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Psychosocial morbidity among children with type-1 diabetes mellitus

Subhankar Chatterjee1, Ajay K Bakhla2, Payel Biswas3

  • 1Department of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

Journal of Family Medicine and Primary Care
|April 23, 2020
PubMed

Insights

Over half of Indian children with type-1 diabetes mellitus (T1DM) experience psychosocial distress. Noncompliance with treatment and more insulin injections are linked to higher distress levels in pediatric T1DM patients.

Area of Science:

  • Pediatric Endocrinology
  • Psychiatry
  • Public Health

Background:

  • Psychosocial impact in type-1 diabetes mellitus (T1DM) is recognized but understudied in India.
  • Limited data exists on the prevalence and spectrum of psychosocial morbidities in Indian pediatric T1DM patients.

Purpose of the Study:

  • To determine the prevalence of psychosocial morbidities among pediatric T1DM patients in India.
  • To identify factors associated with psychosocial distress in this population.

Main Methods:

  • A cross-sectional questionnaire-based study was conducted on 39 pediatric T1DM patients.
  • Psychological distress was assessed using the Childhood Psychopathological Measurement Schedule (CPMS).
  • Statistical analysis, including Chi-square tests, was performed using SPSS version 16.

Main Results:

  • A high prevalence of psychological distress (53.85%) was observed in the study sample.
  • Anxiety, conduct disorder, and depression were the most common issues identified.
  • Distress was associated with postpubertal status, male gender, rural residence, and noncompliance with dietary and drug regimens.

Conclusions:

  • The study highlights a significant prevalence of psychosocial morbidity in pediatric T1DM patients in India.
  • Increased insulin injections and noncompliance with treatment regimens are associated with greater psychosocial distress.
Abstract

Keywords:
Child psychologypsychosocialtype-1 diabetes mellitus

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