Correlates of depressive symptoms in urban youth at risk for type 2 diabetes mellitus.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Wiley Country of Publication: United States NLM ID: 0376370 Publication Model: Print Cited Medium: Internet ISSN: 1746-1561 (Electronic) Linking ISSN: 00224391 NLM ISO Abbreviation: J Sch Health Subsets: MEDLINE
    • Publication Information:
      Publication: Nov. 2008- : Hoboken, NJ : Wiley
      Original Publication: Columbus, Ohio : American Association of School Physicians
    • Subject Terms:
      Urban Population*; Depression/*complications ; Diabetes Mellitus, Type 2/*complications ; Overweight/*complications; Adolescent ; Body Weights and Measures ; Child ; Depression/epidemiology ; Diabetes Mellitus, Type 2/epidemiology ; Female ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Overweight/epidemiology ; Risk Factors ; Self Efficacy ; Socioeconomic Factors
    • Abstract:
      Background: Rates of overweight in youth have increased at an alarming rate, particularly in minority youth, and depressive symptoms may affect the ability of youth to engage in healthy lifestyle behaviors to manage weight and reduce their risk for health problems. The purpose of this study was to examine the relationships between depressive symptoms, clinical risk factors, and health behaviors and attitudes in a sample of urban youth at risk for type 2 diabetes mellitus (T2DM).
      Methods: We obtained self-report questionnaire data on depressive symptoms and health attitudes and behaviors related to diet and exercise and clinical data on risk markers (eg, fasting insulin) from 198 youth from an urban setting. Seventh-grade students were eligible if they were at risk for developing T2DM because they had a body mass index (BMI) in the 85th percentile or higher and a family history of diabetes.
      Results: Clinically significant levels of depressive symptoms were evident in approximately 21% of the sample, and Hispanic youth reported higher levels of depressive symptoms than black youth. Higher levels of depression were associated with several health behaviors and attitudes, in particular less perceived support for physical activity and poorer self-efficacy for diet. Depressive symptoms were also related to some clinical risk markers, such as higher BMI and fasting insulin levels.
      Conclusions: Because depressive symptoms may affect ability to engage in healthy behavior changes, evaluation and treatment of depressive symptoms should be considered in preventive interventions for youth at risk for T2DM.
    • References:
      J Abnorm Psychol. 2000 May;109(2):345-51. (PMID: 10895574)
      Psychol Rev. 1999 Jul;106(3):458-90. (PMID: 10467895)
      Diabetes Care. 2000 Jul;23(7):934-42. (PMID: 10895843)
      Diabetologia. 2006 May;49(5):837-45. (PMID: 16520921)
      Pediatrics. 2002 Sep;110(3):497-504. (PMID: 12205250)
      Diabetes Care. 2004 Apr;27(4):998-1010. (PMID: 15047665)
      Diabetes Care. 2007 Jan;30 Suppl 1:S4-S41. (PMID: 17192377)
      J Consult Clin Psychol. 2005 Apr;73(2):195-202. (PMID: 15796626)
      Prev Med. 1996 Jul-Aug;25(4):442-54. (PMID: 8812822)
      JAMA. 2008 May 28;299(20):2401-5. (PMID: 18505949)
      Arch Pediatr Adolesc Med. 2000 Sep;154(9):931-5. (PMID: 10980798)
      J Am Acad Child Adolesc Psychiatry. 1996 Sep;35(9):1183-92. (PMID: 8824062)
      J Sch Health. 1995 Jan;65(1):23-7. (PMID: 7731197)
      Arch Pediatr Adolesc Med. 1999 Jul;153(7):695-704. (PMID: 10401802)
      J Pediatr Psychol. 1990 Oct;15(5):619-32. (PMID: 2283571)
      Pediatrics. 1998 Mar;101(3 Pt 2):518-25. (PMID: 12224658)
      Obesity (Silver Spring). 2007 Jul;15(7):1799-807. (PMID: 17636099)
      Diabetes Care. 1985 Nov-Dec;8(6):568-75. (PMID: 4075942)
      J Clin Child Adolesc Psychol. 2004 Mar;33(1):149-57. (PMID: 15028549)
      Obes Rev. 2001 May;2(2):73-86. (PMID: 12119665)
      Diabetes Care. 2001 Aug;24(8):1359-64. (PMID: 11473070)
      Arch Gen Psychiatry. 2001 Dec;58(12):1127-34. (PMID: 11735841)
      J Abnorm Child Psychol. 2007 Oct;35(5):801-16. (PMID: 17508278)
      Ann N Y Acad Sci. 1993 Oct 29;699:301-3. (PMID: 8267334)
      Psychopharmacol Bull. 1985;21(4):995-8. (PMID: 4089116)
      Med Sci Sports Exerc. 1993 Jan;25(1):99-108. (PMID: 8423762)
      Obes Res. 2004 Oct;12(10):1576-86. (PMID: 15536221)
      J Abnorm Psychol. 2002 Nov;111(4):578-88. (PMID: 12428771)
      Diabetologia. 1985 Jul;28(7):412-9. (PMID: 3899825)
    • Grant Information:
      R01 NR008244 United States NR NINR NIH HHS
    • Publication Date:
      Date Created: 20090513 Date Completed: 20090728 Latest Revision: 20220330
    • Publication Date:
      20231215
    • Accession Number:
      PMC7643825
    • Accession Number:
      10.1111/j.1746-1561.2009.00411.x
    • Accession Number:
      19432869