{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T09:02:56Z","timestamp":1791277376261,"version":"4.1.0"},"reference-count":46,"publisher":"American Diabetes Association","issue":"11","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100006727","name":"University of Kansas Medical Center","doi-asserted-by":"publisher","award":["Practice Innovations Grant"],"award-info":[{"award-number":["Practice Innovations Grant"]}],"id":[{"id":"10.13039\/100006727","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>To measure the acceptability and diagnostic accuracy of commonly used depression screening measures to determine ideal cutoff scores that sensitively identify depressive disorders in adolescents with type 1 diabetes (T1D).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>One hundred adolescents (12\u201317 years old) completed a reference standard, semistructured diagnostic interview and both long and short versions of five commonly used depression screening measures in the United States. To assess feasibility and acceptability, we used screener completion time and participant ratings, respectively. We used descriptive statistics, area under the receiver operating characteristic (ROC) curve analyses, and paired-sample area differences under the ROC curve to assess each measure\u2019s diagnostic validity against our reference standard and to determine ideal cutoff scores for this sample.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Adolescents had a mean age of 15.0 \u00b1 1.7 years, time since T1D diagnosis of 6.0 \u00b1 4.1 years, and glycated hemoglobin (HbA1c) of 8.9 \u00b1 1.8%. Sixty percent of adolescents were male, 15% endorsed a current depressive disorder, and 15% endorsed lifetime suicidality. Measures demonstrated low sensitivity (0.33\u20130.67) to detect current depressive disorders using preexisting cutoff scores. However, adjusted cutoff scores increased sensitivity and reduced false negatives. All depression screening measures demonstrated \u201cgood\u201d to \u201cexcellent\u201d predictive validity, and the Children\u2019s Depression Inventory-2 Short version demonstrated significantly greater diagnostic accuracy than the Patient Health Questionnare-2 item version for adolescents.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Clinics should consider using screening measures with the greatest diagnostic accuracy as identified in this study and adjusting measure cutoff scores to increase sensitivity and reduce false negatives.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/dc22-0275","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T14:47:07Z","timestamp":1660920427000},"page":"2501-2508","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":13,"title":["Adjusted Cutoff Scores Increase Sensitivity of Depression Screening Measures in Adolescents With Type 1 Diabetes"],"prefix":"10.2337","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3024-3527","authenticated-orcid":false,"given":"Arwen M.","family":"Marker","sequence":"first","affiliation":[{"name":"1Primary Children\u2019s Hospital, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8902-6965","authenticated-orcid":false,"given":"Susana R.","family":"Patton","sequence":"additional","affiliation":[{"name":"2Nemours Children\u2019s Health System, Jacksonville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2368-0331","authenticated-orcid":false,"given":"Mark A.","family":"Clements","sequence":"additional","affiliation":[{"name":"3Children\u2019s Mercy\u2014Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna E.","family":"Egan","sequence":"additional","affiliation":[{"name":"3Children\u2019s Mercy\u2014Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"McDonough","sequence":"additional","affiliation":[{"name":"3Children\u2019s Mercy\u2014Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"2022110118542014800_B1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s12160-011-9262-4","article-title":"Children with diabetes compared to peers: depressed? 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