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Learned helplessness in diabetic youths.

M J Kuttner1, A M Delamater, J V Santiago

  • 1Clifton Springs Hospital, Detroit, Michigan.

Journal of Pediatric Psychology
|October 1, 1990
PubMed
Summary

Diabetic youth with learned helplessness attributional style show higher depression and poorer metabolic control (HbA1). Regimen adherence impacts metabolic control, but not depression or learned helplessness.

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Area of Science:

  • Pediatric Endocrinology
  • Child Psychology

Background:

  • Learned helplessness, a cognitive style, may influence health behaviors and outcomes in chronic conditions.
  • Understanding psychological factors is crucial for managing diabetes in youth.

Observation:

  • Fifty diabetic children (ages 10-16) were assessed for attributional style, depression, regimen adherence, and metabolic control (HbA1).
  • Adherence was measured via 24-hour recall interviews with patients and mothers.

Findings:

  • Learned helplessness strongly correlated with depression (p<.001) and poorer metabolic control (HbA1, p<.02).
  • Depression did not correlate with adherence or metabolic control.
  • Adherence measures explained 24% of HbA1 variance, with exercise and testing frequency being significant factors.

Implications:

  • Learned helplessness attributional style is linked to depression and long-term metabolic control issues in diabetic youth.
  • Targeting learned helplessness may improve psychological well-being and diabetes management in pediatric populations.
  • Improving adherence to specific behaviors like exercise and regular testing is vital for metabolic control.

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