656-P: Psychological Assessment at Type 1 Diabetes Diagnosis—Assessing Anxiety Related to Diagnosis and History of Anxiety, Depression, and ADHD

by sugaradmin



Introduction and Objective: Anxiety, depression, ADHD, and diabetes distress are all associated with adherence issues and risk for poor health outcomes in people with type 1 diabetes (T1D). However, there is limited research assessing youth at time of T1D diagnosis for psychological factors that increase risk for low treatment adherence. Our objective is to assess baseline history of anxiety, depression, and ADHD, as well as anxiety related to the onset of T1D diagnosis.Methods: An automatic psychology inpatient consult was added for all youth admitted with new onset of T1D at a large pediatric hospital. Psychologists assessed all patients admitted on weekdays using clinical interview with patients and parents. Parent interview assessed symptoms for infants and young children. Interventions included psychoeducation about the adjustment period, coping strategies to manage anxiety, and providing anticipatory guidance on how ADHD can affect diabetes management.Results: Psychologists screened 119 patients (range 9 months to 18 yrs; M = 9.05 years). Screening showed that 38 patients (32%) had a history of mental health concerns (25 with anxiety; 11 with depression; 21 with ADHD) and 64 patients (54%) endorsed anxiety related to diabetes diagnosis. Some patients had injection anxiety, general diabetes distress, worries about peer reactions to diabetes diagnosis, worries about managing diabetes at school, and worries about complications. Of note, 11 patients had mental health comorbidities such as both anxiety and depression.Conclusion: At T1D diagnosis, 32% of our pediatric cohort had a history of baseline anxiety, depression, and/or ADHD and 54% of patients had anxiety related to diabetes diagnosis. Since anxiety, depression, and ADHD can increase risk for hospitalizations and diabetes related complications, early identification of psychological concerns at T1D diagnosis can help promote earlier therapeutic interventions.

Disclosure

K. Semenkovich: None. M.K. Kamboj: None. M.M. Perry: None. M. Abdelhadi: None. D.A. Buckingham: None. K. Hong: None. J.A. Indyk: None. H. Yardley: None.



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