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Psychological Impact of Screening for Risk of Type 1 Diabetes : an Update

Johnson, Suzanne Bennett LU ; O’Donnell, Holly ; Smith, Laura B. and Melin, Jessica LU (2025) In Current Diabetes Reports 25(1).
Abstract

Purpose of Review: Summarize recent literature on: understanding of and emotional reactions to type 1 diabetes (T1D) risk; willingness to be screened; behavioral responses to T1D-risk screening results; and provider attitudes/concerns about general population screening. Recent Findings: Difficulty understanding what it means to be at increased risk for T1D is common; anxiety about increased risk may occur, particularly in multiple islet autoantibody positive (IA+) individuals. Many are hesitant to be screened or to be medically monitored if at increased risk. Those at risk may engage in behaviors to try to prevent T1D. Providers are often cautious about general population screening, with concerns about associated anxiety paramount.... (More)

Purpose of Review: Summarize recent literature on: understanding of and emotional reactions to type 1 diabetes (T1D) risk; willingness to be screened; behavioral responses to T1D-risk screening results; and provider attitudes/concerns about general population screening. Recent Findings: Difficulty understanding what it means to be at increased risk for T1D is common; anxiety about increased risk may occur, particularly in multiple islet autoantibody positive (IA+) individuals. Many are hesitant to be screened or to be medically monitored if at increased risk. Those at risk may engage in behaviors to try to prevent T1D. Providers are often cautious about general population screening, with concerns about associated anxiety paramount. Summary: Understanding the psychosocial implications of T1D-risk screening is critical to its success. Interventions are needed to improve understanding of the purpose, procedures and consequences of screening, what it means to be at risk, and ways to cope with associated anxiety. The psychosocial impact of a Stage 1 or Stage 2 T1D diagnosis needs clarification and the availability of drugs to delay disease onset is likely to have a significant impact on the decision to be screened and monitored if at-risk for T1D. The impact of screening on children as well as their role in screening/medical monitoring decision-making needs to be addressed.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Family, Parents, Providers, Psychosocial impact, Screening, Type 1 diabetes risk
in
Current Diabetes Reports
volume
25
issue
1
article number
57
publisher
Current Science, Inc.
external identifiers
  • pmid:41231287
  • scopus:105021539433
ISSN
1534-4827
DOI
10.1007/s11892-025-01612-3
language
English
LU publication?
yes
id
78be0964-2539-44a9-b360-4e6ba88b3f5c
date added to LUP
2026-01-12 14:08:00
date last changed
2026-01-12 14:08:44
@article{78be0964-2539-44a9-b360-4e6ba88b3f5c,
  abstract     = {{<p>Purpose of Review: Summarize recent literature on: understanding of and emotional reactions to type 1 diabetes (T1D) risk; willingness to be screened; behavioral responses to T1D-risk screening results; and provider attitudes/concerns about general population screening. Recent Findings: Difficulty understanding what it means to be at increased risk for T1D is common; anxiety about increased risk may occur, particularly in multiple islet autoantibody positive (IA+) individuals. Many are hesitant to be screened or to be medically monitored if at increased risk. Those at risk may engage in behaviors to try to prevent T1D. Providers are often cautious about general population screening, with concerns about associated anxiety paramount. Summary: Understanding the psychosocial implications of T1D-risk screening is critical to its success. Interventions are needed to improve understanding of the purpose, procedures and consequences of screening, what it means to be at risk, and ways to cope with associated anxiety. The psychosocial impact of a Stage 1 or Stage 2 T1D diagnosis needs clarification and the availability of drugs to delay disease onset is likely to have a significant impact on the decision to be screened and monitored if at-risk for T1D. The impact of screening on children as well as their role in screening/medical monitoring decision-making needs to be addressed.</p>}},
  author       = {{Johnson, Suzanne Bennett and O’Donnell, Holly and Smith, Laura B. and Melin, Jessica}},
  issn         = {{1534-4827}},
  keywords     = {{Family; Parents; Providers; Psychosocial impact; Screening; Type 1 diabetes risk}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Current Science, Inc.}},
  series       = {{Current Diabetes Reports}},
  title        = {{Psychological Impact of Screening for Risk of Type 1 Diabetes : an Update}},
  url          = {{http://dx.doi.org/10.1007/s11892-025-01612-3}},
  doi          = {{10.1007/s11892-025-01612-3}},
  volume       = {{25}},
  year         = {{2025}},
}