Quality of Life and Psychological Screening in Children with Type 1 Diabetes and their Mothers

N S Duru1, M Civilibal1, M Elevli1

  • 1Department of Pediatrics Istanbul, Haseki Training and Research Hospital, Turkey.

Insights

Children with type 1 diabetes mellitus (T1DM) show higher depression. Their mothers experience reduced quality of life, increased depression, and anxiety, highlighting the need for mental health screening.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Psychology

Background:

  • Type 1 diabetes mellitus (T1DM) is a chronic condition affecting children, potentially impacting their mental health and that of their families.
  • Maternal mental health and quality of life are crucial factors in managing childhood chronic illnesses.
  • Limited research exists on the combined mental health burden in children with T1DM and their mothers.

Purpose of the Study:

  • To assess depression levels in children diagnosed with T1DM.
  • To evaluate the quality of life, depression, and anxiety in mothers of children with T1DM.
  • To explore correlations between child and maternal mental health outcomes.

Main Methods:

  • Cross-sectional study comparing 30 children with T1DM and their mothers to 30 healthy children and their mothers.
  • Utilized Children's Depression Inventory (CDI) for children.
  • Administered SF-36, Beck Depression Inventory (BDI), and Spielberg's State-Trait Anxiety Inventory (STAI) to mothers.

Main Results:

  • Children with T1DM exhibited significantly higher depression scores (CDI) than controls.
  • Mothers of children with T1DM reported lower quality of life (SF-36) across most domains, higher depression (BDI), and anxiety (STAI).
  • Childhood depression (CDI) positively correlated with maternal depression (BDI) and negatively with maternal quality of life (SF-36 vitality and social functioning).

Conclusions:

  • Children with T1DM face a greater burden of depressive symptoms.
  • Mothers of children with T1DM experience significant psychological distress and diminished quality of life.
  • Integrated mental health screening for both children with T1DM and their mothers is recommended.

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