Court S, Sein E, McCowen C, Hackett A F, Parkin J M
Department of Child Health, University of Newcastle upon Tyne, U.K.
Early Hum Dev. 1988 Mar;16(2-3):245-52. doi: 10.1016/0378-3782(88)90105-3.
The behaviour of 127 children with diabetes mellitus aged 8-16 years was assessed by their parents and teachers using a well established screening device and compared to that of 51 non-diabetic children. Twenty five per cent of the diabetics were perceived by their parents to be disturbed compared to only 14% of the controls. The proportion perceived to be disturbed by their teachers was similar in the two groups but more diabetics than controls were perceived by both parents and teachers to be disturbed. No relationship was found between the extent of the behaviour problems recorded and the control of the diabetes, as measured by glycosylated haemoglobin, the child's age, the child's age at diagnosis or the duration of the diabetes. However, the children with the younger parents at diagnosis tended to be perceived by their parents as having more behaviour problems, as were the diabetics from families facing the most social problems. The families more knowledgeable about diabetes were less likely to have disturbed children.
127名8至16岁糖尿病患儿的行为由其父母和教师使用一种成熟的筛查工具进行评估，并与51名非糖尿病儿童的行为进行比较。25%的糖尿病患儿被其父母认为有行为问题，而对照组中这一比例仅为14%。两组中被教师认为有行为问题的比例相似，但父母和教师都认为有行为问题的糖尿病患儿比对照组更多。通过糖化血红蛋白测量的行为问题严重程度与糖尿病控制情况、患儿年龄、诊断时患儿年龄或糖尿病病程之间未发现关联。然而，诊断时父母年龄较小的患儿往往被其父母认为有更多行为问题，面临最多社会问题家庭的糖尿病患儿也是如此。对糖尿病了解更多的家庭中出现行为问题患儿的可能性较小。
