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Derakhshanpour F, Mohammadian S, Zaeri2 H, Sanei Y, Leila K. Relationship between Psychosocial Factors and Glycemic Control in 7-16 Years Old Children with Type 1 Diabetes. jcbr 2020; 4 (1) :14-20
URL: http://jcbr.goums.ac.ir/article-1-240-en.html
1- Department of Psychology, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran
2- Department of Pediatrics, Taleghani Hospital, Golestan University of Medical Sciences
3- Department of Pediatrics, School of Medicine, Golestan University of Medical Sciences
4- Department of Psychology, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran , leilakashani649@gmail.com
Abstract:   (3505 Views)
Background and objectives: Diabetes mellitus is a metabolic disease characterized by hyperglycemia due to defects in insulin secretion or action. One of the consequences of diabetes is depression, which itself is related to complication of diabetes. Given the lack of enough studies on the relationship between psychological variables of parents and level of HbA1C in children with type 1 diabetes in Iran, we examined the relationship between psychosocial factors and glycemic control in children aged 7-16 years with type 1 diabetes.
Methods: This is a cross-sectional study conducted on all children with type 1 diabetes who were referred to Taleghani children's hospital in Gorgan, Iran. Data were collected using the General Health Questionnaire, the Strengths and Difficulties Questionnaire and a parenting style questionnaire. The collected data were analyzed in SPSS software (version 17).
Results: Overall, 64 diabetic children aged 7 -16 years who had a record file at the hospital were enrolled in the study. Children of homemakers and highly educated mothers had better glycemic control. In addition, the General Health Questionnaire test score of mothers had an inverse relationship with glycemic control in children with type 1 diabetes. Moreover, daring parenting style seemed to have a more positive impact on glycemic control of diabetic children compared to permissive and authoritarian parenting styles.
Conclusion: Our findings demonstrate that various parental variables may affect glycemic control in children with type 1 diabetes. Children with poor glycemic control have more personality and psychosocial problems. We suggest endocrinologists to refer children with type 1 diabetes and their parents to psychiatrists for psychological assessment and psychoeducation. 
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Article Type: Research | Subject: Basic medical sciences

References
1. Sobhi A, Ahadi H, Rajab A, Nafisi Gh, Hejazi M. Copying style with stress in parents and metabolic control in children. Iranian Journal of Diabetes and Lipid Disorders. 2011;10(3): 327-38. [In Persian]
2. Chan JCN, Malik V, Jia W, Kadowaki T, Yajnik C, Yoon KH, et al. Diabetes in Asia. Epidemiology, Risk Factors, and Pathophysiology. JAMA. 2009;301(20): 2129-40. [View at Publisher] [DOI] [Google Scholar]
3. Larejani B, Zahedi F. Epidemiology of diabetes mellitus in Iran. Iranian Journal of Diabetes and Metabolism. 2001 Jul 15;1(1):1-8. [View at Publisher] [Google Scholar]
4. Harris MI. Definition and classification of diabetes mellitus and the new criteria for diagnosis, In: LeRoith D, Taylor SI, Olefsky JM (eds). Diabetes Mellitus: a fundamental and Clinical Text. Philadelphia: Lippincott Williams & Wilkins. 2000:p 326-34.5 [View at Publisher] [Google Scholar]
5. Pool G, Matheson DH, Cox DN. The psychology of health and health care: a Canadian perspective. Pearson Prentice Hall. 2005. [Google Scholar]
6. De Groot M, Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: a meta-analysis. Psychosomatic Medicine. 2001;63: 619-30. [DOI] [Google Scholar]
7. VanTilburg MA, McCaskill CC, Lane JD, Edwards Ch L, Bethel A, Feinglos MN, et al. Depressed Mood Is a Factor in Glycemic Control in Type 1 Diabetes. Psychosomatic Medicine. 2001;63: 551-5. [View at Publisher] [DOI] [Google Scholar]
8. Helgeson VS, Siminerio L, Escobar O, Becker D. Predictors of Metabolic Control among Adolescents with Diabetes: A 4-Year Longitudinal Study. Journal of Pediatric Psychology. 2009;34(3): 254-70. [View at Publisher] [DOI] [Google Scholar]
9. Gilbert BO. Insulin-dependent diabetes control, personality and life stress in adolescents. Personality and individual differences. 1992;13(3): 269-73. [DOI] [Google Scholar]
10. . Delamater AM, Kurtz SM, Bubb J, White NH, Santiago JV. Stress and coping in relation to metabolic control of adolescents with type 1 diabetes. Dev Behav Pediatr. 1987;8(3): 136-40. [View at Publisher] [DOI] [Google Scholar]
11. Vollrath ME, Landolt MA, Gnehm HE, Laimbacher J, and Sennhauser FH. Child and parental personality are associated with glycaemic control in Type 1 diabetes. Diabet Med. 2007;24(9): 1028-33. [View at Publisher] [DOI] [Google Scholar]
12. Cameron LD, Young MJ, and Wiebe DJ. Maternal Trait Anxiety and Diabetes Control in Adolescents with Type 1Diabetes. Journal of Pediatric Psychology. 2007;32(7): 733-44. [View at Publisher] [DOI] [Google Scholar]
13. Palahang H, Nasr M, Baraheni MT, et al. Epidemiological study of mental disorders in Kashan city. Andisheh Raftar J. 1996;8:19-27. [In Persian]
14. Goodman R (1997) The Strengths and Difficulties Questionnaire: A Research Note. Journal of Child Psychology and Psychiatry, 38, 581-586. [View at Publisher] [DOI] [Google Scholar]
15. Esfandiari H. Reliability and validation of scale for the measurement parent's child rearing practices and relationship its life skills in high schools' students Minab. Hormozgan State Researches Education 1995; 4(2): 71-2. [In Persian] [Google Scholar]
16. Haugstvedt A, Wentzel-Larsen T, Rokne B, Graue M. Psychosocial family factors and glycemic control among children aged 1-15 years with type 1 diabetes: a population-based survey. BMC pediatrics. 2011;11(1): 118. [DOI] [Google Scholar]
17. Vesco AT, Anderson BJ, Laffel LM, Dolan LM, Ingerski LM, Hood KK. Responsibility sharing between adolescents with type 1 diabetes and their caregivers: importance of adolescent perceptions on diabetes management and control. Journal of pediatric psychology. 2010;35(10): 1168-77. [View at Publisher] [DOI] [Google Scholar]
18. Walker RJ, Gebregziabher M, Martin-Harris B, Egede LE.Understanding the influence of psychological and socioeconomic factors on diabetes self-care using structured equation modeling.Patient Educ Couns. 2015 Jan;98(1):34-40. [View at Publisher] [DOI] [Google Scholar]
19. Whittemore R, Jaser S, Chao A, Jang M, Grey M. Psychological Experience of Parents of Children With Type 1 Diabetes A Systematic Mixed-Studies Review. The Diabetes Educator. 2012;38(4): 562-79. [View at Publisher] [DOI] [Google Scholar]
20. Eckshtain D, Ellis DA, Kolmodin K, Naar-King S. The effects of parental depression and parenting practices on depressive symptoms and metabolic control in urban youth with insulin dependent diabetes. Journal of pediatric psychology. 2010;35(4): 426-35. [View at Publisher] [DOI] [Google Scholar]
21. De Wit M, Delemarre-van de Waal HA, Bokma JA, Haasnoot K, Houdijk MC, Gemke RJ, et al. Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relation to glycemic control. Health and Quality of life outcomes. 2007;5(10): 1-8. [View at Publisher] [DOI] [Google Scholar]
22. Heidari S,Noori Tajer M,Shirazi F,Sanjari M,Shoghi M,Salemi S.The association between family support and glycemic controlin diabetes type 2 patients.Iranian Journal of Diabetes and Lipid.2008;8(2):93-102

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