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Indian Journal of Psychiatry logoLink to Indian Journal of Psychiatry
. 1999 Oct-Dec;41(4):307–313.

PSYCHOSOCIAL PROFILE OF JUVENILE DIABETES

Jyoti Dass *,*, HS Dhavale †, Anup Rathi ‡
PMCID: PMC2963834  PMID: 21430802

Abstract

A study of the complex relationships between the patient characteristics, family and environmental influences, physician's behaviour and the demands of the disease with its management in Juvenile Diabetics was taken up at a general hospital.

90 subjects were selected for the study and grouped into three. Group A consisted of 30 Juvenile Diabetics, Group B of 30 Adult Diabetics and Group C of 30 Normal healthy adolescents. The impact of the illness was measured on the Diabetes Impact Measurement Scale (DIMS), the behavioural deviations and the parental attitudes towards child rearing on the Fallstrom's Questionnaire (FQ) and the family environment on the Family Climate Scale (FCS). Psychiatric morbidity was assessed using DSM-IV criteria. Group A & B were compared on the DIMS and Group A & C on FQ & FCS.

Adult diabetics had a greater impact of diabetes. Juvenile diabetics had significantly higher frequency of behavioural deviations as compared to controls. Also there was a higher number of responses on questions indicating an overprotecting attitude amongst parents of juvenile diabetics. There was an increased incidence of psychiatric morbidity in juvenile diabetics as compared to normal adolescents irrespective of the family environment. The results are discussed in relation to current literature.

Keywords: Diabetes mellitus, insulin dependent, child and adolescents, psychological aspects

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Selected References

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

  1. Bancroft J. Sexuality of diabetic women. Clin Endocrinol Metab. 1982 Nov;11(3):785–789. doi: 10.1016/s0300-595x(82)80013-3. [DOI] [PubMed] [Google Scholar]
  2. Canning E. H. Mental disorders in chronically ill children: case identification and parent-child discrepancy. Psychosom Med. 1994 Mar-Apr;56(2):104–108. doi: 10.1097/00006842-199403000-00005. [DOI] [PubMed] [Google Scholar]
  3. Cox S. How I coped emotionally with diabetes in my family. Prof Care Mother Child. 1994 Jun-Jul;4(5):139–141. [PubMed] [Google Scholar]
  4. Ehrlich R. M. Diabetes mellitus in childhood. Clin Endocrinol Metab. 1982 Mar;11(1):195–210. doi: 10.1016/s0300-595x(82)80042-x. [DOI] [PubMed] [Google Scholar]
  5. Fairburn C. G., McCulloch D. K., Wu F. C. The effects of diabetes on male sexual function. Clin Endocrinol Metab. 1982 Nov;11(3):749–767. doi: 10.1016/s0300-595x(82)80011-x. [DOI] [PubMed] [Google Scholar]
  6. Hammond G. S., Aoki T. T. Measurement of health status in diabetic patients. Diabetes impact measurement scales. Diabetes Care. 1992 Apr;15(4):469–477. doi: 10.2337/diacare.15.4.469. [DOI] [PubMed] [Google Scholar]
  7. Johnson S. B., Rosenbloom A. L. Behavioral aspects of diabetes mellitus in childhood and adolescence. Psychiatr Clin North Am. 1982 Aug;5(2):357–369. [PubMed] [Google Scholar]
  8. Kirk C. R., Savage D. C. The diabetic with a diabetic parent. Arch Dis Child. 1985 Jun;60(6):572–573. doi: 10.1136/adc.60.6.572. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lustman P. J., Freedland K. E., Carney R. M., Hong B. A., Clouse R. E. Similarity of depression in diabetic and psychiatric patients. Psychosom Med. 1992 Sep-Oct;54(5):602–611. doi: 10.1097/00006842-199209000-00007. [DOI] [PubMed] [Google Scholar]
  10. Minuchin S., Baker L., Rosman B. L., Liebman R., Milman L., Todd T. C. A conceptual model of psychosomatic illness in children. Family organization and family therapy. Arch Gen Psychiatry. 1975 Aug;32(8):1031–1038. doi: 10.1001/archpsyc.1975.01760260095008. [DOI] [PubMed] [Google Scholar]
  11. Okada S., Ichiki K., Tanokuchi S., Ishii K., Hamada H., Ota Z. How blood pressure in patients with non-insulin-dependent diabetes mellitus is influenced by stress. J Int Med Res. 1995 Sep-Oct;23(5):377–380. doi: 10.1177/030006059502300508. [DOI] [PubMed] [Google Scholar]
  12. Perrin E. C., Gerrity P. S. Development of children with a chronic illness. Pediatr Clin North Am. 1984 Feb;31(1):19–31. doi: 10.1016/s0031-3955(16)34533-3. [DOI] [PubMed] [Google Scholar]
  13. Stein R. E., Jessop D. J. General issues in the care of children with chronic physical conditions. Pediatr Clin North Am. 1984 Feb;31(1):189–198. doi: 10.1016/s0031-3955(16)34545-x. [DOI] [PubMed] [Google Scholar]
  14. Sullivan B. J. Adjustment in diabetic adolescent Girls: I. Development of the Diabetic Adjustment Scale. Psychosom Med. 1979 Mar;41(2):119–126. doi: 10.1097/00006842-197903000-00005. [DOI] [PubMed] [Google Scholar]
  15. Viinamäki H., Niskanen L., Uusitupa M. Mental well-being in people with non-insulin-dependent diabetes. Acta Psychiatr Scand. 1995 Nov;92(5):392–397. doi: 10.1111/j.1600-0447.1995.tb09602.x. [DOI] [PubMed] [Google Scholar]
  16. Wishner W. J., O'Brien M. D. Diabetes and the family. Med Clin North Am. 1978 Jul;62(4):849–856. doi: 10.1016/s0025-7125(16)31778-3. [DOI] [PubMed] [Google Scholar]

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