Effects of subclinical emotional and behavioral problems on metabolic control in adolescents with type 1 diabetes: Role of maternal and adolescent personality traits

Uygun, Sabide Duygu; Şakar, Merve; Erdeve, Şenay Savaş; Çeti̇nkaya, Semra

doi:10.1016/j.arcped.2021.10.002

Cited by 1 publication

(2 citation statements)

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“…proved that depression in adults with type 1 diabetes is associated with poorer glycaemic control and less blood glucose monitoring. Uygun et al 12 . on the other hand, stressed that adolescents' personality and subclinical symptoms were not related to HbA1c levels in the absence of psychiatric comorbidity, while some maternal personality traits were associated with metabolic control.…”

Section: Introductionmentioning

confidence: 99%

“…Egbuonu et al 11 proved that depression in adults with type 1 diabetes is associated with poorer glycaemic control and less blood glucose monitoring. Uygun et al 12 on the other hand, stressed that adolescents' personality and subclinical symptoms were not related to HbA1c levels in the absence of psychiatric comorbidity, while some maternal personality traits were associated with metabolic control. Comorbid depression or anxiety are associated with a significantly longer length of stay (LOS) and higher costs in adolescents with T1DM hospitalised for diabetic ketoacidosis (DKA).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the spectrum of depression and bipolarity in patients with type 1 diabetes

Cyranka

Matejko

et al. 2022

Diabetes Metabolism Res

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Aims:The aim of the study was to check the prevalence of unipolarity (depression), bipolarity, as well as the quality of sleep and temperament traits in patients with type 1 diabetes (T1DM) who are provided with optimal conditions of diabetes care and to identify possible risk factors connected with affective traits. Materials and Methods: Out of the 107 T1DM patients, 78 (54 females, 24 males) were included for the analysis (HbA1c [%] 7.11 � 1.0, BMI [kg/m 2 ] 25.3 � 5.6; Years of disease duration [N] 13.7 � 8.3). The patients filled in a set of questionnaires during their regular visit to the outpatient clinic. Three patients from the whole group were on intensive insulin therapy with Multiple Daily Injections (MDI) and Self-Monitoring of Blood Glucose (SMBG), all the rest were on various types of personal insulin pumps (years on insulin pump [N] 9.1 � 4.5). All the patients were on regular diabetologist care, with regular visits in a Centre for Advanced Technologies in Diabetes (at least every 6 months). Results:In QIDS-S (full explanation and abbreviation 26 patients (33.8%) were screened positive for depression, in PHQ (full explanation and ab 57.7% of the patients (45 patients) had symptoms of depression (age was negatively correlated with PHQ score [r = −0.26; p = 0.023]). In CES-D 16 (20%) of the patients assessed their present affect as depressed. None of the analysed clinical variables correlated with depression scores. In the Mood Disorder Questionnaire (MDQ), 16 patients reported having symptoms of bipolarity (20.5% vs. 79.5%). Hypomania Checklist (HCL) analysis indicated 10 patients with bipolar traits (>14) (14.9% vs. 85.1%).None of the analysed clinical variables correlated with HCL results. 11.5% of patients were indicated to be of morning type. Morningness was more often seen in younger patients (r = 0.39; p = 0.001). As many as 46.6% declared that they had poor sleep quality. The temperament traits analysis correlated with clinical parameters: Cyclothymic temperament trait was negatively correlated with age (r = −0.30; p = 0.007) and positively with HbA1c level (r = 0.30; p = 0.025).Hyperthymic temperament was positively correlated with (BMI r = 0.28; p = 0.016).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%