Şahin Nilfer, Öztop Didem Behice, Yilmaz Savaş, Altun Hatice
Department of Child and Adolescent Psychiatry, Muğla Training and Research Hospital, Muğla, Turkey.
Department of Child and Adolescent Psychiatry, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Noro Psikiyatr Ars. 2015 Jun;52(2):133-138. doi: 10.5152/npa.2015.7248. Epub 2015 Jun 1.
The aim of the present study was to identify psychopathology, parental attitudes, perceptions of quality of life, and relationships between these factors in adolescents with type 1 diabetes mellitus (DM).
Fifty adolescents (12-18 years old) with type 1 diabetes mellitus and 50 healthy adolescents and their parents were recruited for the study. Clinical interviews with the diabetic adolescents were performed using "Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL)." Both groups completed the "Depression Scale for Children," "State-Trait Anxiety Inventory," and "Health Related Quality of Life Scale for Children," while their parents completed the "Parental Attitude Research Instrument," "The Coping Strategy Indicator," and "Health Related Quality of Life Scale for Children-Parent Form."
The psychological disorder ratio in diabetic adolescents was 68%. No significant difference was found regarding perceptions of quality of life between the diabetic group and control group. However, diabetic adolescents with psychological disorder had reduced perception of quality of life than those without psychological disorder. Among parental attitudes, an authoritarian attitude was found to be more common in the diabetic group. It was found that among coping strategies, parents in the diabetic group use avoidance more commonly.
In the present study, a high rate of psychopathology was detected among adolescents with type 1 DM. In addition, no clear impairment in quality of life was reported in patients with type 1 DM; however, there was worsening in the perception of quality of life in the presence of psychiatric disorders accompanying diabetes. It was found that parents of diabetic children use inappropriate coping strategies and negative parental attitudes more often than those of healthy controls.
本研究的目的是确定1型糖尿病（DM）青少年的精神病理学、父母态度、生活质量感知以及这些因素之间的关系。
招募了50名12至18岁的1型糖尿病青少年、50名健康青少年及其父母参与研究。对糖尿病青少年进行临床访谈时使用了“儿童情感障碍和精神分裂症量表 - 当前及终生版（K-SADS-PL）”。两组青少年均完成了“儿童抑郁量表”、“状态 - 特质焦虑量表”和“儿童健康相关生活质量量表”，而他们的父母则完成了“父母态度研究工具”、“应对策略指标”和“儿童健康相关生活质量量表 - 父母版”。
糖尿病青少年的心理障碍发生率为68%。糖尿病组与对照组在生活质量感知方面未发现显著差异。然而，有心理障碍的糖尿病青少年的生活质量感知低于无心理障碍的青少年。在父母态度方面，发现糖尿病组中专制态度更为常见。研究发现，在应对策略方面，糖尿病组的父母更常使用回避策略。
在本研究中，1型糖尿病青少年中检测到较高的精神病理学发生率。此外，1型糖尿病患者未报告明显的生活质量损害；然而，糖尿病伴有精神障碍时生活质量感知会恶化。研究发现，糖尿病儿童的父母比健康对照组的父母更常使用不适当的应对策略和消极的父母态度。
