1型糖尿病儿童的认知失调综合征:对临床结果的重要影响
Ayla Uzun Cicek1, Nurullah Celik2
1Department of Child and Adolescent Psychiatry, Faculty of Medicine, Sivas Cumhuriyet University, Yenisehir, Kayseri St., No:43, 58140, Sivas, Turkey. dr.f.ayla@hotmail.com.
Acta diabetologica
|September 5, 2023
概括
患有1型糖尿病 (T1D) 的儿童表现出更高的认知失调综合征 (CDS) 症状,影响注意力和认知功能. 在T1D中血糖控制较差与CDS增加有关,突出显示了需要进行常规查的需要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿童和青少年精神病学
- 神经心理学 神经心理学
背景情况:
- 1型糖尿病 (T1D) 与儿童的各种精神病相关疾病有关.
- 认知失调综合征 (CDS) 尚未在儿童T1D群体中进行研究.
研究的目的:
- 确定患有T1D的儿童中CDS症状的患病率.
- 研究儿童T1D中CDS症状与血糖控制之间的关系.
主要方法:
- 这是一项涉及74名T1D儿童和88名对照 (8-14岁) 的横截面研究.
- 使用了半结构化精神病学面试,认知测试 (肯特-EGY,Porteus Maze,Stroop) 和评分表 (Barkley,Conners).
主要成果:
- 患有T1D的儿童表现出显著更高的CDS症状率 (35.1%与10.2%,p<0.001),以及在注意力和认知测试中的表现较差.
- 增加的CDS症状与较早的糖尿病发病,持续时间较长,HbA1c较高,诊断时糖尿病酸性糖尿病以及增加的胰岛素剂量相关.
- 与CDS得分较低的患者相比,高CDS得分的T1D患者的智商,注意力和认知功能都较低.
结论:
- 患有T1D的儿童患有较高的CDS症状,与较差的糖尿病控制有关.
- 患有T1D的儿童的常规精神病学评估应包括CDS查,特别是那些血糖管理不足的儿童.
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