Storch Eric A, Heidgerken Amanda D, Geffken Gary R, Lewin Adam B, Ohleyer Vanessa, Freddo Marianna, Silverstein Janet H
Department of Pediatrics, and the Department of Psychiatry, University of Florida, Gainesville, 32610, USA.
J Pediatr. 2006 Jun;148(6):784-7. doi: 10.1016/j.jpeds.2006.01.007.
To determine the association among diabetes-related bullying, diabetes self-management, metabolic control, and depression in children and adolescents with type I diabetes (TID).
Measures of diabetes-related bullying and depression were administered to 167 youth with TID at their regularly scheduled diabetes care visits. Parents were administered a clinician-rated index of their child's diabetes self-management. HbA1c levels were assessed.
Diabetes-related bullying was positively related to HbA1c concentration and negatively related to overall self-management and specifically to adherence to glucose testing and dietary tasks. Depressive symptoms partially mediated the relation between diabetes-related bullying and overall self-management.
Given the associations between diabetes-related bullying and regimen self-management, the issue of illness-related bullying merits serious attention for pediatricians and school personnel.
确定1型糖尿病（TID）儿童和青少年中与糖尿病相关的欺凌行为、糖尿病自我管理、代谢控制和抑郁之间的关联。
在167名患有TID的青少年定期进行糖尿病护理就诊时，对与糖尿病相关的欺凌行为和抑郁进行测量。向家长发放一份临床医生评定的其孩子糖尿病自我管理指数。评估糖化血红蛋白（HbA1c）水平。
与糖尿病相关的欺凌行为与HbA1c浓度呈正相关，与总体自我管理呈负相关，尤其与坚持血糖检测和饮食任务呈负相关。抑郁症状部分介导了与糖尿病相关的欺凌行为和总体自我管理之间的关系。
鉴于与糖尿病相关的欺凌行为和治疗方案自我管理之间的关联，儿科医生和学校工作人员应认真关注与疾病相关的欺凌问题。
