Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management
Assessing mental health in children and adolescents with insulin-dependent diabetes (IDD) is an issue that is underperformed in clinical practice and outpatient clinics. The evaluation of their thoughts, emotions and behaviors has an important role in understanding the interaction between the indivi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/5/414 |
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| author | Maria Melania Lica Annamaria Papai Andreea Salcudean Maria Crainic Cristina Georgeta Covaciu Adriana Mihai |
| author_facet | Maria Melania Lica Annamaria Papai Andreea Salcudean Maria Crainic Cristina Georgeta Covaciu Adriana Mihai |
| author_sort | Maria Melania Lica |
| collection | DOAJ |
| description | Assessing mental health in children and adolescents with insulin-dependent diabetes (IDD) is an issue that is underperformed in clinical practice and outpatient clinics. The evaluation of their thoughts, emotions and behaviors has an important role in understanding the interaction between the individual and the disease, the factors that can influence this interaction, as well as the effective methods of intervention. The aim of this study is to identify psychopathology in adolescents with diabetes and the impact on treatment management. A total of 54 adolescents with IDD and 52 adolescents without diabetes, aged 12–18 years, completed APS–SF (Adolescent Psychopathology Scale–Short Form) for the evaluation of psychopathology and adjustment problems. There were no significant differences between adolescents with diabetes and control group regarding psychopathology. Between adolescents with good treatment adherence (HbA1c < 7.6) and those with low treatment adherence (HbA1c > 7.6), significant differences were found. In addition, results showed higher scores in girls compared with boys with IDD with regard to anxiety (GAD), Major Depression (DEP), Post-Traumatic Stress Disorder (PTSD), Eating Disturbance (EAT), Suicide (SUI) and Interpersonal Problems (IPP). No significant differences were found regarding the duration of the disease. Strategies such as maladaptive coping, passivity, distorted conception of the self and the surrounding world and using the negative problem-solving strategies of non-involvement and abandonment had positive correlation with poor glycemic control (bad management of the disease). The study highlighted the importance of promoting mental health in insulin-dependent diabetes management. |
| first_indexed | 2024-03-10T11:15:55Z |
| format | Article |
| id | doaj.art-2ff394d407c64476a2a36d5876f624db |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T11:15:55Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-2ff394d407c64476a2a36d5876f624db2023-11-21T20:23:53ZengMDPI AGChildren2227-90672021-05-018541410.3390/children8050414Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment ManagementMaria Melania Lica0Annamaria Papai1Andreea Salcudean2Maria Crainic3Cristina Georgeta Covaciu4Adriana Mihai5Department of Psychiatry, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Tirgu Mures, 540139 Targu Mures, RomaniaDepartment of Psychiatry, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Tirgu Mures, 540139 Targu Mures, RomaniaDepartment of Psychiatry, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Tirgu Mures, 540139 Targu Mures, RomaniaDepartment of Psychiatry, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Tirgu Mures, 540139 Targu Mures, RomaniaClinical Emergency Hospital for Children‒Child and Adolescent Psychiatry, 400000 Cluj Napoca, RomaniaDepartment of Psychiatry, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Tirgu Mures, 540139 Targu Mures, RomaniaAssessing mental health in children and adolescents with insulin-dependent diabetes (IDD) is an issue that is underperformed in clinical practice and outpatient clinics. The evaluation of their thoughts, emotions and behaviors has an important role in understanding the interaction between the individual and the disease, the factors that can influence this interaction, as well as the effective methods of intervention. The aim of this study is to identify psychopathology in adolescents with diabetes and the impact on treatment management. A total of 54 adolescents with IDD and 52 adolescents without diabetes, aged 12–18 years, completed APS–SF (Adolescent Psychopathology Scale–Short Form) for the evaluation of psychopathology and adjustment problems. There were no significant differences between adolescents with diabetes and control group regarding psychopathology. Between adolescents with good treatment adherence (HbA1c < 7.6) and those with low treatment adherence (HbA1c > 7.6), significant differences were found. In addition, results showed higher scores in girls compared with boys with IDD with regard to anxiety (GAD), Major Depression (DEP), Post-Traumatic Stress Disorder (PTSD), Eating Disturbance (EAT), Suicide (SUI) and Interpersonal Problems (IPP). No significant differences were found regarding the duration of the disease. Strategies such as maladaptive coping, passivity, distorted conception of the self and the surrounding world and using the negative problem-solving strategies of non-involvement and abandonment had positive correlation with poor glycemic control (bad management of the disease). The study highlighted the importance of promoting mental health in insulin-dependent diabetes management.https://www.mdpi.com/2227-9067/8/5/414adolescents with insulin-dependent diabetestreatment adherenceglycosylated hemoglobinpsychopathology |
| spellingShingle | Maria Melania Lica Annamaria Papai Andreea Salcudean Maria Crainic Cristina Georgeta Covaciu Adriana Mihai Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management Children adolescents with insulin-dependent diabetes treatment adherence glycosylated hemoglobin psychopathology |
| title | Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management |
| title_full | Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management |
| title_fullStr | Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management |
| title_full_unstemmed | Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management |
| title_short | Assessment of Psychopathology in Adolescents with Insulin-Dependent Diabetes (IDD) and the Impact on Treatment Management |
| title_sort | assessment of psychopathology in adolescents with insulin dependent diabetes idd and the impact on treatment management |
| topic | adolescents with insulin-dependent diabetes treatment adherence glycosylated hemoglobin psychopathology |
| url | https://www.mdpi.com/2227-9067/8/5/414 |
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