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Research Article Open access CC BY 4.0

QoL in Southtyrol T1D Pediatric Patients Psycho-social Well-being, Quality of Life, Health Status and Family Conflicts in a South-tyrolean Group of Pediatric Patients with Diabetes Mellitus Type I

M. Tremolada, S. Bonichini, V. Piovan, N. Pastore, M. A. Mazzoldi

International Neuropsychiatric Disease Journal · pp. 1–17 · Published 23 Aug 2016

10.9734/INDJ/2016/28553

Abstract

Background: Psychological well-being and metabolic control in pediatric patients with diabetes mellitus type I (T1D) could be negatively influenced by adolescence current age, age at the diagnosis, lower economic condition and lower education status and by higher family conflict. However, they reported lower or comparable levels of emotional difficulties compared with normative population. Objective: To understand psycho-social symptoms, quality of life, health status and family conflicts of pediatric patients with T1D in the unique cultural environment of South-Tyrol. The present study has two goals. The first is to understand psychological symptoms and to investigate the possible risk factors. The second deals with the subgroup of adolescents, comparing their psychological functioning with a healthy control group. Methods: Patients (n=59) with a mean age of 13.19 years (SD=3.26; range 8–18) were contacted at the Day Hospital check-ups and self- and proxy-reported questionnaires were administered: CBCL/ YSR, DFCS-R, DQOLY-SF. From this group, 45 patients aged 11–18 were matched by gender and age in months with a control group of healthy peers. Results: Glycemic control was severely inadequate and a subgroup of patients showed lower indexes of total competencies and activities performed, especially if they were of poor economic condition and had the illness for a longer duration. The adolescent patients self-reported better psychological functioning than their healthy peers, except for conduct problems. Conclusions: Specific psycho-social interventions should address the dangerous levels of metabolic control indexes and mitigate the patients’ conduct problems.

Pediatric diabetes health status psychosocial symptoms quality of life family conflicts

References (29)

  1. 1 Clinical and Psychological Course of Diabetes From Adolescence to Young Adulthood [DOI]
  2. 2 Cognitive Function in Children With Type 1 Diabetes [DOI]
  3. 3 Updated and Revised Diabetes Family Conflict Scale [DOI]
  4. 4 General Quality of Life in Youth With Type 1 Diabetes [DOI]
  5. 5 The Role of Parental Monitoring in Adolescent Health Outcomes: Impact on Regimen Adherence in Youth with Type 1 Diabetes [DOI]
  6. 6 Parent and Adolescent Distribution of Responsibility for Diabetes Self-care: Links to Health Outcomes [DOI]
  7. 7 Risks of Psychiatric Disorders and Suicide Attempts in Children and Adolescents With Type 1 Diabetes: A Population-Based Cohort Study [DOI]
  8. 8 Continuity and Change in Glycemic Control Trajectories From Adolescence to Emerging Adulthood [DOI]
  9. 9 Generic and Diabetes-specific Parent–Child Behaviors and Quality of Life Among Youth with Type 1 Diabetes [DOI]
  10. 10 Psychosocial factors are associated with metabolic control in adolescents: research from the Hvidoere Study Group on Childhood Diabetes [DOI]
  11. 11 Comparison of Adolescents with and without Diabetes on Indices of Psychosocial Functioning for Three Years [DOI]
  12. 12 Quality of life, psychological adjustment and metabolic control in youths with type 1 diabetes: a study with self- and parent-report questionnaires [DOI]
  13. 13 Adolescents with Type 1 Diabetes: parental perceptions of child health and family functioning and their relationship to adolescent metabolic control [DOI]
  14. 14 Peer relationships and diabetes: Retrospective and ecological momentary assessment approaches. [DOI]
  15. 15 A short form of the Diabetes Quality of Life for Youth questionnaire: exploratory and confirmatory analysis in a sample of 2,077 young people with type 1 diabetes mellitus [DOI]
  16. 16 Deteriorating diabetic control through adolescence—do the origins lie in childhood? [DOI]
  17. 17 Depressive symptoms, daily stress, and adherence in late adolescents with type 1 diabetes. [DOI]
  18. 18 Statistical Hypoglycemia Prediction [DOI]
  19. 19 Depressive symptoms and unmet psychological needs of Dutch youth with type 1 diabetes: results of a web-survey [DOI]
  20. 20 Explaining the Adjustment of Adolescents With Type 1 Diabetes [DOI]
  21. 21 Contribution of income to self-management and health outcomes in pediatric type 1 diabetes [DOI]
  22. 22 Symptoms of Emotional, Behavioral, and Social Difficulties in the Danish Population of Children and Adolescents with Type 1 Diabetes – Results of a National Survey [DOI]
  23. 23 Adaptive Behaviors in Young Children: A Unique Cultural Comparison in Italy [DOI]
  24. 24 Organization and regional distribution of centers for the management of children and adolescents with diabetes in Italy [DOI]
  25. 25 Parent–adolescent conflict, treatment adherence and glycemic control in Type 1 diabetes: The importance of adolescent externalising symptoms [DOI]
  26. 26 Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds [DOI]
  27. 27 Family Climate of Adolescents with and Without Type 1 Diabetes: Longitudinal Associations with Psychosocial Adaptation [DOI]
  28. 28 Brief Report: Normative Data on a Structured Interview for Diabetes Adherence in Childhood [DOI]
  29. 29 Parental separation anxiety and diabetes self-management of older adolescents: a pilot study.

Cited by 3

Impact of quality of life (QoL) on glycemic control (HbA1c) among adolescents and emerging adults with long-duration type 1 diabetes: A prospective cohort-study

Anna Stahl-Pehe, Sandra Landwehr, Karin S. Lange · Pediatric Diabetes · 2017

Psychological Well-being in Parents of Paediatric Patients with TD1. Role of Family Conflict and Parental Fear of Children’s Self-injecting on Their Glycaemic Control and Psychological Well-being

Marta Tremolada, Sabrina Bonichini, Valentina Piovan · British Journal of Education, Society & Behavioural Science · 2017

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