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Published on: July 5, 2022
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.
Abstract:
This study aimed to assess the levels of depression in children with type 1 diabetes mellitus (T1DM) and evaluate the quality of life as well as levels of depression and anxiety of their mothers.30 children with T1DM (mean age: 12.9±2.9 years) and their mothers (mean age: 40.0±7.5 years) were included in the study. Control group consisted of 30 healthy children (mean age: 12.7±2.7 years) and their mothers (mean age: 39.8±7.2 years). The presence and severity of depressive symptoms in the children were evaluated using the Children's Depression Inventory (CDI). The short form 36-health survey (SF-36), the Beck Depression Inventory (BDI), and Spielberg's State-Trait Anxiety Inventory (STAI) were administered to all mothers.The children with T1DM had higher scores of depression compared to healthy children in the control group. The mothers of children with T1DM had significantly lower scores on all subscales of SF-36 except the bodily pain subscale. We observed a significant difference between groups in their BDI scores; the mean BDI score was higher in mothers of children with T1DM (p=0.004). There was a significant difference in STAI scores between groups. CDI scores positively correlated with the ages of and HgA1C levels in the children with T1DM. There was a positive correlation between CDI scores of children with T1DM and BDI scores of their mothers. In addition, CDI sores negatively correlated with the scores of vitality and social functioning subscales of SF-36.Our findings suggest screening for mental health issues and quality of life in diabetic children and their mothers.
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