Diabetes & Endocrine Care Clinique Pediatrique (DECCP)-Pediatric Clinic, Pediatric Clinic/Centre Hospitalier de Luxembourg DECCP, Luxembourg, Luxembourg.
Department of Pediatrics, University Clinic Brussels, Brussels, Belgium.
Front Endocrinol (Lausanne). 2021 Aug 12;12:721028. doi: 10.3389/fendo.2021.721028. eCollection 2021.
Type 1 diabetes in young children is a heavy parental burden. As part of pilot phase of the KIDSAP01 study, we conducted a baseline assessment in parents to study the association between hypoglycemia fear, parental well-being and child behavior.
All parents were invited to fill in baseline questionnaires: hypoglycemia fear survey (HFS), WHO-5, Epworth Sleepiness Scale and Strength and Difficulties Questionnaire (SDQ).
24 children (median age: 5-year, range 1-7 years, 63% male, mean diabetes duration: 3 ± 1.7 years) participated. 23/24 parents filled out the questionnaires. We found a higher score for the hypoglycemia fear behavior 33.9 ± 5.6 compared to hypoglycemia worry 34.6 ± 12.2. Median WHO-5 score was 16 (8 - 22) with poor well-being in two parents. Median daytime sleepiness score was high in five parents (>10). For six children a high total behavioral difficulty score (>16) was reported. Pro social behavior score was lower than normal in six children (<6). Parental well-being was negatively associated with HFS total ( = - 0.50, <.05) and subscale scores ( = - 0.44, <.05 for HFS-Worry and HFS-Behavior), child behavior ( = - 0.45, = .05) and positively with child age and diabetes duration ( = 0.58, <.01, = 0.6, <.01). HFS, parental well-being nor daytime sleepiness are associated with the HbA1c.
Regular screening of parental well-being, hypoglycemia fear and child behavior should be part of routine care to target early intervention.
儿童 1 型糖尿病给父母带来沉重负担。作为 KIDSAP01 研究的初步阶段，我们对父母进行了基线评估，以研究低血糖恐惧、父母幸福感与儿童行为之间的关系。
所有父母都被邀请填写基线问卷：低血糖恐惧量表（HFS）、WHO-5、Epworth 嗜睡量表和长处与困难问卷（SDQ）。
共有 24 名儿童（中位年龄：5 岁，范围 1-7 岁，63%为男性，平均糖尿病病程：3 ± 1.7 年）参与。24 名父母中有 23 名填写了问卷。我们发现低血糖恐惧行为评分较高（33.9 ± 5.6），而低血糖担忧评分较低（34.6 ± 12.2）。中位 WHO-5 评分为 16（8-22），两名父母幸福感较差。五名父母日间嗜睡评分较高（>10）。六名儿童报告有较高的总分行为困难评分（>16）。六名儿童亲社会行为评分较低（<6）。父母幸福感与 HFS 总分（ = -0.50， <.05）和子量表评分（HFS-担忧和 HFS-行为， = -0.44， <.05）、儿童行为（ = -0.45， =.05）呈负相关，与儿童年龄和糖尿病病程呈正相关（ = 0.58， <.01， = 0.6， <.01）。HFS、父母幸福感或日间嗜睡与 HbA1c 无关。
定期筛查父母幸福感、低血糖恐惧和儿童行为应作为常规护理的一部分，以进行早期干预。
