Depressive symptoms and unmet psychological needs of Dutch youth with type 1 diabetes: results of a web-survey

To examine rates of depression and (un)met psychological needs in youth with type 1 diabetes. An open-access web-survey was conducted, collecting data on demographics, self-reported HbA1c, depressive symptoms [Child Depression Inventory (CDI)], wished and received psychological care in youth with type 1 diabetes (9-19 years). The survey was completed by 233 youth; 17.2% reported elevated depressive symptoms on the CDI, girls more than boys (p = 0.003). Half of the youth did not talk about their feelings with their pediatrician or nurse. Of those youth with elevated depressive symptoms, 28% received psychological care, 25% wished to see a psychologist and 47% did not think it was necessary to receive psychological support. This web-survey confirms the high prevalence of elevated depressive symptoms in youth with type 1 diabetes and the urgency to address their psychological needs. Screening for depressive symptoms in the context of periodic outpatient consultation could improve early detection and treatment of emotional problems