Depression Screening of Children and Adolescents With Diabetes

1
Depression Screening of Children and Adolescents
With Diabetes

• Lizzy Shaw 2003-04

2
Introduction

• Depression is most common mental health problem
  in US.
• Depression is present in 15 of patients with
  diabetes.
• Fitting in with diabetes can be a challenge for
  children and adolescents.

3
Study Questions

• How many children and adolescents are in range of
  needing further evaluation of depression that may
  result from diabetes?
• Do symptoms of depression vary with length of
  time children or adolescents have had diabetes?
• Is there a difference between male and female
  depression scores?

4
Hypotheses

• Subjects in study will have higher average
  depression scores.
• Symptoms of depression will show after first six
  months of diagnosis.
• Female subjects will have higher average
  depression scores.

5
Methods

• Questionnaires
• - Reynolds Child Depression Scale (RCDS) Ages
  8-12
• - Reynolds Adolescent Depression Scale (RADS)
  Ages 13-18
• Proposal to IRB and PRC
• Health Fair

6
Sample Question on Questionnaire
Regular Scored Items Reverse
Scored Items All the time 4 points
All the time 1 point Almost never 1 point
Almost never 4 points
7
Figure 1 Distribution of Children and
Adolescents in Study
8
Figure 2 Distribution of Males and Females in
Study
9
Figure 3 Distribution of Depression Scores and
Age
p 0.0626
10
Figure 4 Distribution of Depression Scores and
Age
11
Figure 5 Comparison of Male and Female
Depression Scores
p 0.708
12
Figure 6 Correlation Line of Depression Scores
vs. Duration of Diabetes
p 0.073
13
(No Transcript)
14
(No Transcript)
15
Discussion

• Children and adolescents in project did not have
  higher average depression scores than the
  children and adolescents whom the questionnaires
  were validated.
• There was no difference between male and female
  depression scores
• There was no connection between duration of
  diabetes and depression scores

16
Discussion

• Difference of depression scores between children
  and adolescents was marginally significant.
• Mean depression scores of project were
  significantly lower (13.7 points) from mean
  scores of normative sample.

17
Future Studies

• Larger sample size
• Survey outside of fair atmosphere
• Compare patients receiving and not receiving
  therapy

18
Acknowledgements

• Jack
• Dr. Lorraine Schafer PhD LP
• Robyn Anderson
• Beth Schneider
• Dad (Dr. Shaw)
• Ms. Fruen
• 2003-04 Research Class

19
Depression Screening of Children and Adolescents
With Diabetes

• Lizzy Shaw 2003-04