Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relation to glycemic control
Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relation to glycemic control
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DOI：
10.1186/1477-7525-5-10
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发表时间：
2007-02-16
影响因子：
3.6
通讯作者：
Snoek, Frank J.
中科院分区：
文献类型：
--
作者：
de Wit, Maartje;Delemarre-van de Waal, Henriette A.;Snoek, Frank J.
背景：通过自我报告和父母报告来确定1型糖尿病青少年的身体和心理健康状况，并探讨其与血糖控制和其他临床和社会人口学特征的关系。方法：从荷兰4个参与的儿科糖尿病门诊收集人口统计学、医学和社会心理数据。91例患者完成了儿童健康问卷cf87 （CHQ-CF87）、抑郁症流行病学研究中心量表（CES-D）和糖尿病特异性家庭冲突量表（DFCS）。家长完成了CHQ-PF50、ce - d和DFCS。结果：平均年龄14.9岁（+/- 1.1），平均HbA(1c) 8.8%（+/- 1.7; 6.2 - 15.0%）。与健康对照组相比，患者的CHQ亚量表角色功能-身体和一般健康得分较低。父母在行为量表上的得分低于青少年。较少的糖尿病特异性家庭冲突与更好的社会心理健康和较少的抑郁症状相关。生活在单亲家庭、属于少数民族以及幸福感较低都与较高的HbA（1c）值有关。结论：总体而言，1型糖尿病青少年报告的幸福感最佳，父母报告的幸福感与这些研究结果一致。血糖控制不佳是很常见的，单亲家庭和少数民族尤其危险。高HbA（1c）值与较低的社会和家庭功能有关。
Background: To determine physical and psychosocial well-being of adolescents with type 1 diabetes by self-report and parent report and to explore associations with glycemic control and other clinical and socio-demographic characteristics.Methods: Demographic, medical and psychosocial data were gathered from 4 participating outpatient pediatric diabetes clinics in the Netherlands. Ninety-one patients completed the Child Health Questionnaire-CF87 (CHQ-CF87), Centre for Epidemiological Studies scale for Depression (CES-D), and the DFCS (Diabetes-specific Family Conflict Scale). Parents completed the CHQ-PF50, CES-D and the DFCS.Results: Mean age was 14.9 years (+/- 1.1), mean HbA(1c) 8.8% (+/- 1.7; 6.2 - 15.0%). Compared to healthy controls, patients scored lower on CHQ subscales role functioning-physical and general health. Parents reported less favorable scores on the behavior subscale than adolescents. Fewer diabetes-specific family conflicts were associated with better psychosocial well-being and less depressive symptoms. Living in a one-parent family, being member of an ethnic minority and reporting lower well-being were all associated with higher HbA(1c) values.Conclusion: Overall, adolescents with type 1 diabetes report optimal well-being and parent report is in accordance with these findings. Poor glycemic control is common, with single-parent families and ethnic minorities particularly at risk. High HbA(1c) values are related to lower social and family functioning.