Objectives: To assess rates of depression and diabetes distress (DD) in adolescents and young adults (AYAs) with type 2 diabetes (T2D) overall and by sociodemographic factors.

Methods: AYAs with T2D ages 13-21 years seen in a pediatric diabetes clinic between March 2018 and June 2019 completed the Patient Health Questionnaire-9 (PHQ-9) for depression screening and the Problem Areas in Diabetes - teen version (PAID-T) survey to assess for DD. Rates of depression and DD were calculated using standard PHQ-9 and PAID-T cut-offs. Chi-square tests were used to assess whether rates of depression and DD were associated with participant characteristics.

Results: The sample consisted of 64 AYAs with T2D (58% female, mean age 15.8 ± 2.0 years, mean HbA1c 8.3% ± 2.6%, mean BMI z-score 2.2 ± 0.6, 59% on insulin). Twenty-two percent of participants reported moderate to high depressive symptoms and 9% endorsed self-harm on the PHQ-9. There were no differences in rates of depression by sociodemographic factors. Twenty-three percent of participants reported elevated DD. Rates of DD were higher among those on insulin (p=0.01) and on public health insurance (p=0.01) (Table1).

Conclusions: Almost 1 in 4 AYAs with T2D endorse depression and DD. Our findings support the importance of mental health screening in AYAs with T2D, as well as the need for strategies to address psychological comorbidities in this population.


A.J. Roberts: None. H. Bao: None. P. Qu: None. G. Kim: None. J. Yi-Frazier: None. C. Pihoker: None. F. Malik: None.


Seattle Children’s Hospital

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