Postgraduate Program in Medical Science: Endocrinology, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2350, Prédio 12, 4° Andar, Porto Alegre, RS, 90035-003, Brazil.
Internal Medicine Department, Hospital São Lucas - Pontifícia Universidade Católica Do Rio Grande Do Sul, Porto Alegre, Brazil.
Sci Rep. 2021 Mar 24;11(1):6812. doi: 10.1038/s41598-021-85874-3.
This study aimed to assess the psychological impact of the COVID-19 pandemic on guardians of children and adolescents with type 1 diabetes. An online survey was performed to assess the prevalence of pandemic-related emotional burden, mental health disorders and diabetes-specific emotional burden related to diabetes care during the COVID-19 pandemic. Caregivers of children and adolescents with diabetes under the age of 18 and caregivers of youth without diabetes for the non-diabetes group were invited to participate. For the primary outcome, mental health disorders were evaluated using the Self-Reporting Questionnaire (SRQ-20), while pandemic-related emotional burden and diabetes-specific emotional burden related to diabetes care were evaluated in different domains with specific questions. For analyses, a hierarchical testing strategy was performed. A total of 764 participants were included in the study. Regarding the pandemic period, caregivers of youth with type 1 diabetes endorsed significantly more pandemic-related emotional burden for both themselves (OR 1.67; 95% CI, 1.10 to 2.53) and for their child (OR 2.28; 95% CI, 1.54 to 3.38) when compared to the non-diabetes group. The emotional burden evaluation on different age ranges showed that the two groups were similar when the dependent youth was younger than 6 years. Moreover, a positive screening for mental health disorders during social distancing was higher in the diabetes group compared to the non-diabetes group (OR 2.43; 95% CI, 1.70 to 3.47), particularly in those aged under 12 years old. There was no difference between groups in mental health disorders among caregivers of adolescents older than 12 years. Our results allow to conclude that concern, burden and mental health disorders can be present in caregivers of youth with diabetes, and behavioral changes during the COVID-19 pandemic may enhance this situation.
本研究旨在评估 COVID-19 大流行对 1 型糖尿病患儿和青少年监护人的心理影响。通过在线调查评估与大流行相关的情绪负担、精神健康障碍以及与 COVID-19 大流行期间糖尿病护理相关的糖尿病特定情绪负担的流行率。邀请了年龄在 18 岁以下的儿童和青少年糖尿病患者的监护人以及非糖尿病组中无糖尿病青年的监护人参加。对于主要结局，使用自报告问卷 (SRQ-20) 评估精神健康障碍，同时使用特定问题在不同领域评估与大流行相关的情绪负担和与糖尿病护理相关的糖尿病特定情绪负担。在分析中，采用了分层测试策略。共有 764 名参与者被纳入研究。在大流行期间，与非糖尿病组相比，1 型糖尿病青少年的监护人自身（比值比 [OR] 1.67；95%置信区间 [CI]，1.10 至 2.53）和其子女（OR 2.28；95%CI，1.54 至 3.38）的与大流行相关的情绪负担明显更高。不同年龄范围的情绪负担评估表明，当依赖的年轻人年龄小于 6 岁时，两组相似。此外，在社会隔离期间，糖尿病组的心理健康障碍阳性筛查率高于非糖尿病组（OR 2.43；95%CI，1.70 至 3.47），尤其是年龄在 12 岁以下的人群。在 12 岁以上青少年监护人中，两组在精神健康障碍方面无差异。我们的研究结果表明，糖尿病患儿的监护人可能会感到担忧、负担重和出现精神健康障碍，而 COVID-19 大流行期间的行为变化可能会加剧这种情况。
