Emotional dysfunction associated with diabetes in Mexican adolescents and young adults with type-1 diabetes.
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.
Lerman-Garber
Israel
I
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
Barrón-Uribe
Consuelo
C
Calzada-León
Raúl
R
Mercado-Atri
Moisés
M
Vidal-Tamayo
Rafael
R
Quintana
Silvia
S
Hernández
María Elena
ME
Ruiz-Reyes
María de la Luz
Mde L
Tamez-Gutiérrez
Laura Elena
LE
Nishimura-Meguro
Elisa
E
Villa
Antonio R
AR
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