Prevalence and association of depression, family function on glycemic control in children and adolescents with type 1 diabetes at Hatyai hospital
Keywords:
type 1 diabetes, auditory brainstem response, family function, glycemic controlAbstract
Background: The majority of children and adolescents with type 1 diabetes (T1D) could not achieve target glycemic control which is influenced by many factors including depression and family function.
Objectives: To determine prevalence of depression and identify medical and psychosocial factors associated with glycemic control in children and adolescents with type 1 diabetes.
Methods: The cross-sectional analytic study included children and adolescents with T1D, aged 7-18 years, was conducted from May to July 2024 at diabetes clinic. Subjects were divided into 2 groups, good glycemic control (HbA1c ≤ 9%) and poor glycemic control (HbA1c > 9%). Children’s Depression Inventory (CDI) and Chulalongkorn Family Inventory (CFI) were used to evaluate depression and family function, respectively. Data were collected from questionnaires and medical records. Multivariable logistics regression was used to determine factors associated with glycemic control.
Results: Sixty-four patients (median age 13.3 years, mean HbA1c 10.12 ± 2.30 %) were classified into good glycemic control (n=24) and poor glycemic control (n=40). Prevalence of depression in this study was 45.3% (n=29). Prevalence of depression in poor glycemic control group (50%) was higher than good glycemic control group (37.5%), but were not statistically significant difference (p=0.330). Furthermore, frequency of self-monitoring of blood glucose (SMBG), number of insulin injection and family function (problem solving, communication, overall) were significantly different between two groups. Multivariate analysis, significant factor for glycemic control was frequency of SMBG (OR 0.22, 95%CI: 0.16-0.29, p <0.001).
Conclusion: Prevalence of depression in this study was high. Significant associations with good glycemic control was high frequency of SMBG. Improve family function (especially problem solving and communication), may improve glycemic outcomes.
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