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Psycho-behavioral changes in children with type 1 diabetes mellitus
Xiao-Ping Zheng1, Shuo-Hui Chen
1Department of Endocrinology, Children's Hospital, Zhejiang University School of Medicine and Key Laboratory of Reproductive Genetics, Zhejiang University, Ministry of Education, Hangzhou, China.
World Journal of Pediatrics : WJP
|August 10, 2013
Summary
Children with type 1 diabetes mellitus (T1DM) show increased psycho-behavioral issues like anxiety and aggression. Poorly controlled T1DM is linked to more somatic complaints, highlighting the need for nursing interventions.
Area of Science:
- Pediatrics
- Child Psychology
- Endocrinology
Background:
- Type 1 diabetes mellitus (T1DM) is the most prevalent form of diabetes in pediatric populations.
- Understanding the psycho-behavioral impact of T1DM in children is crucial for effective management and support.
Purpose of the Study:
- To investigate psycho-behavioral changes in Chinese children diagnosed with T1DM.
- To offer guidance for nurses and parents caring for children with T1DM.
Main Methods:
- A cohort of 45 children with T1DM (mean age 10.40±3.01 years) was studied.
- Patients were categorized into well-controlled and poorly-controlled groups based on HbA1c levels.
- Achenbach's Child Behavior Checklist was used to assess psycho-behavioral changes, with 53 healthy children as a control group.
Main Results:
- Children with T1DM exhibited significantly higher scores for withdrawal, anxiety/depression, attention problems, delinquent behavior, aggressive behavior, externalizing, and internalizing problems compared to controls.
- The poorly-controlled T1DM subgroup showed significantly higher somatic complaints than the well-controlled group.
- Both well-controlled and poorly-controlled T1DM subgroups displayed elevated scores in specific behavioral categories compared to healthy controls, with the poorly-controlled group showing a broader range of issues.
Conclusions:
- Children diagnosed with T1DM are susceptible to developing psycho-behavioral problems.
- Prompt and targeted nursing interventions are essential to address and mitigate these psycho-behavioral challenges in pediatric T1DM patients.
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