Yuksel Elida, Bulbul Lida, Yilmaz Semra, Hatipoglu Sami, Cakir Esra Deniz Papatya
Department of Pediatrics, Acibadem Atakent Hospital, Istanbul, Türkiye.
Department of Pediatric Allergy and Immunology, University of Health Science Türkiye, Bagcilar Training and Research Hospital, Istanbul, Türkiye.
Sisli Etfal Hastan Tip Bul. 2024 Jun 28;58(2):146-154. doi: 10.14744/SEMB.2024.21456. eCollection 2024.
To evaluate the frequency of psychosocial problems and the factors affecting the quality of life in children and adolescents aged between 8 and 18 years with type 1 diabetes mellitus (T1DM).
In the study, children and adolescents aged between 8 and 18 years who had been followed for at least 6 months for T1DM were evaluated (T1DM group), and compared with healthy children and adolescents who applied to the general pediatric outpatient clinic and did not have any chronic disease (control group). Data on disease follow-up of children and adolescents with T1DM were obtained from medical records. Sociodemographic characteristics of both groups were recorded in the study form. In addition, the Children's Depression Inventory (CDI), Screen for Child Anxiety Related Disorders (SCARED) and Children Quality of Life Questionnaire (KINDL: KINDerLebensqualitätsfragebogen) were applied to both groups. The scale scores of the T1DM group and the control group were compared. Factors affecting the scale scores of the T1DM group were evaluated.
A total of 181 children or adolescents, 81 of whom were in the T1DM group and 100 in the control group, were evaluated for this study. The mean age was 13.1±2.4 years in the T1DM group and 12.4±2.1 years in the control group. The mean CDI, SCARED, and KINDL scores, respectively; it was 15.3±7.2, 23.6±11.9, and 53.5±13.7 in the T1DM group and 7.9±6.8, 14.7±13, 60±11.6 in the control group. There was a statistically significant difference between the two groups in terms of mean CDI, SCARED, and KINDL scores (all p values <0.001). As compliance with the diabetic diet decreased at home, there was a significant increase in the mean CDI score (p=0.005) and a significant decrease in the KINDL score (p=0.002). It was observed that KINDL score decreased significantly as compliance with the diabetic diet decreased outside the home (p=0.001).
Quality of life is lower, and levels of depression and anxiety are higher in children with T1DM compared to healthy children. Psychosocial support should be provided from the moment of diagnosis in order to improve the psychosocial problems and quality of life of children with T1DM.
评估8至18岁1型糖尿病（T1DM）儿童及青少年心理社会问题的发生率以及影响其生活质量的因素。
本研究对随访T1DM至少6个月的8至18岁儿童及青少年（T1DM组）进行评估，并与到普通儿科门诊就诊且无任何慢性病的健康儿童及青少年（对照组）作比较。T1DM儿童及青少年的疾病随访数据来自病历。两组的社会人口学特征记录在研究表格中。此外，两组均应用儿童抑郁量表（CDI）、儿童焦虑相关障碍筛查量表（SCARED）及儿童生活质量问卷（KINDL：儿童生活质量问卷）。比较T1DM组和对照组的量表得分。评估影响T1DM组量表得分的因素。
本研究共评估了181名儿童或青少年，其中T1DM组81名，对照组100名。T1DM组的平均年龄为13.1±2.4岁，对照组为12.4±2.1岁。T1DM组的CDI、SCARED和KINDL平均得分分别为15.3±7.2、23.6±11.9和53.5±13.7，对照组分别为7.9±6.8、14.7±13、60±11.6。两组在CDI、SCARED和KINDL平均得分方面存在统计学显著差异（所有p值<0.001）。在家中糖尿病饮食依从性降低时，CDI平均得分显著升高（p = 0.005），KINDL得分显著降低（p = 0.002）。观察到在家庭以外糖尿病饮食依从性降低时，KINDL得分也显著降低（p = 0.001）。
与健康儿童相比，T1DM儿童生活质量较低，抑郁和焦虑水平较高。为改善T1DM儿童的心理社会问题及生活质量，应在诊断时即提供心理社会支持。
