The Interface of Child Mental Health and Juvenile Diabetes Mellitus

Fritsch, Sandra L.; Overton, Mark W.; Robbins, Douglas R.

doi:10.1016/j.psc.2014.11.007

Cited by 8 publications

(13 citation statements)

References 98 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The increasing prevalence of psychiatric disorders probably represents the increasing age of the cohort as participants entered adolescence, increased awareness of mental health issues (14) as well as the longer duration of the disease.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes in youth beyond the first year of type 1 diabetes: Results of the Pediatric Diabetes Consortium (PDC) type 1 diabetes new onset (NeOn) study

et al. 2016

View full text Add to dashboard Cite

Objective Current data are limited on the course of type 1 diabetes (T1D) in children and adolescents through the first few years of diabetes. The Pediatric Diabetes Consortium T1D New Onset (NeOn) Study was undertaken to prospectively assess natural history and clinical outcomes in children treated at 7 US diabetes centers from the time of diagnosis. This paper describes clinical outcomes in the T1D NeOn cohort during the first 3 years post-diagnosis. Results 1048 participants (mean age 9.2 years, 49% female, 65% non-Hispanic White) were enrolled between July 2009 and April 2011. Mean HbA1c (±SD) was 7.2% (55 mmol/mol) at 3 months, followed by a progressive rise to 8.4% (68 mmol/mol) at 36 months post-diagnosis, with only 30% of participants achieving target HbA1c<7.5% (58 mmol/mol). The percentage of participants in partial remission estimated by insulin dose adjusted HbA1c [HbA1c % + (4 × insulin dose unit/kg/24 h)] ≤9 sharply declined from 23% at 12 months to 7% at 36 months. The percentage of participants developing diabetic ketoacidosis (DKA) was 1% in the first year after diagnosis, increasing to 6% in year 2 and year 3. Conclusions These results demonstrate the gradual decline in glycemic control due to waning residual endogenous insulin secretion with increasing duration of T1D in children and adolescents. These data indicate the need to translate recent advances in automated insulin delivery, new insulin analogs and adjunctive pharmacologic agents into novel treatment strategies to maintain optimal glycemic control even early in the course of T1D.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical outcomes in youth beyond the first year of type 1 diabetes: Results of the Pediatric Diabetes Consortium (PDC) type 1 diabetes new onset (NeOn) study

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Even if the evidence of a higher incidence of psychological disorders in adolescents with T1DM is well described, this is not so clear in younger children. Moreover, a recent metaanalysis supports the idea that children with T1DM show higher levels of depression, anxiety and psychological distress compared to healthy peers, but the differences are minimal and influenced by several factors, such as gender, time since diagnosis, etc [4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 90%

“…According to recent reports, the prevalence of anxiety and depression looks to be higher in children with T1DM than in healthy peers [6][7][8][9][10]. Even if the evidence of a higher incidence of psychological disorders in adolescents with T1DM is well described, this is not so clear in younger children.…”

Section: Introductionmentioning

confidence: 97%

Anxiety, Depression and Quality of Life in Italian Youths with Type 1 Diabetes Mellitus

Zaffani¹,

Maccagnan

Mor³

et al. 2015

J Diabetes Metab

View full text Add to dashboard Cite

Background: Psychological problems and low quality of life (QoL) in children with type 1 Diabetes Mellitus (T1DM) were reported as correlated with T1DM. This study wants to test if the prevalence of anxiety and depression is higher in young patients with T1DM than in controls, if the level of QoL is lower and if anxiety and QoL correlate with glyco-metabolic control. Methods: A total of 100 children with T1DM, aged 8-13 years, were recruited and 114 healthy children were recruited as controls. All children with T1DM were receiving a routine psychological support. Patients and controls underwent three questionnaires [the Self Administrated Psychiatric Scale Scales for Children and Adolescents (SAFA), the Children's Depression Inventory (CDI) and the Pediatric Quality of Life Inventory (PedsQL)]. Diabetesrelated, physical and socio-demographic parameters were also collected. Results: SAFA, CDI and PedsQL mean score were not statistically different in T1DM and in control group. Just the "separation anxiety" scale showed significantly higher mean score in the T1DM than in the control group (43.77 ± 10.34 vs. 23.11 ± 18.25, p<0.01). A significant correlation between QoL and metabolic control (HbA1c) (r=0.21, p<0.05) was found. HbA1c increased with the mother's education (r=0.42, p<0.05) and occupation level (r=0.35, p<0.05), and with the number of siblings (r = 0.20, p<0.05). Conclusions: T1DM is not a condition promoting per se more psychological discomfort even if a higher level of separation anxiety was shown. Interestingly, a higher level of self-perceived QoL was associated with worse glycometabolic control. Significant findings of the study: 1. The anxiety, depression and QoL levels were not significantly different in children with T1DM vs healthy peers even if children with T1DM showed higher separation anxiety 2. There was not association between psychological parameters and the glycometabolic control (HbA1c)

show abstract

“…Studies show that lack of parenting skills and family conflict can lead to internalizing disorders in adolescents 3 . The family environment following DM diagnosis, especially T1D, can become emotionally charged and result in conflict among family members, which can lead to psychological distress, such as anxiety and depressive disorders in children 13,20,33 . In the presence of "diabetes-specific family conflict", anxiety seems to be triggered or heightened, leading to poor glycaemic control via diabetes-related behaviour such as dieting, exercising, etc 20 .…”

Section: Family Environmentmentioning

confidence: 99%

“…It is the same with DM maintenance and the independence the child gradually grows in health behaviours themselves. Parents' role is to be supportive of the adolescent and maintain a level of involvement that allows the child to become more independent, but also making certain that medical requirements are present 33,35 . Over-controlling parenting is related to depressive outcomes in children with DM 35 .…”

Section: Parenting Typementioning

confidence: 99%

Anxiety and depressive disorders in children and adolescents suffering from diabetes mellitus

2018

View full text Add to dashboard Cite

Abstract. Diabetes mellitus (DM) and mental health problems are frequently co-occurring conditions. Anxiety and depressive disorders are the most common mental disorders that accompany DM. These conditions could have severe consequences in children and adolescents suffering from DM. Thus, it is important to pay additional attention to them. This article provides an overview of prevalence rates of DM and co-occurring anxiety and depression, as well as understanding the etiology and treatment options for anxiety and depressive disorders in children and adolescents with DM. Key words: anxiety disorders; depression; diabetes mellitusSažetak. Diabetes mellitus (DM) i psihički poremećaji često su u komorbiditetu. Anksiozni i depresivni poremećaji najčešći su duševni poremećaji koji prate DM. Ovi mentalni poremećaji mogu imati ozbiljne posljedice za djecu i adolescente koji boluju od DM-a, stoga je važno posvetiti im dodatnu pozornost. U radu donosimo kratak pregled prevalencije DM-a i komorbiditetnih anksioznih i depresivnih poremećaja te razumijevanje etioloških karakteristika. Ukratko smo se osvrnuli i na mogućnosti liječenja djece i adolescenata koji imaju DM i anksiozni odnosno depresivni poremećaj. Ključne riječi: anksiozni poremećaji; depresivni poremećaji; diabetes mellitusMini-review/Kratki pregledni članak 1 Odsjek za psihologiju, Filozofski fakultet, Sveučilište u Rijeci, Rijeka 2 Klinika za neurologiju i psihijatriju za decu i omladinu, Beograd, Srbija 3 Katedra za psihijatriju i psihološku medicinu, Medicinski fakultet, Sveučilište u Rijeci, Rijeka

show abstract

The Interface of Child Mental Health and Juvenile Diabetes Mellitus

Cited by 8 publications

References 98 publications

Clinical outcomes in youth beyond the first year of type 1 diabetes: Results of the Pediatric Diabetes Consortium (PDC) type 1 diabetes new onset (NeOn) study

Clinical outcomes in youth beyond the first year of type 1 diabetes: Results of the Pediatric Diabetes Consortium (PDC) type 1 diabetes new onset (NeOn) study

Anxiety, Depression and Quality of Life in Italian Youths with Type 1 Diabetes Mellitus

Anxiety and depressive disorders in children and adolescents suffering from diabetes mellitus

Contact Info

Product

Resources

About