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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Editorial Board Member: Darendeliler, Feyza / Gustafsson, Jan / Luo, Feihong / Mericq, Veronica / Lanes M. D., Roberto / Battelino, Tadej / Buyukgebiz, Atilla / Cassorla, Fernando / Chrousos, George P. / Cutfield, Wayne / Fideleff, Hugo L. / Hershkovitz, Eli / LaFranchi, Stephen H. / Mohn, Angelika / Root, Allen W. / Rosenfeld, Ron G. / Wabitsch, Martin / Werther, George / Zadik, Zvi

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The contribution of art therapy in poorly controlled youth with type 1 diabetes mellitus

Shira Harel1, 2 / Livia Yanai1 / Ronit Brooks1 / Yakira Bar1 / Tzvy Bistritzer1, 2 / Shosh Ivgi1 / 1, 2

1Pediatric Diabetes Clinic, Pediatric Division, Assaf Harofeh Medical Center, Zerifin, Israel

2Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Corresponding author: Marianna Rachmiel, MD, Pediatric Diabetes Clinic, Department of Pediatrics, Assaf Harofeh Medical Center, Zerifin 70300, Israel, Phone: +972-8-9779133, Fax: +972-8-9779136; and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Citation Information: Journal of Pediatric Endocrinology and Metabolism. Volume 26, Issue 7-8, Pages 669–673, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: 10.1515/jpem-2012-0342, April 2013

Publication History:
Received:
2012-10-21
Accepted:
2013-02-21
Published Online:
2013-04-02

Abstract

Objective: To evaluate the effect of intensive art therapy in youth with poorly controlled type 1 diabetes mellitus (T1DM).

Methods: A retrospective report of the characteristics and outcomes of all patients who were offered to receive individual art therapy sessions because of behavioral difficulties.

Results: The study population included 29 participants. The main behavioral difficulties were needle phobia and lack of compliance with nutritional recommendations or with insulin administration. The intervention group included 16 patients, with a mean age of 9.3±2.5 years, average intervention length of 0.77±0.41 years, and long-term data of 2.27±1.13 years. The control group included 13 patients, with a mean age of 9.3±3.4 years. Improvement was observed in 56% of the case group and in 23% of the control group. Art therapy was associated with a decrease in hemoglobin A1c in the intervention group compared with a similar control group (–0.79%, ±0.24%; r=0.17, p=0.025).

Conclusions: The addition of intensive art therapy for poorly controlled youth with T1DM may improve their glycemic control.

Keywords: behavioral difficulties; drawing scales; needle phobia

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