Signs and symptoms of depression in children and adolescents with type 1 diabetes mellitus: A case report

Herman Herman; I Gusti Ayu I. Ardani; Luh Nyoman A. Aryani; I Gusti Ayu T. Windiani; I Gusti Ngurah S. Adnyana; Yunias Setiawati

doi:10.21744/ijhms.v5n1.1861

Authors

Herman
hermanpsikiatri2018@gmail.com
Department of Psychiatry, Medical Faculty, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
I Gusti Ayu I. Ardani Department of Psychiatry, Medical Faculty, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
Luh Nyoman A. Aryani Department of Psychiatry, Medical Faculty, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
I Gusti Ayu T. Windiani Department of Paediatrics, Medical Faculty, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
I Gusti Ngurah S. Adnyana Department of Paediatrics, Medical Faculty, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
Yunias Setiawati Department of Psychiatry, Medical Faculty, Airlangga University, Dokter Soetomo Hospital, Surabaya, East Java, Indonesia

Keywords:

case report, children, cognitive behavioral therapy, depression, diabetes mellitus

Abstract

Depression is a fundamental disorder characterized by changes in mood or affect toward depression with or without anxiety. Depression is a state of mental disorder characterized by three main symptoms and seven additional symptoms. Diabetes Mellitus Type-1 (T1DM) is a systemic disorder caused by impaired glucose metabolism, which is characterized by chronic hyperglycemia. Depression is common in patients with T1DM. In this case report, a 13-year-old girl was consulted because she looks sad. A feeling of sadness has been felt for 3 months and has been getting worse since a week ago, which was initially because of T1DM. Patients usually work at home and carry out daily activities as usual. Currently, the patient has no desire and gets tired easily, especially when doing usual activities, thinking the pain will get worse and thinking that she can't recover. Complaints are felt throughout the day and worsen at night, especially before bed or when alone. The patient feels that she is useless and his future is bleak. During pregnancy, the patient's mother routinely checks with the midwife and gets complete immunizations. The patient was born vaginally and cried spontaneously. The patient also received complete basic immunization.

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