Association between emotional and behavioral problems and metabolic control in children and adolescents with Type 1 diabetes.
OBJECTIVE
We aimed to investigate the differences in emotional and behavioral problems and to explore the association between the level of psychiatric problems and the metabolic control in Type 1 diabetes.


METHODS
The children with Type 1 diabetes (no.=42) and the "healthy" control group (no.=42), their parents and endocrinology specialist completed the forms prepared for the study. The parents completed the Child Behavioral Checklist (CBCL/4- 18).


RESULTS
The groups had significant differences in CBCL activities (p<0.001), social competence (p<0.001), total competences (p<0.001), withdrawal (p=0.036), anxiety/depression (p=0.033), social problems (p=0.009), and aggressive behavior (p=0.04) scores. We did not find significant differences in CBCL scores between the groups with good, moderate and bad metabolic control (p>0.05).


CONCLUSIONS
The parents of children with Type 1 diabetes reported emotional and behavioral problems significantly more. We did not find any significant association between the level of metabolic control and the emotional and behavioral problems.
Akbaş
S
S
Department of Childhood and Adolescent Psychiatry, Ondokuz Mayis University School of Medicine, Samsun 55139, Turkey. akbasseher@hotmail.com
Karabekiroğlu
K
K
Ozgen
T
T
Tasdemir
G
G
Karakurt
M
M
Senses
A
A
Böke
O
O
Aydin
M
M
D000293:Adolescent; D000328:Adult; D000374:Aggression; D001786:Blood Glucose / Q000378:metabolism; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology*; D003863:Depression; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D004644:Emotions; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D016743:Mental Competency; D010290:Parents / Q000523:psychology; D012919:Social Behavior; D012940:Social Problems
D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human