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Psychosocial functioning and health related quality of life in children, adolescents and young adults with type 1 diabetes mellitus in Congo
Author(s) -
Missambou Mandilou Steve Vassili,
AtipoIbara Ollandzobo Lucie Charlotte,
Kitemo Mpolo Fallon Lesnée Gastia,
Ngoulou Beneth Phygarielle Sylvanie,
Elenga Bongo Charley Loumade,
Bouénizabila Evariste,
Mabiala Babela Jean Robert
Publication year - 2021
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.13187
Subject(s) - medicine , psychosocial , anxiety , depression (economics) , quality of life (healthcare) , type 1 diabetes , glycemic , diabetes mellitus , psychiatry , endocrinology , nursing , economics , macroeconomics
Objectives To describe the psychosocial functioning and assess the quality of life of children, adolescents and young adults with T1DM; and to identify the risk factors associated with the psychosocial experience and quality of life of these patients. Material and methods A cross‐sectional, descriptive study of children, adolescents and young adults with type 1 diabetes. Symptoms of anxiety and depression, and the quality of life were assessed using the Beck's Anxiety and Depression Scales and the pedsQL diabetes module score respectively. Results A total of 74 patients were recruited. The mean age was 18 ± 4.1 years. Minimal symptoms of anxiety were noted in 51 (69%) patients, 23 (31%) had non‐minimal symptoms of anxiety (mild:14, moderate: 5, severe: 4). Symptoms of depression were absent in 43 (58.1%) patients and present in 31 (41.9%) patients (mild: 19, moderate: 12). The patients total score of quality of life was 65.4. Higher socioeconomic status ( p = 0.03) was a protective factor against Symptoms of anxiety, while the age above 14 years ( p = 0.01) was a risk factor for symptoms of depression. The quality of life was lower in patients from low socio‐economic status ( p = 0.01), those with poor glycemic control ( p = 0.03), and when symptoms of depression were present ( p = 0.02). Conclusions Patients with type 1 diabetes in Congo experienced a significant elevated symptoms of anxiety and depression, and a fairly good quality of life. These findings support recommendations for integrating psychosocial aspects in the management of these patients.