Skip to main content
PMC home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1987 Oct;62(10):1009–1013. doi: 10.1136/adc.62.10.1009

Psychological adjustment and diabetic control.

P Fonagy 1, G S Moran 1, M K Lindsay 1, A B Kurtz 1, R Brown 1
PMCID: PMC1778653  PMID: 3499865

Abstract

Glycosylated haemoglobin concentrations, C peptide secretion, insulin dose, psychiatric state, intellectual functioning, and the extent to which the implementation of the diabetic regimen was shared between parent and child were studied in a cross sectional study of 50 children with diabetes aged 6-16. Indications of psychological disturbance in the children and their parents predicted low glycosylated haemoglobin concentrations in the children, and accounted for 44% of variance in blood glucose control. The child's early and independent participation in the implementation of the diabetic regimen was associated with poor control.

Full text

PDF
1013

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. COHEN A. S., VANCE V. K., RUNYAN J. W., Jr, HURWITZ D. Diabetic acidosis: an evaluation of the cause, course and therapy of 73 cases. Ann Intern Med. 1960 Jan;52:55–86. doi: 10.7326/0003-4819-52-1-55. [DOI] [PubMed] [Google Scholar]
  2. Close H., Davies A. G., Price D. A., Goodyer I. M. Emotional difficulties in diabetes mellitus. Arch Dis Child. 1986 Apr;61(4):337–340. doi: 10.1136/adc.61.4.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gath A., Smith M. A., Baum J. D. Emotional, behavioural, and educational disorders in diabetic children. Arch Dis Child. 1980 May;55(5):371–375. doi: 10.1136/adc.55.5.371. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Graham P. J. Childhood epidemiology. Behavioural and intellectual development. Br Med Bull. 1986 Apr;42(2):155–162. doi: 10.1093/oxfordjournals.bmb.a072114. [DOI] [PubMed] [Google Scholar]
  5. Grey M. J., Genel M., Tamborlane W. V. Psychosocial adjustment of latency-aged diabetics: determinants and relationship to control. Pediatrics. 1980 Jan;65(1):69–73. [PubMed] [Google Scholar]
  6. Heding L. G. Radioimmunological determination of human C-peptide in serum. Diabetologia. 1975 Dec;11(6):541–548. doi: 10.1007/BF01222104. [DOI] [PubMed] [Google Scholar]
  7. Ingersoll G. M., Orr D. P., Herrold A. J., Golden M. P. Cognitive maturity and self-management among adolescents with insulin-dependent diabetes mellitus. J Pediatr. 1986 Apr;108(4):620–623. doi: 10.1016/s0022-3476(86)80852-6. [DOI] [PubMed] [Google Scholar]
  8. Johnson S. B., Pollak R. T., Silverstein J. H., Rosenbloom A. L., Spillar R., McCallum M., Harkavy J. Cognitive and behavioral knowledge about insulin-dependent diabetes among children and parents. Pediatrics. 1982 Jun;69(6):708–713. [PubMed] [Google Scholar]
  9. Mazze R. S., Lucido D., Shamoon H. Psychological and social correlates of glycemic control. Diabetes Care. 1984 Jul-Aug;7(4):360–366. doi: 10.2337/diacare.7.4.360. [DOI] [PubMed] [Google Scholar]
  10. McCowen C., Hackett A. F., Court S., Parkin J. M. Are families of diabetic children adequately taught? Br Med J (Clin Res Ed) 1986 May 24;292(6532):1361–1361. doi: 10.1136/bmj.292.6532.1361. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Moran G. S. Psychoanalytic treatment of diabetic children. Psychoanal Study Child. 1984;39:407–447. doi: 10.1080/00797308.1984.11823436. [DOI] [PubMed] [Google Scholar]
  12. Orr D. P., Golden M. P., Myers G., Marrero D. G. Characteristics of adolescents with poorly controlled diabetes referred to a tertiary care center. Diabetes Care. 1983 Mar-Apr;6(2):170–175. doi: 10.2337/diacare.6.2.170. [DOI] [PubMed] [Google Scholar]
  13. Rutter M., Graham P. The reliability and validity of the psychiatric assessment of the child: I. Interview with the child. Br J Psychiatry. 1968 May;114(510):563–579. doi: 10.1192/bjp.114.510.563. [DOI] [PubMed] [Google Scholar]
  14. Schade D. S., Drumm D. A., Duckworth W. C., Eaton R. P. The etiology of incapacitating, brittle diabetes. Diabetes Care. 1985 Jan-Feb;8(1):12–20. doi: 10.2337/diacare.8.1.12. [DOI] [PubMed] [Google Scholar]
  15. Shaw L. M., Petersen-Archer L., London J. W., Marsh E. Electrophoretic, kinetic, and immunoinhibition properties of gamma-glutamyltransferase from various tissues compared. Clin Chem. 1980 Oct;26(11):1523–1527. [PubMed] [Google Scholar]
  16. Simonds J., Goldstein D., Walker B., Rawlings S. The relationship between psychological factors and blood glucose regulation in insulin-dependent diabetic adolescents. Diabetes Care. 1981 Nov-Dec;4(6):610–615. doi: 10.2337/diacare.4.6.610. [DOI] [PubMed] [Google Scholar]
  17. Tattersall R. B. Psychiatric aspects of diabetes--a physician's view. Br J Psychiatry. 1981 Dec;139:485–493. doi: 10.1192/bjp.139.6.485. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES