&lt;p&gt;Type 1 Diabetes Mellitus in Pediatric Patients and Its Impact on Relationships in the Family Environment&lt;/p&gt;

Madrigal, Miguel Angel; López, María Isabel; Sánchez, Alfredo Hernández; Cao, María José; Castro, María José; Jiménez, José María

doi:10.2147/dmso.s281949

Cited by 4 publications

(2 citation statements)

References 32 publications

(47 reference statements)

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“…Others concluded that an accurate analysis and effective intervention must take into account the children's emotions to increase glycemic balance [35]. On the other hand, caregivers must receive the necessary support and tools to manage crisis situations [36].…”

Section: Discussionmentioning

confidence: 99%

The Role of Systemic Family Psychotherapy in Glycemic Control for Children with Type 1 Diabetes

Salcudean,

Lica

2024

Children

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(1) Background: Family factors play an important role in the management of diabetes, establishing a relationship between conflicts and non-adherence to therapy. High values of HbA1c are involved in specific complications of the disease (retinopathy, nephropathy, neuropathy, ketoacidosis). This study aimed to determine the role of systemic family psychotherapeutic interventions in increasing the quality of parent–child/adolescent relationships and in optimizing the child’s glycemic control. (2) Methods: In this prospective observational study, 64 parents of children and adolescents with type 1 diabetes were evaluated regarding their relationship with their children, using the Child–Parent Relationship Scale-Short Form (CPRS-short form). The children were divided into three groups: one participated for 6 months in systemic family psychotherapy with children and their parents (FT), the second group participated in individual psychotherapy (IT), and the control group (CG) received no intervention. HbA1c values were recorded before and after the interventions. (3) Results: HbA1c means decreased significantly after the family psychotherapy program. The scores on closeness in the family therapy group increased significantly, and the scores on conflict decreased significantly after the intervention, compared with IT and CG. (4) Conclusions: Systemic family psychotherapy produces better results in disease management and in strengthening parent–child relationships.

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Section: Discussionmentioning

confidence: 99%

The Role of Systemic Family Psychotherapy in Glycemic Control for Children with Type 1 Diabetes

Salcudean,

Lica

2024

Children

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“…Type 1 diabetes mellitus (T1DM), an immune-mediated condition, is one of the most common chronic diseases in children [1]. It culminates in the complete or partial loss of pancreatic β cells, leading to reduced production of endogenous insulin and necessitating exogenous insulin administration to sustain proper energy production [2].…”

Section: Introductionmentioning

confidence: 99%

Systemic Inflammatory Response Index (SIRI) as a Predictive Marker for Adverse Outcomes in Children with New-Onset Type 1 Diabetes Mellitus

Scutca,

Jugănaru,

Nicoară

et al. 2024

JCM

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(1) Background: Although most cases of new-onset type 1 diabetes mellitus (T1DM) are managed without serious events, life-threatening complications do arise in a subset of patients. Our objective was to assess the correlation between elevated SIRI values and adverse events related to the onset of T1DM. (2) Methods: This retrospective study, spanning ten years, included 187 patients with new-onset T1DM divided into three groups based on SIRI tertiles. The primary outcome was the occurrence of acute complications during hospital admission, while the secondary outcome was prolonged Intensive Care Unit (ICU) admission. (3) Results: Patients with high SIRI values were more likely to experience higher disease activity, leading to longer ICU admission times and more frequent complications. Multivariate logistic regression analysis revealed that the SIRI was independently associated with acute complications (p = 0.003) and prolonged ICU length of stay (p = 0.003). Furthermore, receiver operating characteristic analysis demonstrated the SIRI’s superior predictive accuracy compared to venous pH (AUC = 0.837 and AUC = 0.811, respectively) and to the individual component cell lineages of the SIRI. (4) Conclusions: These findings emphasize the potential utility of the SIRI as a prognostic marker in identifying patients at increased risk during T1DM hospital admissions.

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Investigation of the therapeutic education effect on glycemic control and quality of life of children and adolescents with type-1 diabetes mellitus: A non-randomized controlled study

Ait-Taleb Lahsen,

Ragala,

Halim

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Type-1 diabetes mellitus (T1DM) is one of the most dreaded chronic diseases, especially in children or youth. To help patients and their families effectively manage their disease, structured therapeutic patient education (TPE) is essential. MATERIALS AND METHOD: The purpose of this non-randomized before and after controlled study was to assess TPE program effects. In total, 200 T1DM children and adolescents, aged 8–18 years, selected from two pediatric departments, were equally assigned to the intervention and control groups. The primary endpoints were differences between groups at 3 months follow-up in measured HbA1c and health-related quality of life (QoL) assessed by a validated questionnaire. RESULTS: At 3 months follow-up of a TPE intervention for T1DM children and adolescents, although there was no significant change in HbA1c for both groups, a significant improvement was observed in the maximum pre- and postprandial blood glucose levels (r: ~0.3; variation rates: -10,47% and -3,85%, respectively) in the intervention group, whereas there was a significant increase in the maximum and minimum of preprandial blood glucose levels in the control group (r: ~0.3, variation rates: 14.29% and 25%, respectively). Global and dimensional QoL mean scores variation rates showed a significant difference between groups, with an improvement in the intervention group (r ≥ 0.7, Cohen’s > 0.8) and a decrease in the control group (r ≥ 0.7). CONCLUSION: These results support the hypotheses of difference between the study groups in favor of better glycemic control and QoL for the intervention group.

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<p>Type 1 Diabetes Mellitus in Pediatric Patients and Its Impact on Relationships in the Family Environment</p>

Cited by 4 publications

References 32 publications

The Role of Systemic Family Psychotherapy in Glycemic Control for Children with Type 1 Diabetes

The Role of Systemic Family Psychotherapy in Glycemic Control for Children with Type 1 Diabetes

Systemic Inflammatory Response Index (SIRI) as a Predictive Marker for Adverse Outcomes in Children with New-Onset Type 1 Diabetes Mellitus

Investigation of the therapeutic education effect on glycemic control and quality of life of children and adolescents with type-1 diabetes mellitus: A non-randomized controlled study

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