Ann Pediatr Endocrinol Metab.  2013 Sep;18(3):122-127. 10.6065/apem.2013.18.3.122.

Psychological characteristics of Korean children and adolescents with type 1 diabetes mellitus

• Cho E
• Shin SH
• Eun SH
• Kim JY
• Nam HK
• Lee KH
• Rhie YJ

• KMID: 2266363
• DOI: http://doi.org/10.6065/apem.2013.18.3.122

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 6-17 years, 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 > or =8%) and "old patients" (disease duration > or =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.

Keyword

Type 1 diabetes mellitus; Diabetes; Psychosocial; K-CBCL; CDI

MeSH Terms

Adaptation, Psychological
Adolescent*
Blood Glucose
Checklist
Child Behavior
Child*
Depression
Diabetes Mellitus, Type 1*
Hemoglobin A, Glycosylated
Humans
Insulin
Parents
Blood Glucose
Hemoglobins
Insulin

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