Psychological aspects of adolescents with diabetes mellitus

Vukovic, D.; Vlaski, Jovan; Konstantinidis, Nada; Katanic, Dragan; Konstantinidis, Georgios; Biroo, Miklos

doi:10.1016/j.sbspro.2010.07.365

Cited by 6 publications

(6 citation statements)

References 11 publications

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“…In the present study we have also observed that there is a significant association between insulin dosage and depression. This is in similar lines with the observations by Dusan V et al 4 and Sendela J et al, in their studies they infer that, the adolescents with depression tend to have eating disorders that leads to increased insulin requirements. 12 We did not observe any significant association between depression and duration of diabetes.…”

Section: Acknowledgementsupporting

confidence: 89%

“…Similar observations were made by Dusan V in their study, where they have observed that, adolescents with diabetes in the age group of 12 to 14 years had poor metabolic control. 4 Silverstein et al also reported that, HbA1C levels suggested of glycemic control were higher in adolescents tion between depression, glycemic control, higher dose of insulin intake and not following diabetes diet. This high burden of depression necessitates regular screening of these vulnerable groups using simple and feasible screening tools in order to provide adequate care and support to prevent the long lasting consequences.…”

Section: Discussionmentioning

confidence: 95%

“…Several studies conducted across the world unanimously agree that, the depression is a major mental health problem in adolescents with type 1 diabetes. Dusan et al reports the prevalence to be 38.5%, 4 Niruala et al reports 40.3%, 11 Hood et al reports 15.2%, 6 Sendela J et al reports 17%, 12 and Silversetin J reports that depression is two times more common in subjects with type 1 diabetes compared to type-2 diabetes. 5 This wide variation in the prevalence across the studies may be due to variety of scales available and differences in the modes of administration.…”

Section: Acknowledgementmentioning

confidence: 99%

“…3 Adolescents with diabetes are in an unenviable situation; on one hand they confront developmental changes and problems, and on the other hand they are trying to learn and improve the control over diabetes, in order to achieve desired quality of life. 4 Various phenomenological studies using conversational interview reveal that median scores of anxiety, depression and total distress are significantly higher in adolescents with type 1 diabetes mellitus indicating worse psychological adjustment. 1 Major depressive disorders and subclinical depressive symptomatology are more common in adolescents with diabetes, and the prevalence of subclinical depressive symptomatology in patients with diabetes appears to be even greater.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Factors Influencing Depression among Adolescents with Type-1 Diabetes – A Cross-Sectional Study

Naruboina¹,

Kulkarni²,

Nagaraj³

2017

IJMEDPH

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Background: Type 1 diabetes is the third most common paediatric endocrine disease. India accounts for most of the adolescents with T1DM in South-East Asia. Adolescents with diabetes are at higher risk of developing several psychological disorders due to the psychosocial stress posed by the condition. Depression is the commonest among these illnesses and necessitates active and early detection by screening strategies. Materials and Methodology: This Hospital Based Cross sectional study was conducted for the period of six months. All the Adolescents with Type 1 Diabetes visiting the hospital during the study period were included. Details regarding socio-demographic characteristics, diabetes and glycemic status were collected in a pre tested structured questionnaire by interview technique. Symptoms suggestive of depression were collected using Patient Health Questionnaire -9 (PHQ-9). Results: Among 30 Adolescents with Type 1 Diabetes included in the present study, majority, 18 (60%) were in the age group of less than 14 years and 20 (66.7%) were females. The magnitude of depression among the study subjects was 18 (60%) of which majority of the subjects 12 (80%) were having mild depression. There was a significant association between depression and uncontrolled glycemic status, higher dosage of insulin intake and not strictly following the dietary practices. Conclusion: There was a high burden of depression in adolescents with type 1 diabetes. There was a significant relationship between the preventable factors like glycemic control and dietary practices with depression.

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Section: Acknowledgementsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 95%

Section: Acknowledgementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and Factors Influencing Depression among Adolescents with Type-1 Diabetes – A Cross-Sectional Study

Naruboina¹,

Kulkarni²,

Nagaraj³

2017

IJMEDPH

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“…Better metabolic control was associated with increased anxiety, which contradicts the results of our bivariate analysis and the majority of previous studies [ 11 ]. However, some other studies have found that internalizing problems, or specifically anxiety, is related to improved metabolic control based on either adolescent or caregiver assessments [ 66 , 67 ]. One possible explanation for this association could be that fear of hypoglycemia leads adolescents to strive for a higher blood sugar level, reducing the risk of hypoglycemia, and perhaps also their level of anxiety [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

Multi-informant path models of the influence of psychosocial and treatment-related variables on adherence and metabolic control in adolescents with type 1 diabetes mellitus

et al. 2018

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BackgroundWe assessed the associations between metabolic control and adherence and a broad range of adolescent and family characteristics (e.g., gender, family structure), treatment-related variables (e.g., disease duration, treatment modality), and psychosocial factors (e.g., symptoms of depression and anxiety, parental support, self-efficacy) in a nationwide study of Danish adolescents (age 12–17 years) with type 1 diabetes mellitus (T1DM).MethodsSixty-four percent of invited families participated by completing a survey and providing a blood sample. Two path models of associations between generic and diabetes-related family factors, adolescent self-efficacy, emotional difficulties, and metabolic control and adherence were tested, one for adolescents and one for caregivers. Demographic variables were included as covariates.ResultsBoth path models demonstrated a satisfying model fit. In both models, metabolic control was associated with adherence, age, and T1DM duration. In the adolescent model, metabolic control was also related to treatment modality, single-parent household, caregiver non-support, and anxiety, whereas in the caregiver model metabolic control was associated with family conflict and caregiver support. In both models, adherence was related to age, duration, treatment modality, family conflict, caregiver support, family functioning, and emotional difficulties of the adolescent. In the adolescent model, adherence was also related to adolescent self-efficacy, whereas in the caregiver model adherence was associated with adolescent gender and caregiver non-support and support. Adolescent self-efficacy, emotional well-being, and difficulties related to adolescent/caregiver interaction appeared to be particularly important, as indicated by their stronger association with adherence and/or metabolic control.ConclusionThe results highlight the value of applying a multi-informant approach to address the psychosocial well-being of adolescents with diabetes in a large national sample. Self-efficacy, emotional, and family-related difficulties are important aspects to address in both clinical care and future research regarding adolescents with T1DM.

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“Does cost of care influence the glycemic control, psychosocial illness and quality of care among adolescents with type 1 diabetes?: A hospital based cross section study in Mysuru, Karnataka

Kulkarni

Babu

Nagaraj

et al. 2020

Clinical Epidemiology and Global Health

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Type-1 Diabetes Mellitus, "a poor cousin of Type-2 Diabetes", is the third commonest pediatric endocrine disease. On an average three new cases of T1DM/100,000 adolescents of 0-14 years are reported from India annually.Objective.To find out the relationship between cost of care and glycemic control, psychosocial illness and quality of life among adolescent with type -1 diabetes. Methods: This cross sectional study was conducted in a tertiary care hospital in Mysore for a period of 6 months. Adolescents in the age group of 11-19 years with T1DM who were on treatment for at least one year were included. Direct and indirect cost incurred in diabetes management was collected from receipts. Glycemic control was assessed with fasting, postprandial blood sugar and HbA1C levels in last 3 investigations. Psycho social illness was assessed by DSM-5 (Diagnostic and Statistical Measure −5) criteria and quality of life was assessed using Health related quality of life questionnaire for Diabetics. Results: Among 50 subjects of type-1 diabetes included in the study, median annual cost of care for was 25,758/and of this 90.9% direct and 9.1% was indirect cost. There was a negative correlation between cost of care and glycemic control. The spending on diabetes care was lower among the subjects with psychosocial illnesses. The quality of life was poor among subjects who spend less on diabetes care. Conclusion: There was a negative correlation between cost of care and glycemic control. Lower cost of care was associated with high burden of psychosocial illness and poor quality of life.

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Psychological aspects of adolescents with diabetes mellitus

Cited by 6 publications

References 11 publications

Prevalence and Factors Influencing Depression among Adolescents with Type-1 Diabetes – A Cross-Sectional Study

Prevalence and Factors Influencing Depression among Adolescents with Type-1 Diabetes – A Cross-Sectional Study

Multi-informant path models of the influence of psychosocial and treatment-related variables on adherence and metabolic control in adolescents with type 1 diabetes mellitus

“Does cost of care influence the glycemic control, psychosocial illness and quality of care among adolescents with type 1 diabetes?: A hospital based cross section study in Mysuru, Karnataka

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