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Effect of temperament on metabolic control in children with diabetes mellitus

J F Rovet1, R M Ehrlich

  • 1Department of Psychology, Hospital for Sick Children, Toronto, Ontario, Canada.

Diabetes Care
|January 1, 1988
PubMed

Insights

Children with insulin-dependent diabetes mellitus (IDDM) exhibit specific temperaments linked to better glycemic control. Higher activity, regularity, milder reactions, distractibility, and negative moods correlate with lower HbA1c levels in pediatric diabetes management.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Psychology
  • Child Health

Background:

  • Understanding the interplay between behavioral traits and metabolic control in children with insulin-dependent diabetes mellitus (IDDM) is crucial for effective management.
  • Previous research has not established a distinct temperament profile for children with IDDM.

Purpose of the Study:

  • To investigate whether specific temperament characteristics in children with IDDM are associated with their glycemic control.
  • To identify behavioral factors that may predict glycosylated hemoglobin (HbA1c) levels in pediatric diabetes.

Main Methods:

  • Parental completion of temperament questionnaires for 51 children with IDDM and 24 healthy siblings.
  • Regression analysis was employed to determine the relationship between temperament scales and HbA1c values.

Main Results:

  • No characteristic temperament profile or specific problem areas were identified in children with IDDM compared to controls.
  • Five temperament scales significantly predicted 42% of the variance in HbA1c levels (P < .001).
  • Higher activity levels, greater regularity, milder reactions to stimuli, distractibility, and negative moods were associated with better glycemic control.

Conclusions:

  • Individual differences in behavioral organization, energy expenditure, and stress response modulation may influence blood glucose regulation in children with IDDM.
  • These findings suggest potential behavioral targets for improving diabetes management in pediatric populations.

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