Visual Abstract

Psychosocial health of adults is often overlooked but is crucial to a person’s overall wellbeing and especially in the maintenance of type 1 diabetes (T1D). Increased depressive symptoms, anxiety, and diabetes distress may be associated with worse glucose management and higher risk of complications in adults with T1D. The purpose of this study was to assess symptoms of depression and anxiety, and T1D distress in adults with T1D. Eight hundred ninety-nine adults with T1D (65% female; age=25±14 years; T1D duration=38±8.6 years) completed the Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder-7 (GAD-7), Type 1 Diabetes Distress Scale (T1-DDS), and the Diabetes Self-Management Questionnaire (DSMQ) including the Health Care, Physical Activity, Diet and Glucose Management subscales. HbA1c was self-reported. Women had a higher prevalence of elevated PHQ-8 (≥15), GAD-7 (≥15), and T1-DDS (>3); higher HbA1c; and lower DSMQ Total score than men (Table). Adults 18-25 years had higher prevalence of elevated PHQ-8, GAD-7, and T1-DDS), and significantly higher HbA1c, and lower DSMQ Total score and on all subscales except Physical Activity when compared to older adults. This examination shows that there are increased psychosocial issues that should be addressed for patients with T1D. Providers should routinely address mental health in attempts to mitigate the psychosocial impacts on patients with T1D.


H. K. Wise: None. C. Geno rasmussen: None. V. Shah: Advisory Panel; Self; Medscape, Sanofi, Research Support; Self; Dexcom, Inc., Eli Lilly and Company, Insulet Corporation, Novo Nordisk, Sanofi, vTv Therapeutics. K. A. Driscoll: None. J. K. Snell-bergeon: Stock/Shareholder; Self; GlaxoSmithKline plc.


Colorado Clinical and Translational Sciences Institute

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