Assessment of depression in children and adolescents with Type 1 diabetes mellitus: Impact and intervention strategies.

Depression is a common comorbidity in children and adolescents with type 1 diabetes mellitus (T1DM), yet its prevalence, impact, and intervention strategies remain underexplored. This study aims to assess the prevalence of depression among children and adolescents with T1DM, investigate its impact on health outcomes, and explore potential intervention strategies. A convenient sampling method was employed to recruit 229 participants aged 6 to 18 years from a single center. Data collection involved validated assessments, demographic surveys, and diabetes-related factor examinations during routine clinic visits. The patient health questionnaire-9 was utilized to evaluate the severity of depressive symptoms. Associations between depression and sociodemographic variables, diabetes management factors, and health behaviors were analyzed using chi-squared tests and logistic regression analysis. The prevalence of depression among participants was 43.23%. Older age, lower parental education levels, lower household income, smoking, and comorbidities were identified as significant risk factors for depression. Associations were found between depression and diabetes management factors, including glycemic control and frequency of glucose monitoring. Depression is highly prevalent among children and adolescents with T1DM and is associated with sociodemographic factors, health behaviors, and diabetes management. Integrated approaches to care that address both physical and mental health aspects are crucial for improving outcomes in this population.

Smartphone use and its association with body image distortion and weight loss behaviours among adolescents in Saudi Arabia.

BACKGROUND: Concerns about the harmful effects of smartphone use on teenage development have been raised as the use of cell phones among adolescents has risen. OBJECTIVE: This study aimed to examine the associations of smartphone usage patterns with Body Image Distortion (BID) and weight loss behaviors among adolescent smartphone users in Saudi Arabia. METHODS: This population-based, cross-sectional study was conducted from July to October 2022. We assessed the mean daily length of smartphone use and classified it into quartiles using data from a self-reported survey and data on weekday and weekend use. Self-reported body weight and height were collected via an online survey. Out of the 11384 adolescents, the majority was females (65.7%) and was secondary school students (68.9%). RESULTS: The prolonged smartphone use (301 min/d) was found in 36.4% of adolescents, 181-300 min/d in 27.6% of respondents, 121-180 min/d in 22.4% of respondents, while the modest smartphone use (1-120 min/d) was found only in 13.6% of participants. The duration of smartphone use was significantly associated with BID (P= 0.000); students with middle perceived stress levels (51.4%) and no depressive symptoms (68.9%) used smartphones 121-180 min/d sparingly. However, prolonged smartphone use was significantly associated with the presence of depressive symptoms (42.6%) and high perceived stress levels (21.5%). Weight loss behaviors were significantly associated with smartphone use duration. Modest smartphone use was significantly found in students with normal weight (P= 0.00, 71.9%); however, aerobic physical activity weight loss strategy (P= 0.00, 30.9%) was correlated with prolonged smartphone use. CONCLUSION: Adequate parental advice is required to assist teenagers in developing healthy smartphone usage practices. Digital platform companies may increase their social responsibility for the information generated and delivered on their networks, boosting its beneficial effect.

Social Media Use and Sleep Quality Among Secondary School Students in Aseer Region: A Cross-Sectional Study.

Background: Use of different social media platforms has increased radically over the past decade, emerging as an important part of adolescents and young people's everyday life. This might exert potential adverse effects on sleep quality and daytime performance of young adults. Aim of Study: To assess the relation between use of social media platforms and sleep quality among public secondary school students. Methods: A cross-sectional study was conducted on 961 students in Aseer region, Saudi Arabia. Students were asked to fill in a structured interview questionnaire covering personal data, pattern of social media use, sleep quality using The Pittsburgh Sleep Quality Index (PSQI) and their mental health status using the depression, anxiety and stress scale (DASS-21). Results: Students' ages ranged from 15 to 20 years with a mean age of 16.7 ± 2.1 years old. A total of 570 (59.3%) students were females. Tiktok (80%), Snapchat (77.9%), Instagram (63.8%) and YouTube (58.8%) were the most reported platforms used. Regarding their sleep quality, 34.7% of students were poor sleepers. TikTok use (OR 1.33, 95% CI 1.01-1.77), hours spent on social media (OR 1.26, 95% CI 1.16-1.37) and having moderate to severe depressive symptoms (OR 1.69, 95% CI 1.19-2.40) were significant independent predictors of poor sleep among the studied sample. Conclusion: The present study emphasized the association between prolonged use of social media and poor sleep quality among Saudi adolescents. Awareness and behavioral change strategies and activities concerning the drawbacks of poor sleep and proper use of social media are urgently called for to control mental and physical health consequences of poor sleep and social media addiction.

Prevalence of depression, anxiety, and stress among the general population during COVID-19 pandemic: A systematic review.

The emergence of Coronavrus Disease 2019 (COVID-19) has resulted in significant impacts on individuals and the whole world. It can lead to severe health outcomes that may lead to death. It also affects the psychological status and mental health of the individuals due to fear of infection, isolation, and quarantine. To assess the prevalence of depression, anxiety, and stress among the general population during the COVID-19 pandemic by reviewing the previous studies and original articles published on this subject. Both PubMed and Google Scholar databases were searched for scientific articles that reported the prevalence of depression, anxiety, and/or stress among the general population during the COVID-19 pandemic. The included terms used for the search process were "Prevalence, Anxiety, Depression, Stress, COVID-19, Pandemic, Psychological impact." The inclusion criteria were original articles written in the English language and conducted on the general population and reported the prevalence of depression, anxiety, and/or stress during COVID-19. A total of 2204 articles were obtained; only nine articles were eligible for the inclusion criteria. The included studies involved a total number of 19,277 participants and covered eight countries. The age range of participants was less than 18 years to 90 years, and female participants were more dominant compared to male participants in the majority of the studies. The prevalence of depression, anxiety, and stress was varied based on the region of studies and affected factors; however, the COVID-19 pandemic increased the prevalence of the three items.