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Psychological reactions at the onset of insulin‐dependent diabetes mellitus in children and later adjustment and metabolic control
Author(s) -
Thernlund G,
Dahlquist G,
Hägglöf B,
Ivarsson SA,
Lernmark B,
Ludvigsson J,
Sjöblad S
Publication year - 1996
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1996.tb14192.x
Subject(s) - medicine , metabolic control analysis , distress , anxiety , diabetes mellitus , anger , psychological distress , population , insulin , insulin dependent diabetes , el niño , pediatrics , endocrinology , psychiatry , clinical psychology , disease , autoimmune disease , environmental health
The initial psychological reactions at the onset of insulin‐dependent diabetes mellitus (IDDM) in a population‐based sample of 76 children were studied with staff observations and a self‐report questionnaire for children 12 years of age and more. Younger children reacted with more anger and less distress than the older children. High initial self‐reported distress was associated with poorer subjective psychological IDDM adjustment at a follow‐up 10 months later for the older children. The children's initial reactions as well as later adjustment were intimately associated with maternal initial reactions in the total group. The metabolic control, estimated as the mean level of the major fraction of glycosylated haemoglobin (Hb A Ic ) during the first 2 years, was poorer in the adolescent group. Initial anxiety over injections and protest but low general distress in mothers and children were associated with better metabolic control.