Diabetes in adolescence: The effect of family and psychologic factors on metabolic control
Abstract
To ascertain to what extent metabolic imbalance of diabetes during adolescence is associated with inconsistency in daily care, psychologic development, or the family system we interviewed a group of 31 diabetics aged 13–16 years and their parents.Depression was the most significant clinical finding among the psychologic characteristics, being a severe symptom in 16% of the diabetics and 5% of their age-matched controls. Two-thirds of the parents reported having experienced considerable turmoil at the onset of their child's disease, and 40% of the mothers still reported continuous concern about the child's well-being. More than two-thirds of all the parents (71%) reported that child's sickness had not changed the relationship between the parents at all. Of the main categories, glycaemic imbalance was msst closely associated with inadequate social functioning, less with psychologic problems on the part of the adolescent, and not at all with strict glucose monitoring, physical exercise, or problems in interparental relationships. In conclusion, in the case of patients with poor glycaemic control it seems to be important to make separate evaluations of the family system and its functioning and individual psychologic development to focus rehabilitative work on the main issue.
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Previous studies on the effect of childhood type 1 diabetes on psychopathology used only small and highly selected clinical samples.
“Previous studies on the effect of childhood type 1 diabetes on the development of psychopathology have only used small and highly selected clinical samples (7–12).”
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 [8]
Previous studies produced equivocal and inconclusive findings.
“These studies have produced equivocal and inconclusive findings.”
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 [8]
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Butwicka, A., Frisén, L., Almqvist, C., Zethelius, B., & Lichtenstein, P. (2015) · Diabetes Care · doi:10.2337/dc14-0262 · Cited by 210 · see citing works
- Authors
- Kokkonen, J., Taanla, A., & Kokkonen, E.-R.
- Affiliations
- University of Oulu (FI)
- ORCID
- Kokkonen, Jorma
- Venue
- Nordic Journal of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 1997-01
- Volume
- 51
- Issue
- 3
- Pages
- 165-172
- ISSN
- 0029-1455 (ISSN-L)
- 0803-9488
- 1502-4725
- OpenAlex
- W2077031653
- Cited by
- 29
- References
- 17
- Citations by year
- 2023: 3 · 2020: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 1 · 2012: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nordic Journal of Psychiatry (publishedVersion)
- Funders
- Novo Nordisk Fonden
- 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
- adolescent diabetes, glycemic control, depression, family functioning, psychosocial factors, social functioning, parental concerns, family relationships, glucose monitoring, physical activity, psychosocial rehabilitation
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