Cited by 142Diabetes Management and EducationDiabetes Management and ResearchChild and Adolescent Psychosocial and Emotional Development

Psychological functioning of children with insulin-dependent diabetes mellitus: a longitudinal study

Kovacs, Maria, Iyengar, Satish, Goldston, David, Stewart, James, Obrosky, D. Scott, Marsh, Judith·1990·Journal of Pediatric Psychology

Abstract

Assessed school-age youth repeatedly over the first 6 years of their insulin-dependent diabetes mellitus (IDDM) to determine self-perceived psychological adjustment. After the first year of IDDM, Ss exhibited a mild increase in depressive symptoms. Anxiety decreased for boys but increased for girls over the duration of IDDM. In contrast, self-esteem remained stable regardless of rehospitalizations or degree of metabolic control. Ss' adjustment shortly after IDDM onset, as reflected by levels of depression, anxiety, and self-esteem, were predictors of later adjustment. In general, Ss found the implications of IDDM more upsetting and the regimen more difficult with time, and girls were more upset by their illness than boys. The degree to which children were upset by the implications and management of IDDM varied as a function of their anxiety and depression.

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Crossref · 10.1093/jpepsy/15.5.619

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Authors
Kovacs, M., Iyengar, S., Goldston, D., Stewart, J., Obrosky, D. S., & Marsh, J.
Affiliations
University of Pittsburgh (US)
Venue
Journal of Pediatric Psychology
Published
1990
Volume
15
Issue
5
Pages
619-632
ISSN
  • 0146-8693 (ISSN-L)
  • 1465-735X
OpenAlex
W2136540310
Cited by
142
References
0
Citations by year
2023: 2 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 6 · 2013: 4 · 2012: 7
FWCI
1.26
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Pediatric Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Public Health Service (25568)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
type 1 diabetes, children, psychological adjustment, depressive symptoms, anxiety, self-esteem, sex differences, disease impact, diabetes management, metabolic control, hospital readmission, longitudinal development
MeSH terms
Adaptation, Psychological, Adolescent, Age Factors, Attitude to Health, Child, Depression, Diabetes Mellitus, Type 1, Female, Hospitalization, Humans, Longitudinal Studies, Male, Personality Inventory, Self Concept, Sex Factors, Social Adjustment

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