Personality Traits and Metabolic Control: A Study in Insulin-Dependent Diabetes mellitus Patients

Orlandini, Alvise; Pastore, M. R.; Fossati, Andrea; Clerici, Stefano Piatto; Sergi, Alessandro; Balini, Annalisa; Maffei, Cesare; Secchi, Antonio; Pozza, G.

doi:10.1159/000289153

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…One explanation is that these symptoms are the consequences of the stress created by the effort to achieve metabolic control. Our finding that psychopathology was unrelated to poor metabolic control concurs with some research in the literature [1, 2, 4], but is in disagreement with other authors [6, 7, 8, 9]. …”

Section: Discussionsupporting

confidence: 52%

“…In a recent study, Goldston et al [5]observed a 38.5% prevalence of psychiatric disorder in adolescents with diabetes, as compared to 20% reported in youths in a community sample; 13.2% of the former showed a predominance of suicidal thoughts. Studies [6, 7, 8, 9]have shown a significant association between psychopathology and diabetic control in children and adults, thus creating a conflicting picture. Overall, heightened anxiety, depressed mood, feelings of inadequacy, disturbed dependence-independence relations, social withdrawal, rebellion and hostility have been found in studies of children with diabetes, but not consistently [10, 11].…”

Section: Introductionmentioning

confidence: 99%

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Maternal Expressed Emotion and Metabolic Control of Children and Adolescents with Diabetes mellitus

Liakopoulou¹,

Alifieraki²,

Katideniou³

et al. 2001

Psychother Psychosom

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Background: The objectives of this study of children and adolescents with diabetes were to: (1) examine whether maternal expressed emotion (EE), in the form of critical comments (CC), hostility and emotional overinvolvement (EOI), is related to metabolic control; (2) determine if CC and EOI are separately related to poor metabolic control, and (3) ascertain whether high EE is related to psychopathology in these children. Methods: The Present Episode version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children (Kiddie-SADS-P/K-SADS-P) interview was administered to 55 children and adolescents with diabetes and the parental EE instrument, the 5-min speech sample, to 55 mothers. The same instruments were utilized with the 54 controls and their mothers. Glycosylated hemoglobin A1 values were used as a measure of metabolic control. Results: More than half of the children with diabetes (58.2%) had mild to moderate symptoms of anxiety or depression as compared to 9.3% of the controls. High EE was exhibited by 70.9% of the index group mothers in contrast to only 29.6% of the control group mothers. High maternal EE was not related to the psychopathology of children with diabetes. High maternal EE and in particular its EOI component and excessive detail (a subcategory of EOI) were related to poor metabolic control of the index children. Conclusions: Maternal EE is related to metabolic control in childhood diabetes; maternal EOI in particular is related to poor metabolic control. Mental health professionals should work with mothers of children with diabetes in an effort to modify such attitudes and emotions.

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Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Maternal Expressed Emotion and Metabolic Control of Children and Adolescents with Diabetes mellitus

Liakopoulou¹,

Alifieraki²,

Katideniou³

et al. 2001

Psychother Psychosom

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“…7 Häufigkeit klinisch relevanter ¹Fälleª (entsprechend den jeweiligen Cut-off Scores) (* = auf 5 %-Niveau signifikant; ** = auf 1%-Niveau signifikant). Studien zur Komorbidität von Eûstörungen und Typ-2-Diabetes finden sich in der Literatur vergleichsweise selten (Wing et al 1989(Wing et al , 1990Kenardy et al 1994 (Sachs et al 1992, Wrigley u. Mayou 1991, Niemeryk et al 1990, Lustman et al 1986, 1991, 1995Giles et al 1992, Orlandini et al 1997. Der psycho-somatische Zusammenhang dürfte auûerordentlich komplex sein, flieûen doch eine Vielzahl von somatischen (z.…”

Section: Diskussionunclassified

Characteristics of Diabetic Patients with and without an Eating Disorder

Herpertz¹,

Albus²,

Lohff³

et al. 2000

Psychother Psychosom Med Psychol

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As part of a multicentre study on the comorbidity of diabetes mellitus and eating disorders, the following paper compares the psychological features of diabetic patients with and without an eating disorder. In a sample of 663 diabetic patients (type 1: n = 341 type 2: n = 322), eating disorder related variables, self-esteem, body acceptance and emotional distress, especially depression in diabetic patients with and without an eating disorder, were compared. A possible relationship to diabetic control was investigated. Type 2 diabetics revealed more pronounced psychopathology in comparison to type 1 diabetics. According to our assumption, diabetic patients with an eating disorder and diabetic patients who deliberately reduced insulin in order to loose weight (insulin purging) revealed a much more severe psychopathology compared to diabetics without an eating disorder. The type of diabetes was of no importance. With the exception of the variable body and figure satisfaction in the sample of type 1 diabetes and the variable self-acceptance in the sample of type 2 diabetes, no relationship to diabetic control could be found.

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