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Bullying, regimen self-management, and metabolic control in youth with type I diabetes
Eric A Storch1, Amanda D Heidgerken, Gary R Geffken
1Department of Pediatrics, and the Department of Psychiatry, University of Florida, Gainesville, 32610, USA. estorch@psychiatry.ufl.edu
Objective:
To determine the association among diabetes-related bullying, diabetes self-management, metabolic control, and depression in children and adolescents with type I diabetes (TID).
Study Design:
Measures of diabetes-related bullying and depression were administered to 167 youth with TID at their regularly scheduled diabetes care visits. Parents were administered a clinician-rated index of their child's diabetes self-management. HbA1c levels were assessed.
Results:
Diabetes-related bullying was positively related to HbA1c concentration and negatively related to overall self-management and specifically to adherence to glucose testing and dietary tasks. Depressive symptoms partially mediated the relation between diabetes-related bullying and overall self-management.
Conclusion:
Given the associations between diabetes-related bullying and regimen self-management, the issue of illness-related bullying merits serious attention for pediatricians and school personnel.
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