The RAND Corporation, 4750 Fifth Avenue, Pittsburgh, PA 15213, USA.
Ann Behav Med. 2011 Aug;42(1):29-41. doi: 10.1007/s12160-011-9262-4.
It is not clear from the literature whether children with diabetes have more psychological difficulties than their peers.
This study aims to use meta-analysis to determine if children with diabetes differ from children without a chronic illness in a variety of domains reflecting psychological well-being.
A meta-analysis was undertaken of 22 studies that compared children with diabetes to a comparison group. Outcomes included depression, anxiety, behavioral problems, and related constructs.
Children with diabetes were more likely than comparison groups to experience a variety of psychological difficulties. However, these effects were small to medium in magnitude and were typically smaller among more recent studies and studies with well-matched comparison groups.
This meta-analysis suggests that children with diabetes are at slightly elevated risk for psychological difficulties. Future work will need to help identify children at the highest risk, and to identify factors associated with resilience.
目前文献尚不清楚糖尿病患儿是否比同龄人有更多的心理困难。
本研究旨在通过荟萃分析来确定糖尿病患儿在反映心理健康的多个领域是否与无慢性病的患儿存在差异。
对 22 项比较糖尿病患儿和对照组的研究进行荟萃分析。结果包括抑郁、焦虑、行为问题和相关结构。
糖尿病患儿比对照组更有可能经历各种心理困难。然而，这些影响的程度较小，属于中等程度，而且通常在较新的研究和匹配良好的对照组研究中更小。
本荟萃分析表明，糖尿病患儿有略高的心理困难风险。未来的工作将需要帮助识别风险最高的儿童，并确定与适应力相关的因素。
