Psychiatric disorders in adolescents with type 1 diabetes: a case-control study
AUTOR(ES)
Almeida, Mireille C., Claudino, Denise A., Grigolon, Ruth B., Fleitlich-Bilyk, Bacy, Claudino, Angélica M.
FONTE
Rev. Bras. Psiquiatr.
DATA DE PUBLICAÇÃO
01/02/2018
RESUMO
Objectives: To study the prevalence of psychiatric disorders in adolescents with and without type 1 diabetes, the factors associated with its presence, and to test the reliability of a screening tool for use in clinical settings. Methods: Eighty-one adolescents were enrolled in this case-control study, including 36 diabetic participants and 45 controls. Clinical and sociodemographic data were collected and psychiatric symptoms and diagnoses were obtained from adolescents and their parents using a screening tool (Strengths & Difficulties Questionnaire) and a semi-structured interview (Development and Well-Being Assessment). Results: Psychiatric disorders were identified in 22.2% of the sample (30.56% among diabetic adolescents vs. 15.56% of controls: OR = 2.39, 95%CI 0.82-6.99; p = 0.11). Overweight (body mass index percentile ≥ 85) was the only factor associated with psychiatric disorder (OR = 3.07; 95%CI 1.03-9.14; p = 0.04). Compared to the semi-structured interview, the screening instrument showed 80% sensitivity, 96% specificity, 88.9% positive predictive value and 92.3% negative predictive value for the presence of psychiatric diagnoses in adolescents. Conclusion: Psychiatric morbidity was high in this sample of adolescents, especially among those with diabetes. Routine use of the Strengths and Difficulties Questionnaire can help with early detection of psychiatric disorders in this at-risk group.
Documentos Relacionados
- Anxiety disorders are associated with quality of life impairment in patients with insulin-dependent type 2 diabetes: a case-control study
- Psychiatric disorders and cardiac anxiety in exercising and sedentary coronary artery disease patients: a case-control study
- Vertebral hyperostosis and diabetes mellitus: a case-control study.
- Apolipoprotein E gene polymorphism is not a strong risk factor for diabetic nephropathy and retinopathy in Type I diabetes: case-control study
- Fluoroquinolones and risk of Achilles tendon disorders: case-control study