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Psychological adjustment and diabetic control.

P Fonagy1, G S Moran, M K Lindsay

  • 1Anna Freud Centre, London.

Archives of Disease in Childhood
|October 1, 1987
PubMed
Summary
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Psychological distress in children and parents correlated with better blood glucose control in pediatric diabetes. However, early child independence in managing the diabetic regimen was linked to poorer glycemic outcomes.

Area of Science:

  • Pediatric Endocrinology
  • Child Psychology
  • Diabetes Management

Background:

  • Pediatric diabetes management requires understanding factors influencing glycemic control.
  • Psychological well-being and shared regimen responsibilities are critical in children with diabetes.

Purpose of the Study:

  • To investigate the relationship between psychological factors, shared regimen implementation, and glycemic control in children with diabetes.
  • To identify predictors of blood glucose control in pediatric diabetes patients.

Main Methods:

  • Cross-sectional study of 50 children (aged 6-16) with diabetes.
  • Assessed glycosylated haemoglobin (HbA1c), C-peptide secretion, insulin dose, psychiatric state, and intellectual functioning.
  • Evaluated the degree of shared responsibility in managing the diabetic regimen between child and parent.

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Main Results:

  • Psychological disturbance in children and parents predicted lower glycosylated haemoglobin concentrations.
  • Psychological factors explained 44% of the variance in blood glucose control.
  • Early and independent child participation in regimen implementation was associated with poorer glycemic control.

Conclusions:

  • Parental and child psychological state significantly impacts glycemic control in pediatric diabetes.
  • The findings highlight the complex interplay between psychological well-being, family dynamics, and diabetes management outcomes.
  • Recommendations for tailored psychological support and optimized shared decision-making in pediatric diabetes care are suggested.