Type 1 Diabetes in Adolescence: Considerations for Mental Health Professionals

Carroll, Nicole; Vittrup, Brigitte

doi:10.1080/23727810.2020.1729010

Cited by 8 publications

(11 citation statements)

References 52 publications

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“…In conclusion, the promotion of the psychological well-being of pediatric patients with type 1 diabetes requires close cooperation between different sources of care, such as diabetologists, dieticians, psychologists and the family context [12]. This study underlines the need to better understand the psychological characteristics of patients with T1D according to the age group in order to tailor specific psychological interventions to patients and their parents.…”

Section: Discussionmentioning

confidence: 93%

“…In this period teenagers have to balance their dependence on their parents and their desire to acquire higher autonomy in diabetes management [10]. During the transition from childhood to adolescence, patients experience difficulty in managing their behavior, and in some cases family conflicts, diabetes-related distress and poor psychological outcomes could emerge [11,12].…”

Section: Introductionmentioning

confidence: 99%

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Health-Related Quality of Life, Family Conflicts and Fear of Injecting: Perception Differences between Preadolescents and Adolescents with Type 1 Diabetes and Their Mothers

Tremolada

Cusinato

Bonichini

et al. 2021

Behavioral Sciences

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Good management of diabetes requires at the same time self-regulation behaviour and a balanced involvement of family components. This cross-sectional study’s aims were: understanding fear of injections and perceptions of family conflicts in preadolescents and adolescents with type 1 diabetes mellitus and their mothers, comparing their perceptions, and identifying the risk factors impacting patients’ quality of life. Eligibility criteria were: treatment for diabetes mellitus type I, currently aged 10–18 years, attending the hospital for annual hospital follow-ups. Exclusion criteria were: intellectual disabilities, inability to complete questionnaires alone and neuropsychiatric illness with active pharmacotherapy. The study design was cross-sectional. Participants were one hundred and two patients (Mean age = 14.6, SD = 2.4; age range = 10–19 years; Females = 52 and Males = 50) and their mothers (Mean age = 46.9, SD = 6.2, age range = 27–63 years), who filled in self and proxy-report questionnaires (N total= 204). The results showed that 20% of patients and 14.7% of their mothers reported clinical scores for fear of self-injection and blood testing. The mothers reported lower fear of injecting and higher family conflicts compared with the patients. Age, fear of injecting and family conflicts were significantly associated with patients’ quality of life perceptions. Clinical considerations and recommendations are given based on the empirical results.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life, Family Conflicts and Fear of Injecting: Perception Differences between Preadolescents and Adolescents with Type 1 Diabetes and Their Mothers

Tremolada

Cusinato

Bonichini

et al. 2021

Behavioral Sciences

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show abstract

“…In conclusion, the promotion of psychological well-being of pediatric patients with type 1 diabetes requires a close cooperation between different sources of care, such as diabetologist, dietician, psychologist and the family context [12].…”

Section: Discussionmentioning

confidence: 99%

“…In this period teenagers have to balance their dependence on parents and to acquire higher autonomy in diabetes management [10]. During the transition from childhood to adolescence, patients experience difficulty in management behavior, and in some cases family conflicts, diabetes distress and poor psychological outcomes could emerge [11], [12]. Indeed, children and adolescents with T1D are more likely to suffer from depression, anxiety and psychological distress with negative negative impacts on their quality of life perceptions [13], [14].…”

Section: Introductionmentioning

confidence: 99%

Preadolescents and Adolescents With Type I Diabetes Mellitus: Health Related Quality of Life, Family Conflicts and Fear of Injecting

Tremolada¹,

Cusinato²,

Bonichini³

et al. 2021

Preprint

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A good management of diabetes requires at the same time self-regulation behaviour and a balanced involvement of family components. This study’s aims were: understanding fear of injections and perceptions of family conflicts in preadolescents and adolescents with type 1 diabetes mellitus and their mothers, comparing their perceptions, and identifying the risk factors impacting patients’ quality of life. Participants were one hundred and two patients (Mean age = 14.63, SD = 2.43; age range = 10-19 years; Females = 52) and their mothers (Mean age = 46.94, SD = 6.2, age range = 27-63 years), who filled in self and proxy-report questionnaires. Twenty % of patients and 14.7% of their mothers reported clinical score for fear of self-injection and blood testing. Mothers reported higher fear of injecting and family conflicts compared with the patients. Age, fear of injecting and family conflicts impacted significantly on patients’ quality of life perceptions. Clinical consideration and recommendations are given basing on the empirical results.

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“…Counselors should also consider adapting their evaluation of mental health symptoms in the play therapy session when counseling children with T1D (Carroll & Vittrup, 2020). Therapists who do not have knowledge or experience in working with children with T1D are likely to respond to the physical symptoms of T1D similarly to how they would respond to physical or observable aspects of mental health symptoms (Sperry, 2009).…”

Section: Practical Session Adaptationsmentioning

confidence: 99%

Adapting child-centered play therapy for children with type 1 diabetes.

Carroll¹

2021

International Journal of Play Therapy

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Type 1 diabetes (T1D) is one of the most frequently diagnosed chronic illnesses of childhood. It currently affects approximately 187,000 children and adolescents under the age of 18 years in the United States, and the prevalence continues to rise (Centers for Disease Control and Prevention [CDC], 2020). While current research on the use of child-centered play therapy (CCPT) with children with T1D is lacking, research demonstrates that children with this disease are more likely to experience symptoms of anxiety and depression than children without chronic illness (Buchberger et al., 2016;. CCPT as an intervention for children with this chronic illness demonstrates promising opportunities. Many play therapists working outside of medical settings, such as hospitals, may be unfamiliar with T1D. Therefore, many play therapists may not yet understand the considerations and adaptations to CCPT needed for children with T1D and their parents. Children with T1D face many unique challenges that can influence their mental health, and it is important for child-centered play therapists to consider adapting CCPT to meet these challenges as they implement play therapy for this population.

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Type 1 Diabetes in Adolescence: Considerations for Mental Health Professionals

Cited by 8 publications

References 52 publications

Health-Related Quality of Life, Family Conflicts and Fear of Injecting: Perception Differences between Preadolescents and Adolescents with Type 1 Diabetes and Their Mothers

Health-Related Quality of Life, Family Conflicts and Fear of Injecting: Perception Differences between Preadolescents and Adolescents with Type 1 Diabetes and Their Mothers

Preadolescents and Adolescents With Type I Diabetes Mellitus: Health Related Quality of Life, Family Conflicts and Fear of Injecting

Adapting child-centered play therapy for children with type 1 diabetes.

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