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Updated: Aug 12, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Emotional dysfunction associated with diabetes in Mexican adolescents and young adults with type-1 diabetes
Israel Lerman-Garber1, Consuelo Barrón-Uribe, Raúl Calzada-León
1Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, 14080 México, D.F., México. lerman@netservice.com.mx
Objective:
To assess the emotional dysfunction associated with diabetes in Mexican young individuals with type-1 diabetes.
Material And Methods:
A cross-sectional survey was conducted to perform a complete clinical and psychosocial evaluation of 93 consecutive type-1 diabetes patients, and 14 to 30 years.
Results:
Adolescents had higher scores of emotional dysfunction related to diabetes and a diminished knowledge in diabetes-related areas. A multivariate logistic regression model showed that an inadequate emotional response to diabetes (high problem areas in diabetes or PAID scores) was mainly associated with a poor glycemic control (OR = 2.9, 95% CI 0.9-9.7, p = 0.09). Apprehension about the future and the possibility of serious complications had the highest mean PAID score in all age groups.
Conclusions:
New strategies should be developed to improve the routine care and support of young individuals with type-1 diabetes.
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