Children With Type 1 Diabetes Have Higher Risk for Psychiatric Disorders

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Children With Type 1 Diabetes Have Higher Risk for Psychiatric Disorders
Children With Type 1 Diabetes Have Higher Risk for Psychiatric Disorders

(HealthDay News) — Children with type 1 diabetes have an increased risk for psychiatric disorders, especially in the six months after diagnosis, according to a study published in Diabetes Care.

Agnieszka Butwicka, MD, PhD, from the Karolinska Institutet in Stockholm, and colleagues examined the risk for psychiatric disorders among individuals born in Sweden between 1973 and 2009. Data were collected from 17,122 children with type 1 diabetes and their 18,847 healthy siblings. They were followed until age 18 years.

The researchers found that within 6 months after the onset of diabetes, the risk for psychiatric morbidity was increased three-fold in children with type 1 diabetes vs. the general population; within the total observation period, the risk was doubled. 

There was an increased risk in suicide attempts (HR=1.7; 95% CI, 1.4-2.0) and in most categories of psychiatric disorders. 

In probands, there was a decrease in the risk for psychiatric disorders from a HR of 2.7 (95% CI, 2.2-3.3) in the cohort born in 1973 to 1986 to an HR of 1.9 (95% CI, 1.8-2.0) for those born from 1997 to 2009. 

Among siblings of patients with type 1 diabetes, the risk for any psychiatric disorder had an estimated HR of 1.1 (95% CI, 1.0-1.1), with no increased risk seen in any specific category of disorders.

"The results support recommendations on comprehensive mental health surveillance in children with type 1 diabetes, especially in recently diagnosed children," the researchers wrote.

Reference

  1. Butwicka A et al. Diabetes Care. 2015;doi:10.2337/dc14-0262.
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