-01
|
| Series: | Health Psychology Report |
| Subjects: | |
| Online Access: | https://hpr.termedia.pl/Recurrent-depression-relates-to-worse-outcomes-than-single-episode-depression-among,162649,0,2.html |
| _version_ | 1797333322118987776 |
|---|---|
| author | Keiliany Rivera-Santiago Eduardo Cumba-Aviles Demivette Gómez-Rivera |
| author_facet | Keiliany Rivera-Santiago Eduardo Cumba-Aviles Demivette Gómez-Rivera |
| author_sort | Keiliany Rivera-Santiago |
| collection | DOAJ |
| description | Background
Adolescents with type 1 diabetes (T1D) are at increased risk for depression. A history of recurrent depression (HRD) may relate to worse health outcomes than single-episode depression. However, no study has explored this issue among T1D adolescents.
Participants and procedure
We examined differences in psychosocial and diabetes-related outcomes between T1D adolescents with (G1; n = 33) and without (G2; n = 18) HRD. Participants were 51 youths (aged 12-17 years) enrolled in a depression treatment study. Youths and one caregiver each completed several measures. Using MANOVA, followed by individual ANOVAs, and chi-square tests, we compared groups in continuous and categorical variables, respectively.
Results
MANOVA results were significant, F(7, 43) = 3.97, p = .002. Adolescents from G1 obtained higher scores than youths in G2 in self-esteem/guilt problems, cognitive alterations, and sadness due to T1D. Their caregivers reported more burden and rated their offspring as having more internalizing problems, facing more barriers to complying with T1D treatment, and using a medical ID less frequently than their counterparts did. A higher percentage of G1 participants presented clinical anxiety and inadequate glycemic control, and reported a history of major depression. According to caregivers, a higher proportion of G1 members had experienced multiple diabetes-related hospitalizations, were non-compliant with insulin treatment, and lived in homes with a conflictive environment.
Conclusions
Our study documents important differences in outcomes between T1D youths with vs. without any HRD. Clinicians may need an intensive and integrative approach to treat mental and physical aspects of health among these patients. |
| first_indexed | 2024-03-08T08:02:05Z |
| format | Article |
| id | doaj.art-eb64cd015fdf49f3b8d0395cb737e7c7 |
| institution | Directory Open Access Journal |
| issn | 2353-4184 2353-5571 |
| language | English |
| last_indexed | 2024-03-08T08:02:05Z |
| publishDate | 2023-04-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Health Psychology Report |
| spelling | doaj.art-eb64cd015fdf49f3b8d0395cb737e7c72024-02-02T12:07:49ZengTermedia Publishing HouseHealth Psychology Report2353-41842353-55712023-04-0112111310.5114/hpr/162649162649Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetesKeiliany Rivera-Santiago0Eduardo Cumba-Aviles1https://orcid.org/0000-0001-5408-915XDemivette Gómez-Rivera2Institute for Psychological Research, University of Puerto Rico, Rio Piedras Campus, San Juan, Puerto RicoInstitute for Psychological Research, University of Puerto Rico, Rio Piedras Campus, San Juan, Puerto RicoInstitute for Psychological Research, University of Puerto Rico, Rio Piedras Campus, San Juan, Puerto RicoBackground Adolescents with type 1 diabetes (T1D) are at increased risk for depression. A history of recurrent depression (HRD) may relate to worse health outcomes than single-episode depression. However, no study has explored this issue among T1D adolescents. Participants and procedure We examined differences in psychosocial and diabetes-related outcomes between T1D adolescents with (G1; n = 33) and without (G2; n = 18) HRD. Participants were 51 youths (aged 12-17 years) enrolled in a depression treatment study. Youths and one caregiver each completed several measures. Using MANOVA, followed by individual ANOVAs, and chi-square tests, we compared groups in continuous and categorical variables, respectively. Results MANOVA results were significant, F(7, 43) = 3.97, p = .002. Adolescents from G1 obtained higher scores than youths in G2 in self-esteem/guilt problems, cognitive alterations, and sadness due to T1D. Their caregivers reported more burden and rated their offspring as having more internalizing problems, facing more barriers to complying with T1D treatment, and using a medical ID less frequently than their counterparts did. A higher percentage of G1 participants presented clinical anxiety and inadequate glycemic control, and reported a history of major depression. According to caregivers, a higher proportion of G1 members had experienced multiple diabetes-related hospitalizations, were non-compliant with insulin treatment, and lived in homes with a conflictive environment. Conclusions Our study documents important differences in outcomes between T1D youths with vs. without any HRD. Clinicians may need an intensive and integrative approach to treat mental and physical aspects of health among these patients.https://hpr.termedia.pl/Recurrent-depression-relates-to-worse-outcomes-than-single-episode-depression-among,162649,0,2.htmldiabetes treatment adherencefamily conflictglycemic controlmental health problemspersistent/recurrent depression |
| spellingShingle | Keiliany Rivera-Santiago Eduardo Cumba-Aviles Demivette Gómez-Rivera Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes Health Psychology Report diabetes treatment adherence family conflict glycemic control mental health problems persistent/recurrent depression |
| title | Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes |
| title_full | Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes |
| title_fullStr | Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes |
| title_full_unstemmed | Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes |
| title_short | Recurrent depression relates to worse outcomes than single episode depression among Hispanic adolescents with diabetes |
| title_sort | recurrent depression relates to worse outcomes than single episode depression among hispanic adolescents with diabetes |
| topic | diabetes treatment adherence family conflict glycemic control mental health problems persistent/recurrent depression |
| url | https://hpr.termedia.pl/Recurrent-depression-relates-to-worse-outcomes-than-single-episode-depression-among,162649,0,2.html |
| work_keys_str_mv | AT keilianyriverasantiago recurrentdepressionrelatestoworseoutcomesthansingleepisodedepressionamonghispanicadolescentswithdiabetes AT eduardocumbaaviles recurrentdepressionrelatestoworseoutcomesthansingleepisodedepressionamonghispanicadolescentswithdiabetes AT demivettegomezrivera recurrentdepressionrelatestoworseoutcomesthansingleepisodedepressionamonghispanicadolescentswithdiabetes |