{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:14:04Z","timestamp":1790374444211,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"4-5","license":[{"start":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T00:00:00Z","timestamp":1581897600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>Adolescents with diabetes are at increased risk for depression and anxiety, which when untreated negatively affects diabetes control. During a 6-month period, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) screening tool was utilized. Those with a positive screen then completed the Patient Health Questionnaire for Adolescents (PHQ-A) and the Generalized Anxiety Disorder 7-item (GAD-7) scale. In this article, we report on the correlations in outcomes between the PHQ-4 and the PHQ-A and GAD-7 and its clinical utility for determining the need for standard versus acute behavioral health care. Over 6 months, 77 patients aged 10 to 18 years screened positive on the PHQ-4. Thirty-two patients had positive screening with the PHQ-A and\/or the GAD-7. Thoughts of self-harm were reported by 13 (40%), with 1 experiencing current\/active symptoms. The PHQ-4 as a screening tool was able to identify adolescents with symptoms of depression and\/or anxiety who would benefit from further evaluation by a behavioral health provider.<\/jats:p>","DOI":"10.1177\/0009922820905861","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T01:56:25Z","timestamp":1581990985000},"page":"445-449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Depression and Anxiety Screening in Adolescents With Diabetes"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4316-1632","authenticated-orcid":false,"given":"Sara E.","family":"Watson","sequence":"first","affiliation":[{"name":"University of Louisville, Louisville, KY, USA"},{"name":"Norton Children\u2019s Hospital, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Spurling","sequence":"additional","affiliation":[{"name":"University of Louisville, Louisville, KY, USA"},{"name":"Norton Children\u2019s Hospital, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail M.","family":"Fieldhouse","sequence":"additional","affiliation":[{"name":"University of Louisville, Louisville, KY, USA"},{"name":"Norton Children\u2019s Hospital, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki L.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"University of Louisville, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kupper A.","family":"Wintergerst","sequence":"additional","affiliation":[{"name":"University of Louisville, Louisville, KY, USA"},{"name":"Norton Children\u2019s Hospital, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,17]]},"reference":[{"key":"bibr1-0009922820905861","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.20.1.36"},{"key":"bibr2-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1515\/JPEM.2004.17.1.5"},{"key":"bibr3-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-8567(09)66561-8"},{"key":"bibr4-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-1717"},{"key":"bibr5-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.05.027"},{"key":"bibr6-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1398"},{"key":"bibr7-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp063"},{"key":"bibr8-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021887712873"},{"key":"bibr9-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.85"},{"key":"bibr10-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2010.02230.x"},{"key":"bibr11-0009922820905861","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-S012"},{"key":"bibr12-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2381"},{"key":"bibr13-0009922820905861","first-page":"613","volume":"50","author":"Kroenke K","year":"2009","journal-title":"Psychosomatics"},{"key":"bibr14-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0788C"},{"key":"bibr15-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2016.04.019"},{"key":"bibr16-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0681"},{"key":"bibr17-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2018.0112"},{"key":"bibr18-0009922820905861","first-page":"227A","volume":"29","author":"Mossman SA","year":"2017","journal-title":"Ann Clin Psychiatry"},{"key":"bibr19-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0852"},{"key":"bibr20-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.01.030"},{"key":"bibr21-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.06.019"},{"key":"bibr22-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2004.01370.x"},{"key":"bibr23-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1515\/jpem-2015-0335"},{"key":"bibr24-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2015.11.001"},{"key":"bibr25-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6823-14-83"},{"key":"bibr26-0009922820905861","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-015-0619-0"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922820905861","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0009922820905861","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922820905861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:30:50Z","timestamp":1777393850000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/0009922820905861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,17]]},"references-count":26,"journal-issue":{"issue":"4-5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1177\/0009922820905861"],"URL":"https:\/\/doi.org\/10.1177\/0009922820905861","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,17]]}}}