Evidence map›Paper›PMID 32941959›Full record

ArticleDiabetes research and clinical practice2020

Sleep and depressive symptoms in adolescents with type 1 diabetes not meeting glycemic targets.

Emily R Hamburger, Eveline R Goethals, Arjun Choudhary, Sarah S Jaser

Open access · greenAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Mood and sleep in young adults with type 1 diabetes.Journal of pediatric psychology · 2025
    Article
  4. Article
  5. Article
  6. Sleep Disturbances in Type 1 Diabetes and Mitigating Cardiovascular Risk.The Journal of clinical endocrinology and metabolism · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Type 1 Diabetes, Sleep, and Hypoglycemia.Current diabetes reports · 2021
    Review
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Emily R HamburgerVanderbilt University Medical Center, Nashville, TN, United States.
Eveline R GoethalsJoslin Diabetes Center, Harvard Medical School, Boston, MA, United States; KU Leuven, Leuven, Belgium.
Arjun ChoudharyVanderbilt University Medical Center, Nashville, TN, United States.
Sarah S JaserVanderbilt University Medical Center, Nashville, TN, United States. Electronic address: sarah.jaser@vumc.org.
Vanderbilt University Medical Center · USJoslin Diabetes Center · US

Funding

Vanderbilt Center for Diabetes Translation ResearchP30DK092986 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OSBORN, CHANDRA Y. · 2011 to 2020
$6.7M
Positive Psychology to Promote Adherence in Adolescents with Type 1 DiabetesDP3DK097678 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JASER, SARAH SANDERS · 2013 to 2015
$1.3M
NIDDK NIH HHS DP3 DK097678NIDDK NIH HHS P30 DK092986
6 · The paper itself

Abstract

aimsAdolescents with type 1 diabetes (T1D) are at risk for problems with self-management and suboptimal glycemic control, and depressive symptoms and sleep disturbances predict poorer diabetes outcomes. Despite evidence for associations between adolescent depressive symptoms and sleep in the general population, few studies have investigated this link in the vulnerable group of adolescents with T1D not meeting glycemic targets. The current study sought to assess both depressive symptoms and sleep in relation to diabetes indicators in adolescents with T1D.

methods120 adolescents (ages 13-17 years) with above target glycemic control completed measures of depressive symptoms, sleep duration and quality, and self-management; parents also reported on adolescents' diabetes management. Clinical data (i.e., HbA1c) were extracted from medical records.

resultsIn our sample, 40% of adolescents reported at least mild depressive symptoms, and 26% reported clinically significant sleep disturbances. Adolescents with sleep disturbances were more likely to report at least mild symptoms of depression, and both depressive symptoms and sleep quality were associated with poorer diabetes management. No significant differences emerged regarding HbA1c or frequency of blood glucose monitoring.

conclusionsThe current findings highlight the importance of clinical assessment of both depressive symptoms and sleep in the vulnerable group of adolescents with T1D.

Indexed as

AdolescentBlood GlucoseDepressionDiabetes Mellitus, Type 1FemaleHumansMaleSleep Wake DisordersBlood GlucoseAdherenceAdolescentsDepressionSelf-managementSleepType 1 diabetes

Identifiers

PMID32941959
PMCPMC7736492
OpenAlexW3085929400

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.