title: Emotional dysfunction associated with diabetes in Mexican adolescents and young adults with type-1 diabetes.
abstract: OBJECTIVE
  To assess the emotional dysfunction associated with diabetes in Mexican young individuals with type-1 diabetes.
  
  
  METHODS
  A cross-sectional survey was conducted to perform a complete clinical and psychosocial evaluation of 93 consecutive type-1 diabetes patients, and 14 to 30 years.
  
  
  RESULTS
  Adolescents had higher scores of emotional dysfunction related to diabetes and a diminished knowledge in diabetes-related areas. A multivariate logistic regression model showed that an inadequate emotional response to diabetes (high problem areas in diabetes or PAID scores) was mainly associated with a poor glycemic control (OR = 2.9, 95% CI 0.9-9.7, p = 0.09). Apprehension about the future and the possibility of serious complications had the highest mean PAID score in all age groups.
  
  
  CONCLUSIONS
  New strategies should be developed to improve the routine care and support of young individuals with type-1 diabetes.
authors.affiliation: Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, 14080 México, D.F., México. lerman@netservice.com.mx
authors.forename: Israel
authors.initials: I
authors.lastname: Lerman-Garber
authors.forename: Consuelo
authors.initials: C
authors.lastname: Barrón-Uribe
authors.forename: Raúl
authors.initials: R
authors.lastname: Calzada-León
authors.forename: Moisés
authors.initials: M
authors.lastname: Mercado-Atri
authors.forename: Rafael
authors.initials: R
authors.lastname: Vidal-Tamayo
authors.forename: Silvia
authors.initials: S
authors.lastname: Quintana
authors.forename: María Elena
authors.initials: ME
authors.lastname: Hernández
authors.forename: María de la Luz
authors.initials: Mde L
authors.lastname: Ruiz-Reyes
authors.forename: Laura Elena
authors.initials: LE
authors.lastname: Tamez-Gutiérrez
authors.forename: Elisa
authors.initials: E
authors.lastname: Nishimura-Meguro
authors.forename: Antonio R
authors.initials: AR
authors.lastname: Villa
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D011795:Surveys and Questionnaires