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Relations between age, metabolic control, disease adjustment and psychological aspects in insulin-dependent diabetes mellitus
Department of Woman and Child Health, Karolinska Institutet, Stockholm.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
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1996 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 85, no 7, 818-824 p.Article in journal (Refereed) Published
Abstract [en]

The relations between age, metabolic control, disease adjustment, and psychological factors in boys and girls with recently diagnosed insulin-dependent diabetes mellitus (IDDM) were studied. Older girls had significant higher postremission glycosylated haemoglobin A (Hb AIc) levels (p = 0.008). Girls with more hospitalizations had a lower developmental level (p = 0.05), and had significantly more problems in the behavioural rating (p = 0.05). Boys with more hospitalizations had a more external locus of control (p = 0.01), more difficulties with disease adjustment, more emotional problems, and were also clinically assessed as having more behavioural problems. Boys showing more difficulties in psychological adjustment to the disease also had higher postremission Hb AIc levels (p = 0.02). Although Swedish children with IDDM of short disease duration do not differ from healthy children in important psychological aspects, older girls and a small group of problematic younger boys are at risk of developing metabolic imbalance after a short disease duration.

Place, publisher, year, edition, pages
Oslo: Scandinavian University Press , 1996. Vol. 85, no 7, 818-824 p.
Keyword [en]
Adjustment, gender, insulin-dependent diabetes mellitus, metabolic control, psychological variables
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-88472DOI: 10.1111/j.1651-2227.1996.tb14159.xISI: A1996UX51600010PubMedID: 8819548OAI: oai:DiVA.org:umu-88472DiVA: diva2:715827
Available from: 2014-05-06 Created: 2014-05-06 Last updated: 2017-12-05Bibliographically approved

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