841-P: Clinically Elevated T1D Distress and Depression in Parents of Kids with New-Onset Type 1 Diabetes (T1D)

We applied existing clinical cut-points for T1D distress to examine cross-sectional and prospective relations between distress and depression in 127 parents of 5-9-year-olds with new-onset T1D. Parents completed the Problem Areas in Diabetes Survey- Parent Revised (PAID-PR) and the Center for Epidemiologic Studies-Depression Scale-Revised (CESD-R) at baseline, 6, 12, 18, and 24 months post-baseline. We used clinical cut-points >3.11 (item mean) and >16 (total score) for the PAID-PR and CESD-R, respectively, to identify parents with elevated scores. We used unadjusted odds ratios to explore cross-sectional and prospective relations between parents’ scores. At baseline, kids were 7.5±1.3 years-old and 4.7±3.2 months from diagnosis. 68% of parents had PAID-PR scores >3.11 at baseline, dropping to 25-38% of parents later. 21-28% of parents had CESD-R scores >16 across all visits. Compared to parents without elevated PAID-PR scores at 6 months, parents with elevated PAID-PR scores were more likely to have elevated CESD-R scores at 6, 12, 18, and 24 months (ORs: 3.5-7.8, p’s ≤ .05) and these relations persisted. While elevated T1D distress may be common for parents shortly after their child’s diagnosis, our data suggest persistent elevated T1D distress is a risk factor for current and subsequent parental depression. Thus, we need interventions to treat T1D distress in parents of kids with new-onset T1D.