Psychological characteristics of Korean children and adolescents with type 1 diabetes mellitusPsychological characteristics of Korean children and adolescents with type 1 diabetes mellitus
- Other Titles
- Psychological characteristics of Korean children and adolescents with type 1 diabetes mellitus
- Authors
- 조은희; 신상훈; 은소희; 김지연; 남효경; 이기형; 이영준
- Issue Date
- 2013
- Publisher
- 대한소아내분비학회
- Keywords
- Type 1 diabetes mellitus; Diabetes; Psychosocial; K-CBCL; CDI
- Citation
- Annals of Pediatirc Endocrinology & Metabolism, v.18, no.3, pp.122 - 127
- Indexed
- KCI
- Journal Title
- Annals of Pediatirc Endocrinology & Metabolism
- Volume
- 18
- Number
- 3
- Start Page
- 122
- End Page
- 127
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/104453
- ISSN
- 1226-2242
- Abstract
- Purpose: This study investigates the behavioral and emotional characteristics of Korean children and adolescents with type 1 diabetes mellitus (T1DM) as compared to healthy controls, and examines whether their psychological status is associated with glycemic control, insulin regimens, or disease duration.
Methods: A total of 37 Korean children and adolescents with T1DM, aged 6–17years, and 38 sex- and age-matched healthy controls were included in this study.
Psychological distress was assessed using the Korean child behavior checklist (K-CBCL)and children's depression inventory (CDI) after the subjects and their parents were interviewed.
Results: The CDI and K-CBCL scores were significantly higher in T1DM subjects compared to normal controls. The T1DM subjects with “poorly controlled” blood glucose (glycosylated hemoglobin ≥8%) and “old patients” (disease duration ≥1 year)had a tendency to show higher CDI and K-CBCL scores. There were no significant differences in CDI and K-CBCL scores between the intensive and conventional insulin therapy groups.
Conclusion: Children and adolescents with T1DM seem to have inferior psychological adjustment to their normal counterparts, which might be associated with glycemic control and disease duration. Psychological evaluation and intervention should be considered in the management of T1DM in children and adolescents.
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