Emotional dysfunction associated with diabetes in Mexican adolescents and young adults with type-1 diabetes.

Salud Publica Mex

Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, 14080 México, D.F., México.

Published: October 2003

Objective: To assess the emotional dysfunction associated with diabetes in Mexican young individuals with type-1 diabetes.

Material And 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.

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http://dx.doi.org/10.1590/s0036-36342003000100002DOI Listing

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