Publications by authors named "Antonietta Chianese"

Objective: To investigate fear of hypoglycemia (FoH) in parents of children with type 1 diabetes (T1D) before and after undergoing training to learn intranasal (IN) glucagon administration.

Method: In this pre-test/post-test uncontrolled study 364 caregivers of patients with T1D (6-18 years) completed questionnaires measuring sociodemographic characteristics, diabetes-related factors (e.g.

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Objective: The aim of this study was to report nationwide data of the prevalence of disordered eating behaviors (DEBs) in adolescents with type 1 diabetes (T1D) and to evaluate a multidimensional model of eating problems, analyzing how psychopathological problems are associated with DEBs and with metabolic control.

Methods: This study was carried out using a cross-sectional design with a sample of 1,562 patients with T1D (812 male), aged 11-19 years. Participants were recruited from multiple pediatric diabetes centers (N = 30) located in northern, central, and southern Italy, and they individually completed the Diabetes Eating Problem Survey-Revised (DEPS-r) and the Youth Self-Report (YSR).

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Article Synopsis
  • A systematic review was conducted to analyze the effects of COVID-19 on the mental health of individuals with type 1 diabetes (T1D), revealing a lack of comprehensive data on this issue.
  • The review included 44 studies that showed a significant prevalence of mental health issues, including depression and anxiety, especially among women and those with poorer diabetes management.
  • The findings suggest that enhancing medical and psychological support is crucial to help T1D individuals cope with COVID-19-related challenges and mitigate long-term mental health and physical health consequences.
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Objectives: Hybrid closed loop systems (HCL) improve the management of type 1 diabetes (T1DM). T1DM adolescent patients represent a risk category also if they are in an automated insulin infusion delivery therapy.

Case Presentation: We describe a series of four cases in which adolescent patients have adopted incorrect behaviours in the managing of HCL systems, challenging the algorithm skills.

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Article Synopsis
  • The study investigates the prevalence of disordered eating behaviors (DEBs) among Italian adolescents with type 1 diabetes, revealing that about 28.1% are affected, with a higher incidence in girls compared to boys.
  • Results show that adolescents with DEBs have higher body mass index (zBMI) and HbA1c levels, indicating poorer diabetes management, and also experience more emotional and behavioral problems.
  • The authors suggest that regular screenings for DEBs and overall psychological health should be integrated into diabetes care to improve outcomes for adolescents.
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Eighty-five youths with T1D and 176 controls aged 8-19 years were asked to complete online questionnaires (ChEAT and EAT-26) measuring disordered eating behaviors (DEBs) during (baseline) and after (8-month follow-up) the lockdown. DEB symptoms in all participants (especially younger than 13 years), glycemic control, and zBMI were found unchanged from baseline to follow-up (all p > .05).

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Wolfram Syndrome (WS) is a very rare genetic disorder characterized by several symptoms that occur from childhood to adulthood. Usually, the first clinical sign is non-autoimmune diabetes even if other clinical features (optic subatrophy, neurosensorial deafness, diabetes insipidus) may be present in an early state and may be diagnosed after diabetes' onset. Prognosis is poor, and the death occurs at the median age of 39 years as a consequence of progressive respiratory impairment, secondary to brain atrophy and neurological failure.

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Background: Given that the widely acknowledged influence of the doctor-patient relationship on objective health parameters and treatment adherence in chronic illnesses, this study sought to explore how patients perceived the patient-doctor relationship across virtual and in-person contexts.

Methods: Parents' and patients' perceptions of doctor-patient relationship were evaluated in 610 children and adolescents (12.17 ± 4.

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Aim: We explored the physical activity (PA) level and the variation in glycaemic control in children with type 1 diabetes (T1D) before and during the lockdown. Then, we proposed an online training program supported by sport-science specialists.

Methods: Parents of children with T1D (<18 years) filled out an online survey.

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The aim of this study was to assess general psychosocial adjustment to diabetes and perceived disease management among patients with type 1 diabetes (T1D) and their parents before and after patients' participation in a diabetes summer camp. In this follow-up study, 20 children and adolescents with T1D (eight boys; mean age = 11.01 ± 0.

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Background: Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed to explore the prevalence of DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls during the COVID-19 lockdown.

Methods: In a cross-sectional study, 138 children and adolescents with T1D (aged 8.

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Article Synopsis
  • - The study investigated body image issues and disordered eating behaviors in adolescents with type 1 diabetes compared to healthy peers, involving 183 participants from southern Italy who completed several self-report measures.
  • - Findings revealed that 37.7% of adolescents with type 1 diabetes experienced eating problems, showing more symptoms related to drive for thinness and bulimia than their healthy counterparts, with specific gender differences noted in pressures related to body image.
  • - The results indicated that both body image issues and zBMI significantly increased the risk of disordered eating behaviors in adolescents, but no significant predictors for bulimic symptoms in males were identified.
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To assess the psychometric properties of the Draw a Person: A Quantitative Scoring System (DAP:QSS), in 2543 children (M = 11.43 ± 3.06 years), correlations between drawings scores and Raven's Matrices scores, age, and academic achievement were examined.

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The purpose of this study is to examine associations of disordered eating behaviors (DEBs) with body image problems, parents' eating disorder symptoms, and emotional and behavioral problems among adolescents with type 1 diabetes (T1D). 200 adolescents (M age = 15.24 ± 1.

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Background: Age-specific preventive interventions by exploiting age-appropriate means are needed to effectively support adolescents with type 1 diabetes in facing illness and developmental-related difficulties. The provision of social support through a content analysis of messages posted on online conversations was examined.

Methods: Participants and moderators' messages posted to an Italian online chat group for adolescents with type 1 diabetes were content analyzed using a social support behavior coding system.

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Objective: The purpose of this research is to examine the presence of disordered eating behaviors (DEBs) in youths with type 1 diabetes (T1D) according to their parents' evaluations. The roles of demographic and diabetes-related variables were also analyzed.

Methods: In 54 patients with T1D (aged 10.

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Article Synopsis
  • The study tracked 81 children with type 1 diabetes over five years to assess changes in body image accuracy and dissatisfaction as well as the relationship with disordered eating behaviors (DEBs).
  • It found that participants continued to underestimate their body size and experienced dissatisfaction, with no significant changes in body image perceptions, BMI, or overall glycemic control measures.
  • The research concluded that persistent body image issues were linked to increased levels of DEBs, highlighting the need for early intervention strategies for young patients.
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This study examined nonverbal intelligence and scholastic achievement in children with type 1 diabetes. In a retrospective case-control study, 69 children (35 males) ages 5-10 years with type 1 diabetes and 69 healthy controls matched to patients by age, gender and socioeconomic status were compared according to their performance on Raven's Coloured Progressive Matrices and their scholastic grades. No differences in nonverbal intelligence and grades were observed between children with type 1 diabetes and healthy control subjects.

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The purpose of this study was to assess messages posted by mothers of children with type 1 diabetes in the Italian Facebook group "Mamme e diabete" using computerized text analysis. The data suggest that these mothers use online discussion boards as a place to seek and provide information to better manage the disease's daily demands-especially those tasks linked to insulin correction and administration, control of food intake, and bureaucratic duties, as well as to seek and give encouragement and to share experiences regarding diabetes and related impact on their life. The implications of these findings for the management of diabetes are discussed.

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This study evaluated the body image perception in children with type 1 diabetes in order to identify symptoms of disordered eating behaviours early. Children with type 1 diabetes and controls showed underestimation and dissatisfaction with body size. The patients, especially girls, were more accurate in their perception of body size than the control group.

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