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PW01-68 - Psychiatric And Familial Factors In Pediatric Diabetic Patients And Their Relation To Quality Of Life And Metabolic Control

Published online by Cambridge University Press:  17 April 2020

A. Butwicka ,
A. Zalepa ,
W. Fendler ,
A. Szadkowska ,
M. Zawodniak-Szalapska ,
W. Młynarski  and
A. Gmitrowicz
A. Butwicka
Affiliation:
Department of Adolescent Psychiatry, Medical University of Lodz, Lodz, Poland
A. Zalepa
Affiliation:
Warsaw School of Social Science and Humanities, Warsaw, Poland
W. Fendler
Affiliation:
Department of Pediatrics, Oncology, Hematology and Diabetology, Poland
A. Szadkowska
Affiliation:
Department of Pediatrics, Oncology, Hematology and Diabetology, Poland
M. Zawodniak-Szalapska
Affiliation:
Department of Endocrinology and Metabolic Diseases, Medical University of Lodz, Lodz, Poland
W. Młynarski
Affiliation:
Department of Pediatrics, Oncology, Hematology and Diabetology, Poland
A. Gmitrowicz
Affiliation:
Department of Adolescent Psychiatry, Medical University of Lodz, Lodz, Poland

Abstract

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Objectives

To determine the influence of parent and child depressive and anxiety symptoms, family functioning and its influence on child quality of life and diabetes control among children and adolescents.

Methods

149 Children and adolescents (aged 8-18 years) with duration of diabetes longer than 1 year were enrolled to the study. Participants and their parents were evaluated by self-report measures (BDI, STAI, CDI, MASC, FACE-IV).

Results

There were 83 males and 66 females in the group. Mean age at the time of evaluation was 13,4±2,7 years. Median duration of diabetes was 4,0 (Interquartile Range 2,4-5,1) years. Mean HbA1c level was 8,0±1,5%. Child depression (beta= -0.41; p< 0.001), child (beta=-0.28; p< 0.01) and parent anxiety (beta=-0.17; p< 0.05) were all associated with lower quality of life. Family communication, flexibility, cohesion and satisfactions scores, despite being significant in univariate correlations were excluded during stepwise regression model building. HbA1c correlated with CDI rating (beta=-0.17; p< 0.05).

Conclusions

Presence of anxiety and depressive symptoms among children and their parents significantly worsens the quality of life among individuals with diabetes. Family-based communication trainings could contribute to improved metabolic control.

Keywords

Type 1 diabetesQuality of Lifedepressionanxietyfamily functioning
Type
Consultation liaison psychiatry
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E1467
Copyright
Copyright © European Psychiatric Association 2009
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