Bullying, regimen self-management, and metabolic control in youth with type I diabetes - 10/08/11
, Amanda D. Heidgerken, PhD, Gary R. Geffken, PhD, Adam B. Lewin, MS, Vanessa Ohleyer, BA, Marianna Freddo, BA, Janet H. Silverstein, MD
Reprint requests: Dr Eric A. Storch, Department of Psychiatry, University of Florida, Box 100234, Gainesville, FL 32610Résumé |
Objective |
To determine the association among diabetes-related bullying, diabetes self-management, metabolic control, and depression in children and adolescents with type I diabetes (TID).
Study design |
Measures of diabetes-related bullying and depression were administered to 167 youth with TID at their regularly scheduled diabetes care visits. Parents were administered a clinician-rated index of their child’s diabetes self-management. HbA1c levels were assessed.
Results |
Diabetes-related bullying was positively related to HbA1c concentration and negatively related to overall self-management and specifically to adherence to glucose testing and dietary tasks. Depressive symptoms partially mediated the relation between diabetes-related bullying and overall self-management.
Conclusion |
Given the associations between diabetes-related bullying and regimen self-management, the issue of illness-related bullying merits serious attention for pediatricians and school personnel.
Le texte complet de cet article est disponible en PDF.Abbreviations : CDI-S, DRBS, DSMP, TID
Plan
| Supported, in part, by a grant to Dr Storch from the Human Growth Foundation. |
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| The Diabetes Related Bullying Scale is available upon request from the first author. |
Vol 148 - N° 6
P. 784-787 - juin 2006 Retour au numéro
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