Exp Clin Endocrinol Diabetes 2016; 124(02): 105-110
DOI: 10.1055/s-0035-1555938
Article
© Georg Thieme Verlag KG Stuttgart · New York

Quality of Life and Psychological Screening in Children with Type 1 Diabetes and their Mothers

N. S. Duru
1   Department of Pediatrics Istanbul, Haseki Training and Research Hospital, Turkey
,
M. Civilibal
1   Department of Pediatrics Istanbul, Haseki Training and Research Hospital, Turkey
,
M. Elevli
1   Department of Pediatrics Istanbul, Haseki Training and Research Hospital, Turkey
› Author Affiliations
Further Information

Publication History

received 15 January 2015
first decision 08 July 2015

accepted 09 July 2015

Publication Date:
18 August 2015 (online)

Abstract

This study aimed to assess the levels of depression in children with type 1 diabetes mellitus (T1DM) and evaluate the quality of life as well as levels of depression and anxiety of their mothers.

30 children with T1DM (mean age: 12.9±2.9 years) and their mothers (mean age: 40.0±7.5 years) were included in the study. Control group consisted of 30 healthy children (mean age: 12.7±2.7 years) and their mothers (mean age: 39.8±7.2 years). The presence and severity of depressive symptoms in the children were evaluated using the Children’s Depression Inventory (CDI). The short form 36-health survey (SF-36), the Beck Depression Inventory (BDI), and Spielberg’s State-Trait Anxiety Inventory (STAI) were administered to all mothers.

The children with T1DM had higher scores of depression compared to healthy children in the control group. The mothers of children with T1DM had significantly lower scores on all subscales of SF-36 except the bodily pain subscale. We observed a significant difference between groups in their BDI scores; the mean BDI score was higher in mothers of children with T1DM (p=0.004). There was a significant difference in STAI scores between groups. CDI scores positively correlated with the ages of and HgA1C levels in the children with T1DM. There was a positive correlation between CDI scores of children with T1DM and BDI scores of their mothers. In addition, CDI sores negatively correlated with the scores of vitality and social functioning subscales of SF-36.

Our findings suggest screening for mental health issues and quality of life in diabetic children and their mothers.

 
  • References

  • 1 Malerbi FE, Negrato CA, Gomes MB. Brazilian Type 1 Diabetes Study Group (BrazDiab1SG). Assessment of psychosocial variables by parents of youth with type 1 diabetes mellitus. Diabetol Metab Syndr 2012; 4: 48
  • 2 Liu H, Xu R, Liu X et al. Bioinformatics analysis of gene expression in peripheral blood mononuclear cells from children with type 1 diabetes in 3 periods. Exp Clin Endocrinol Diabetes 2014; 122: 477-483
  • 3 Strandberg RB, Graue M, Wentzel-Larsen T et al. Relationships of diabetes-specific emotional distress, depression, anxiety, and overall well-being with HbA1c in adult persons with type 1 diabetes. Psychosom Res 2014; 77: 174-179 DOI: 10.1016/j.jpsychores.2014.06.015.
  • 4 Neu A, Beyer P, Bürger-Büsing J et al. Diagnosis, therapy and control of diabetes mellitus in children and adolescents. Exp Clin Endocrinol Diabetes 2014; 122: 425-434
  • 5 Wędrychowicz A, Stec M, Sztefko K et al. Associations between bone, fat tissue and metabolic control in children and adolescents with type 1 diabetes mellitus. Exp Clin Endocrinol Diabetes 2014; 122: 491-495
  • 6 Hackworth NJ, Matthews J, Burke K et al. Improving mental health of adolescents with Type 1 diabetes: protocol for a randomized controlled trial of the Nothing Ventured Nothing Gained online adolescent and parenting support intervention. BMC Public Health 2013; 13: 1185 DOI: 10.1186/1471-2458-13-1185.
  • 7 Herzer M, Hood KK. Anxiety symptoms in adolescents with type 1 diabetes: association with blood glucose monitoring and glycemic control. J Pediatr Psychol 2010; 35: 415-425 DOI: 10.1093/jpepsy/jsp063.
  • 8 Cho E, Shin SH, Eun SH et al. Psychological characteristics of Korean children and adolescents with type 1 diabetes mellitus. Ann Pediatr Endocrinol Metab 2013; 18: 122-127 DOI: 10.6065/apem.2013.18.3.122.
  • 9 Kovacs M, Goldston D, Obrosky DS et al. Psychiatric disorders in youths with IDDM: rates and risk factors. Diabetes Care 1997; 20: 36-44
  • 10 Sivertsen B, Petrie KJ, Wilhelmsen-Langeland A et al. Mental health in adolescents with Type 1 diabetes: results from a large population-based study. BMC Endocr Disord 2014; 14: 83 DOI: 10.1186/1472-6823-14-83.
  • 11 McGrady ME, Laffel L, Drotar D et al. Depressive symptoms and glycemic control in adolescents with type 1 diabetes: mediational role of blood glucose monitoring. Diabetes Care 2009; 32: 804-806
  • 12 Lawrence JM, Standiford DA, Loots B et al. SEARCH for Diabetes in Youth Study . Prevalence and Correlates of Depressed Mood Among Youth With Diabetes: The SEARCH for Diabetes in Youth Study. Pediatrics 2006; 117: 1348-1358
  • 13 Stewart SM, Rao U, Emslie GJ et al. Depressive symptoms predict hospitalization for adolescents with type 1 diabetes mellitus. Pediatrics 2005; 115: 1315-1319
  • 14 Garrison MM, Katon WJ, Richardson LP. The impact of psychiatric comorbidities on readmissions for diabetes in youth. Diabetes Care. 2005; 28: 2150-2154
  • 15 Markowitz SM, Gonzalez JS, Wilkinson JL et al. A review treating depression in diabetes: Emerging findings. Psychosomatics 2011; 52: 1-18 DOI: 10.1016/j.psym.2010.11.007.
  • 16 Oy B. Children’s Depression Inventory: A study of reliability and validity. Turk Psikiyatri Dergisi 1991; 2: 132-136
  • 17 Oner N. Reliability and validity of the State-Trait anxiety inventory for Turkish population. Türk Psikoloji Dergisi 1978; 1: 12-17
  • 18 Kocyigit H, Aydemir O, Fisek G et al. Kisa Form-36 (KF-36)’ nin Turkce versiyonunun guvenilirligi ve gecerliligi. Ilac ve Tedavi Dergisi 1999; 12: 102-106
  • 19 Hisli N. Reliability and validity of the Beck Depression Inventory for university students. Psikoloji Dergisi 1989; 7: 3-13
  • 20 Clayton KM, Stewart SM, Wiebe DJ et al. Maternal depressive symptoms predict adolescent healthcare utilization and charges in youth with type 1 diabetes (T1D). Health Psychol 2013; 32: 1013-1022 DOI: 10.1037/a0032761.
  • 21 Kakleas K, Kandyla B, Karayianni C et al. Psychosocial problems in adolescents with type 1 diabetes mellitus. Diabetes Metab 2009; 35: 339-350 DOI: 10.1016/j.diabet.2009.05.002.
  • 22 Grey M, Whittemore R, Tamborlane W. Depression in type 1 diabetes in children: natural history and correlates. J Psychosom Res 2002; 53: 907-911
  • 23 Butwicka A, Fendler W, Zalepa A et al. Efficacy of metabolic and psychological screening for mood disorders among children with type 1 diabetes. Diabetes Care 2012; 35: 2133-2139 DOI: 10.2337/dc12-0160.
  • 24 Winkley K, Landau S, Eisler I et al. Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials. BMJ 2006; 333: 65-70
  • 25 Jaser SS, Whittemore R, Ambrosino JM et al. Mediators of depressive symptoms in children with type 1 diabetes and their mothers. J Pediatr Psychol 2008; 33: 509-519
  • 26 Talakoub S, Nasiri M, Talakoub S et al. Affective responses of the parents after diagnosis of type 1 diabetes in children. Iran J Nurs Midwifery Res 2012; 17: S96-S100
  • 27 Wiebe DJ, Gelfland D, Butler JM et al. Longitudinal associations of maternal depressive symptoms, maternal involvement, and diabetes management across adolescence. J Pediatr Psychol 2011; 36: 837-846 DOI: 10.1093/jpepsy/jsr002.
  • 28 Butwicka A, Zalepa A, Fendler W et al. Maternal depressive symptoms predict acute hospitalization among children with type 1 diabetes. Pediatr Diabetes 2013; 14: 288-294 DOI: 10.1111/pedi.12010.
  • 29 Jönsson L, Lundqvist P, Tiberg I et al. Type 1 diabetes – impact on children and parents at diagnosis and 1 year subsequent to the child's diagnosis. Scand J Caring Sci 2014; 16 DOI: 10.1111/scs.12140.