TY  - JOUR
PY  - 2017//
TI  - Psychosocial screening and management of young people aged 18-25 years with diabetes
JO  - Internal medicine journal
A1  - d'Emden, Helen
A1  - McDermott, Brett
A1  - D'Silva, Neisha
A1  - Dover, Tom
A1  - Ewais, Tatjana
A1  - Gibbons, Kristen
A1  - O'Moore-Sullivan, Trisha
SP  - 415
EP  - 423
VL  - 47
IS  - 4
N2  - BACKGROUND: Routine psychosocial screening and management of people with diabetes is recommended. AIMS: To profile demographic, medical and psychosocial characteristics of young people with diabetes, and to develop a screening tool and care pathway for routine use. <br><br>METHODS: Indices of diabetes control and recorded diabetes complications were complimented by psychosocial screening tools assessing psychological, diabetes specific, and perceived stress (K10, PAID, PSS), well-being (WHO-5), disordered eating ((EDI-3RC), compensatory behaviour questionnaire, social support (MSPSS), resilience (CD-2) and financial concerns. Service provision and demographic data was also collected. Diabetes and mental health clinicians then identified a subset of measures to use for routine screening along with care- pathways. <br><br>RESULTS: Psychosocial screening was well accepted. Participants (151) had suboptimal glycaemic control (HbA1c 8.0 IQR 1.8%/64 IQR 22 mmol/mol). Severe diabetes related distress (PAID≥40) was found in 19.4% and 26.0% reported difficulties managing health care costs. A mental health disorder was likely in 9.7%, whilst 23.4% had high K10 scores. Low WHO-5 scores (≤13) were seen in 29.0%. Risk for an eating disorder (EDI-3RC) was 12.7%, whereas approximately 36.0% had disturbed eating behaviours. <br><br>CONCLUSION: Psychosocial screening of young adults with diabetes identified complex needs. A brief psychosocial screening tool and associated care-pathways were developed for routine use in a young adult tertiary referral diabetes clinic. The tool assesses constructs such as diabetes distress, depression, anxiety, well-being, hypoglycaemia-unawareness, fear of hypoglycaemia, social support, weight, shape and eating concerns and financial concerns. This will provide a longitudinal data source for further research to inform clinical practice.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1444-0903
UR  - http://dx.doi.org/10.1111/imj.13375
ID  - ref1
ER  -