Baran Rıza Taner, Sürer-Adanır Aslı, Karakurt Melih Nuri, Dündar Münevver, Aydın Mülkiye, Özbek Mehmet Nuri, Demirbilek Hüseyin
Children's State Hospital, Clinics of Pediatric and Adolescent Psychiatry, Diyarbakir, Turkey.
Turk J Pediatr. 2018;60(5):554-561. doi: 10.24953/turkjped.2018.05.013.
Baran RT, Sürer-Adanır A, Karakurt MN, Dündar M, Aydın M, Özbek MN, Demirbilek H. Evaluation of psychological characteristics of Turkish children with type 1 diabetes mellitus from two demographically and geographically distinct regions. Turk J Pediatr 2018; 60: 554-561. Type 1 diabetes mellitus (T1DM), patients have an increased risk of psychiatric morbidity compared to their healthy counterparts. The aim of the present study is to evaluate the demographic and laboratory data and psychological characteristics of children with T1DM from two geographical regions of Turkey. The study included 98 pediatric T1DM patients followed in pediatric endocrinology clinics from Diyarbakir (n=50), an eastern city and Antalya (n=48) a western city, and 43 healthy subjects from Diyarbakir (n=20) and Antalya (n=23). The sociodemographic data, duration of diabetes and the glycated hemoglobin levels (HbA1c) were also noted. For the evaluation of emotional and behavioral problems in children, Turkish version of The Child Behavior Checklist (CBCL) 6-18, and for depression, Child depression inventory (CDI) was used. Patients from the Diyarbakır Diabetes Mellitus (DDM) group had a longer duration of diabetes compared to those of the Antalya Diabetes Mellitus (ADM) group, while HbA1c levels were not statistically different. Children with T1DM from Diyarbakır reported higher problem scores in CBCL in majority of domains and both internalizing and externalizing subscores compared to the controls and in all domains compared to the patients from Antalya. The CDI scores of the DDM group were also significantly higher than those of the ADM group. In conclusion, diabetic children from Diyarbakır had more problems in emotional, social and behavioral domains compared to the healthy peers and patients from Antalya, indicating that T1DM brought more psychosocial burden to these patients independently from the metabolic control. Pediatric specialists working in the eastern region should be more precautious with diabetic patients in terms of comorbid psychiatric conditions and psychiatric referral when needed.
巴兰RT、叙雷尔-阿达尼尔A、卡拉库尔特MN、敦达尔M、艾登M、厄兹别克MN、德米尔比莱克H。对来自两个在人口统计学和地理上不同地区的1型糖尿病土耳其儿童的心理特征进行评估。《土耳其儿科学杂志》2018年；60:554 - 561。与健康儿童相比，1型糖尿病（T1DM）患者患精神疾病的风险更高。本研究的目的是评估来自土耳其两个地理区域的T1DM儿童的人口统计学和实验室数据以及心理特征。该研究纳入了98名在儿科内分泌诊所接受随访的儿科T1DM患者，其中来自东部城市迪亚巴克尔的有50名（n = 50），来自西部城市安塔利亚的有48名（n = 48），以及来自迪亚巴克尔的43名健康受试者（n = 20）和安塔利亚的43名健康受试者（n = 23）。还记录了社会人口统计学数据、糖尿病病程和糖化血红蛋白水平（HbA1c）。为评估儿童的情绪和行为问题，使用了土耳其语版的《儿童行为检查表》（CBCL）6 - 18，为评估抑郁，使用了儿童抑郁量表（CDI）。与安塔利亚糖尿病组（ADM）的患者相比，迪亚巴克尔糖尿病组（DDM）的患者糖尿病病程更长，而HbA1c水平在统计学上无差异。与对照组相比，来自迪亚巴克尔的T1DM儿童在CBCL的大多数领域以及内化和外化子分数方面报告的问题得分更高，与来自安塔利亚的患者相比，在所有领域的得分也更高。DDM组的CDI得分也显著高于ADM组。总之，与健康同龄人以及来自安塔利亚的患者相比，来自迪亚巴克尔的糖尿病儿童在情绪、社交和行为领域存在更多问题，这表明T1DM给这些患者带来了更多独立于代谢控制的心理社会负担。在东部地区工作的儿科专家在合并精神疾病情况和必要时的精神科转诊方面应对糖尿病患者更加谨慎。
