The effect of attention deficit/hyperactivity disorder and other psychiatric disorders on the treatment of pediatric diabetes mellitus
Open accessAbstract
OBJECTIVE: Psychiatric diagnoses of patients with type 1 diabetes mellitus (T1DM), the severity of attention deficit/hyperactivity disorder (ADHD) symptoms of the patients and their primary caregivers, and the effects of these factors on treatment were investigated. METHODS: Sixty-one patients with T1DM were included in the study along with their parents. Psychiatric diagnoses of the patients were determined using a semistructured psychiatric interview, and their depression and ADHD symptom severities were evaluated with self-report scales. The ADHD symptom severities of the parents were evaluated using self-report scales. The relationships among the psychiatric symptoms and the hemoglobin A1c (HbA1c), fasting blood glucose (FBG), and postprandial blood glucose (PBG) levels of the patients were investigated. RESULTS: HbA1c levels were found to correlate with the hyperactivity levels of children and the number of diagnoses they had. FBG and PBG values of patients diagnosed with ADHD were found to be higher than in those who did not have ADHD. HbA1c, FBG, and PBG values of the patients who had any disruptive behavior disorder were found to be higher than in those who did not. ADHD total scores, gender (being female), having diagnoses of ADHD or depression were found to be predictive of HbA1c levels according to the regression analyses. No relationship between the clinical findings of the children and their parents' ADHD levels was found. CONCLUSIONS: The findings of this study implicate that children with T1DM should be evaluated in terms of ADHD which could have negative effects on the treatment.
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Substance-related and addictive disorders were reported in 9 studies; 7 diagnostic interview studies reported prevalence from 0.00% to 34.67% and 2 register/medical record studies reported 0.92% and 2.16%.
“N = 9 [20,21,23,31,34,38,42,52,58] studies reported on the prevalence of substance-related and addictive disorders.Where specified, n = 5 reported alcohol-related, n = 1 was cannabis-related, n = 1 was tobacco-related, n = 1 was medication-related, and n = 1 not specified.N = 7 studies used diagnostic interviews and reported prevalence ranging from 0.00% to 34.67% and n = 2 studies used patient”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [58]
In people with type 1 diabetes, the pooled prevalence of obsessive-compulsive disorder based on interviews was 0.83% (95% CI 0.14-1.52) across 7 studies with a total sample size of 1218.
“| | 7 | Interviews | 1218 | 0.83 | 0.14-1.52 | 42.50% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [58]
The heterogeneity (I2) for the pooled prevalence of obsessive-compulsive disorder in people with type 1 diabetes based on interviews was 42.50%.
“| | 7 | Interviews | 1218 | 0.83 | 0.14-1.52 | 42.50% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [58]
The heterogeneity (I2) for the pooled prevalence of substance-related and addictive disorders in people with type 1 diabetes based on interviews was 88.03%.
“| | 7 | Interviews | 1173 | 3.87 | 1.9-6.66 | 88.03% |”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [58]
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- Authors
- Yazar, A., Akın, F., Akça, Ö. F., Eklioğlu, B. S., Türe, E., Coşkun, F., & Atabek, M. E.
- Affiliations
- Necmettin Erbakan University (TR)
- Department of Child and Adolescent Psychiatry, Meram Medical FacultyNecmettin Erbakan University Konya Turkey
- Corresponding author
- Yazar, Abdullah
- Venue
- Pediatric Diabetes
- Publisher
- Wiley
- Published
- 2019-01-31
- Volume
- 20
- Issue
- 3
- Pages
- 345-352
- ISSN
- 1399-543X (ISSN-L)
- 1399-5448
- OpenAlex
- W2909991623
- Cited by
- 16
- References
- 3
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 7 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 2.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Pediatric Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- attention deficit hyperactivity disorder, type 1 diabetes, psychiatric comorbidity, depression, disruptive behavior disorders, glycemic control, HbA1c, blood glucose, hyperactivity
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Depression, Diabetes Mellitus, Type 1, Female, Humans, Male, Parents, Prognosis, Severity of Illness Index, Treatment Outcome, Age of Onset, Self Report, Neurodevelopmental Disorders
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