Abstract
Background
Diabetes has previously been linked to mental health problems in children and adolescents, but more recent studies have yielded mixed findings. The aim of the current study was to compare symptoms of mental health problems in children and adolescents with and without type 1 diabetes (T1DM).
Methods
Life quality, subjective well-being, self-rated health, depression and somatic symptoms in children and adolescents with diabetes (n=130) were measured and compared to the results of a socio-demographically joined control group (n=177) which consists of healthy children and adolescents.
Results
A significant difference could be observed between the groups in well-being and depressive symptoms as according to the results, the research sample namely the children with T1DM could be described with significantly higher subjective well-being and mood, but with less physical symptoms and lower level of depression as those in the control group.
Conclusions
These findings suggest that T1DM is not associated with an increased risk of psychosocial problems, and confirm that even a severe disease of a child can lead to personal growth.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organisation(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. American Diabetes Association. Standards of medical care in diabetes-2009. Diabetes Care 2009;32(Suppl 1):S13–61.10.2337/dc09-S013Search in Google Scholar
2. Kakleas K, Kandyla B, Karayianni C, Karavanaki K. Psychosocial problems in adolescents with type 1 diabetes mellitus. Diabetes Metab 2009;35:339–50.10.1016/j.diabet.2009.05.002Search in Google Scholar
3. Laffel LM, Connell A, Vangsness L, Goebel-Fabbri A, Mansfield A, et al. General quality of life in youth with type 1 diabetes: relationship to patient management and diabetes-specific family conflict. Diab Care 2003;26:3067–73.10.2337/diacare.26.11.3067Search in Google Scholar
4. Bernstein CM, Stockwell MS, Gallagher MP, Rosenthal SL, Soren K. Mental health issues in adolescents and young adults with type 1 diabetes: prevalence and impact on glycemic control. Clin Pediatr 2013;52:10–5.10.1177/0009922812459950Search in Google Scholar
5. Jacobson AM, Hauser ST, Willett JB, Wolfsdorf JI, Dvorak R, et al. Psychological adjustment to IDDM: 10 year follow-up of an onset cohort of child and adolescent patients. Diab Care 1997;20:811–8.10.2337/diacare.20.5.811Search in Google Scholar
6. Kovacs M, Obrosky DS, Goldston D, Drash A. Major depressive disorder in youth with IDDM. A controlled prospective study of course and outcome. Diab Care 1997;20:45–51.10.2337/diacare.20.1.45Search in Google Scholar
7. Almeida MC, Claudino DA, Grigolon RB, Fleitlich-Bilyk B, Claudino AM. Psychiatric disorders in adolescents with type 1 diabetes: a case-control study. Revista Brasileira de Psiquiatria 2018;40:284–9.10.1590/1516-4446-2017-2259Search in Google Scholar
8. Siverstein B, Petrie KJ, Wilhelmsen-Langeland A, Hysing M. Mental health in adolescents with type 1 diabetes: results from a large population-based study. BMC Endocr Disord 2014;14:83.10.1186/1472-6823-14-83Search in Google Scholar
9. Kokkonen J, Taanila A, Kokkonen ER. Diabetes in adolescence: the effect of family and psychological factors on metabolic control. Nord J Psychiatry 1997;51:165–72.10.3109/08039489709109091Search in Google Scholar
10. Diabetes Control and Complications Trial Research Group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. J Pediatr 1994;125:177–88.10.1016/S0022-3476(94)70190-3Search in Google Scholar
11. Debono M, Cachia E. The impact of diabetes on psychological well being and quality of life. The role of patient education. Psychol Health Med 2007;12:545–55.10.1080/13548500701235740Search in Google Scholar PubMed
12. Plener PL, Molz E, Berger G, Schober E, Mönkemöller K, et al. Depression, metabolic control, and antidepressant medication in young patients with type 1 diabetes. Pediatr Diabetes 2015;16:58–66.10.1111/pedi.12130Search in Google Scholar PubMed
13. Massey CM, Feig EH, Duque-Serrano L, Huffman JC. Psychological well-being and type 2 diabetes. Curr Res Diabetes Obes J 2017;4:555641.Search in Google Scholar
14. Gray S, Cheetham T, Parr J, Mann K, Pearce M, et al. Service satisfaction, mental wellbeing and clinical progression in young people with diabetes in transition from child to adult services. Endocrine Abstracts 2017;51:28.10.1530/endoabs.51.OC7.5Search in Google Scholar
15. Johnson B, Eiser C, Young V, Brierley S, Heller S. Prevalence of depression among young people with type 1 diabetes: a systematic review. Diab Med 2013;30:199–208.10.1111/j.1464-5491.2012.03721.xSearch in Google Scholar PubMed
16. McCance DR, Hanson RL, Charles MA, Jacobsson LT, Pettitt DJ, et al. Comparison of tests for glycated haemoglobin and fasting and two hour plasma glucose concentrations as diagnostic methods for diabetes. Br Med J 1994;308: 1323–8.10.1136/bmj.308.6940.1323Search in Google Scholar PubMed PubMed Central
17. Ghazanfar H, Rizvi SW, Khurram A, Orooj F, Qaiser I. Impact of insulin pump on quality of life of diabetic patients. Indian J Endocrinol Metab 2016;20:506–11.10.4103/2230-8210.183472Search in Google Scholar PubMed PubMed Central
18. Lukács A, Kiss-Tóth E, Varga B, Soós A. Benefits of continuous subcutaneous insulin infusion on quality of life. Int J Technol Assess Health Care 2013;29:48–52.10.1017/S0266462312000797Search in Google Scholar PubMed
19. Lukács A, Varga B, Kiss-Tóth E, Soós A, Barkai L. Factors influencing the diabetes-specific health-related quality of life in children and adolescents with type 1 diabetes mellitus. J Child Health Care 2014;18:253–60.10.1177/1367493513486964Search in Google Scholar PubMed
20. Peters CJ, Hindmarsh PC, Thompson RJ. Insulin pump therapy. Paediatr Child Health 2017;27:160–5.10.1016/j.paed.2017.02.002Search in Google Scholar
21. Alsairafi ZK, Smith FJ, Taylor KM, Alsaleh F, Alattar AT. A qualitative study exploring patients’ experiences regarding insulin pump use. Saudi Pharm J 2018;26:487–95.10.1016/j.jsps.2018.02.010Search in Google Scholar PubMed PubMed Central
22. Rózsa S, Vetró Á, Komlósi AV, Gádoros J, Kő N, et al. Gyermek és serdülőkori depresszió kérdőíves mérésének lehetősége a klinikai és normatív mintán szerzett tapasztalatok alapján. Pszichológia 1999;19:459–82.Search in Google Scholar
23. Perczel-Forintos D, Kiss Zs, Ajtay Gy. Questionnaires and estimation scales in clinical psychology. Budapest: National Institute of Psychiatry and Neurology, 2005.Search in Google Scholar
24. Susánszky É, Konkoly TB, Stauder A, Kopp M. A WHO Jól-Lét Kérdõív Rövidített (WBI-5) magyar változatának validálása a hungarostudy 2002 országos lakossági egészségfelmérés alapján. Mentálhigiéné és Pszichoszomatika 2006;7:247–55.10.1556/Mental.7.2006.3.8Search in Google Scholar
25. de Vit M, Pouwer F, Gemke RJ, Delemarre-van de Waal HA, Snoek FJ. Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes. Diab Care 2007;30:2003–6.10.2337/dc07-0447Search in Google Scholar PubMed
26. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction With Life Scale. J Pers Assess 1985;49:71–5.10.1037/t01069-000Search in Google Scholar
27. Martos T, Sallay V, Désfalvi J, Szabó T, Ittzés A. Az Élettel való Elégedettség Skála magyar változatának (SWLS-H) pszichometriai jellemzői. Mentálhigiéné és Pszichoszomatika 2014;15:289–303.10.1556/Mental.15.2014.3.9Search in Google Scholar
28. Cantril H. The pattern of human concerns. New Brunswick, NJ: Rutgers University Press, 1965.Search in Google Scholar
29. Varni JW, Seid M, Rode CA. The PedsQL™: measurement model for the pediaric quality of life inventory. Med Care 1999;37:126–239.10.1097/00005650-199902000-00003Search in Google Scholar PubMed
30. Berkes A, Riszter M, Felszeghy E, Pataky I, Mogyorósy G. Measurement properties of the Hungarian version of the pediatric quality of life inventory 4.0: health related quality of life and associated characteristics of the school children in Hungary. Appl Res Qual Life 2018;13:1–20.10.1007/s11482-018-9639-7Search in Google Scholar
31. Plotnick LP, Clark LM, Brancati FL, Erlinger T. Safety and effectiveness of insulin pump therapy in children and adolescents with type 1 diabetes. Diab Care 2003;26:1142–6.10.2337/diacare.26.4.1142Search in Google Scholar PubMed
32. Fox LA, Buckloh LM, Smith SD, Wysocki T, Mauras N. A randomized controlled trial of insulin pump therapy in young children with type 1 diabetes. Diab Care 2005;28: 1277–81.10.2337/diacare.28.6.1277Search in Google Scholar PubMed
33. Cauffman E, Steinberg L. (Im)maturity of judgment in adolescence: why adolescents may be less culpable than adults. Behav Sci Law 2000;18:741−60.10.1002/bsl.416Search in Google Scholar PubMed
34. Lukács A, Sasvári P, Török A, Barkai L. Generic and disease-specific quality of life in adolescents with type 1 diabetes: comparison to age-matched healthy peers. J Pediatr Endocrinol Metab 2016;29:769–75.10.1515/jpem-2015-0397Search in Google Scholar PubMed
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