Sweet sins: frequency and psychiatric motivation for theft among adolescents with type 1 diabetes
Open accessAbstract
BACKGROUND: Behavioral problems are an issue among adolescents with type 1 diabetes (T1D). The authors hypothesize that theft, possibly because of an underlying psychiatric morbidity, may be a way of procuring sweets leading to worse glycemic control. OBJECTIVE: To evaluate psychiatric morbidity and the association of theft and metabolic control among children and adolescents with T1D, using data from an interim analysis of an ongoing quality-of-life and psychiatric comorbidity study. METHODS: One hundred and nine consecutively hospitalized individuals aged 8-18 years with T1D were asked about incidents of theft. The data on psychiatric morbidity were taken from an ongoing longitudinal study using semi-structured diagnostic interview (KSADS-PL). RESULTS: Overall, 10 children (9%) reported that they had committed theft. Primary motivation for theft was reported as either direct or indirect gain of sweets. Patients who admitted to theft were more likely to have worse metabolic control expressed by glycated hemoglobin (HbA1c) [10.4% (interquartile range 9.8-11.8) vs. 7.7% (6.9-8.8); p < 0.0001] and higher odds of having psychiatric morbidity (odds ratio 8.2; 95% confidence interval 1.9-34.2) than their peers. In the subgroup analysis of patients with psychiatric morbidity, HbA1c was significantly higher if having committed a theft was reported [10.2% (9.4-11.9) vs. 8.1% (7.2-9.2); p < 0.001]. No significant differences in socioeconomic status, clinical factors, or rates of complications were found. CONCLUSIONS: Theft may be a factor negatively affecting metabolic control in children with T1D and underlying psychiatric co-morbidity. Psychiatric morbidity is more frequent among patients with T1D and a history of theft.
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Noncompliance and persistent high level of glycated hemoglobin in type 1 diabetes is a risk factor for psychiatric comorbidity and neurodevelopmental problems.
“Noncompliance and persistent high level of glycated hemoglobin in type 1 diabetes is a risk factor for psychiatric comorbidity and neurodevelopmental problems (28,30,31).”
From Risks of psychiatric disorders and suicide attempts in children and adolescents with type 1 diabetes: a population-based cohort study (2015) · cites this paper as [30]
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Self-citationPsychiatric disorders and health-related quality of life in children with type 1 diabetes mellitus
Butwicka, A., Fendler, W., Zalepa, A., Szadkowska, A., Zawodniak-Szalapska, M., Gmitrowicz, A., & Mlynarski, W. (2016) · Psychosomatics · doi:10.1016/j.psym.2015.11.001 · Cited by 70 · see citing works
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- Authors
- Butwicka, A., Fendler, W. M., Zalepa, A., Szadkowska, A., Gmitrowicz, A., & Młynarski, W. M.
- Affiliations
- Medical University of Lodz (PL)
- Uniwersytet SWPS (PL)
- Venue
- Pediatric Diabetes
- Publisher
- Hindawi Limited
- Published
- 2011-03-30
- Volume
- 12
- Issue
- 4pt2
- Pages
- 424-428
- ISSN
- 1399-543X (ISSN-L)
- OpenAlex
- W2089592296
- Cited by
- 6
- References
- 17
- Citations by year
- 2015: 3 · 2013: 1 · 2012: 2
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Joslin Diabetes Center
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- type 1 diabetes, adolescents, theft, psychiatric comorbidity, glycemic control, HbA1c, sweets, behavioral problems, psychiatric morbidity, hospitalized children
- MeSH terms
- Adolescent, Mental Disorders, Child, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Male, Motivation, Theft, Comorbidity
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