title: Depressive symptoms and unmet psychological needs of Dutch youth with type 1 diabetes: results of a web-survey.
abstract: OBJECTIVE
  To examine rates of depression and (un)met psychological needs in youth with type 1 diabetes.
  
  
  METHODS
  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).
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Medical Psychology & EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. m.dewit@vumc.nl
authors.forename: Maartje
authors.initials: M
authors.lastname: de Wit
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Snoek
mesh_terms: D000293:Adolescent; D003863:Depression / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D020407:Internet; D008297:Male; D020380:Needs Assessment; D009426:Netherlands / Q000453:epidemiology; D015995:Prevalence; D000297:Psychology, Adolescent / Q000706:statistics & numerical data