Risk factors associated with depressive symptoms in caregivers of children with type 1 diabetes or cystic fibrosis

J Pediatr Psychol. 2010 Sep;35(8):814-22. doi: 10.1093/jpepsy/jsp138. Epub 2010 Jan 22.

Abstract

Objective: Evaluate depressive symptoms in caregivers of children with type 1 diabetes (T1D) or cystic fibrosis (CF) and identify associated risk factors.

Methods: A total of 195 caregivers completed demographic, stress, and depressive symptoms questionnaires. Children's health status was obtained from medical records.

Results: Approximately 33% of caregivers reported elevated symptoms of depression (i.e., exceeded clinical cutoff of 16 on the Center for Epidemiological Studies-Depression Scale). For caregivers of children with T1D, elevations were associated with less caregiver education, more family stress, older child age, and worse glycemic control. For caregivers of children with CF, more family stress and lack of employment outside of the home were associated with elevated depressive symptoms.

Conclusions: Many caregivers of children with T1D or CF experience depressive symptoms, although risk factors may differ in these two populations. Screening of caregiver depressive symptoms as part of routine clinic visits may provide opportunities for needed intervention.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Caregivers / psychology*
  • Child
  • Cystic Fibrosis*
  • Depression / diagnosis*
  • Depression / psychology
  • Diabetes Mellitus, Type 1*
  • Health Status
  • Humans
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Stress, Psychological / psychology
  • Surveys and Questionnaires