Abstract

Aims 

Psychosocial screenings are recommended and increasingly common in pediatric subspecialty clinics, though little is known about their acceptability. This study seeks to uncover profiles of acceptability and assess demographic and clinical correlates among adolescents with diabetes.

Methods 

A sample of 124 adolescents (57.7% female) ages 12–21 years (M = 16.2 ± 2.3) completed screenings during routine diabetes appointments. K-means clustering of responses to acceptability items derived profiles; Analysis of Variance (ANOVA) and Chi-square tests assessed correlates.

Results 

Adolescents with the most common profile (72.6%) placed high importance on medical providers’ awareness of their emotions and reported no difficulties/discomfort with the screener. These youth had moderate depressive symptoms, low diabetes distress, and low A1c. Those who fit a less common profile (18.5%) were uncomfortable with the screener and had the highest depressive symptoms and lowest A1c. Youth who fit a smaller profile (6.5%) endorsed technical difficulties and had high depressive symptoms and lowest diabetes distress. The smallest profile (2.4%, N = 3) had difficulty understanding and experienced discomfort with the screening and had the lowest depressive symptoms and the highest diabetes distress and A1c. These differences in depressive symptoms (F = 3.54, p = .017), A1c values (F = 4.03, p = .009), and diabetes distress (F = 3.27, p = .036) were significant though differences in age, gender, and diabetes duration were not.

Conclusions 

Most youth responded favorably to in-clinic psychosocial screenings. Youth who were less satisfied were at increased risk for psychosocial and medical complications. Findings highlight areas of need, such as enhanced support with and an emphasized rationale for screenings, which may improve patient experience in subspecialty care.

中文翻译：

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年轻人想要在糖尿病诊所进行社会心理检查吗？可接受性简介

摘要

目的 

推荐进行社会心理筛查，尽管在可接受性方面知之甚少，但在儿科专科诊所却越来越多地进行社会心理筛查。这项研究旨在揭示可接受性的概况，并评估青少年糖尿病患者的人口统计学和临床​​相关性。

方法 

 在常规的糖尿病预约期间，对124名12至21岁（M = 16.2±2.3）的青少年（女性为57.7％）进行了筛查。K-均值对对可接受项目衍生的配置文件的响应的聚类；方差分析（ANOVA）和卡方检验评估了相关性。

结果 

最常见的青少年（72.6％）高度重视医疗服务提供者的情绪意识，并且报告称筛查人员没有困难/不适。这些年轻人有中度抑郁症症状，低糖尿病困扰和低A1c。那些不太常见（18.5％）的人对筛查者感到不舒服，他们的抑郁症状最高，A1c最低。身材矮小的年轻人（6.5％）认可了技术难题，并具有较高的抑郁症状和最低的糖尿病困扰。最小的轮廓（2.4％，N  = 3）难以理解并且在筛查时感到不适，并且抑郁症状最低，糖尿病困扰和A1c最高。抑郁症状的这些差异（F  = 3.54，p =  0.017），糖化血红蛋白值（˚F  = 4.03，p  =  0.009），和糖尿病窘迫（˚F  = 3.27，p  =  0.036）为显著虽然在年龄，性别，和糖尿病病程差异不。

结论 

大多数青年对诊所内的社会心理检查反应良好。不满意的青年患心理和医疗并发症的风险增加。调查结果突出了需要解决的领域，例如在筛查方面提供了更多支持，并强调了筛查的依据，这可能会改善患者在专科治疗中的体验。