Psychological variables and lifestyle in children with type1 diabetes and their parents: A systematic review.

Journal: Clinical child psychology and psychiatry

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Affiliated Institutions:  School of Human and Behavioural Sciences, Bangor University, Bangor, UK. Korle Bu Teaching Hospital, Accra, Ghana.

Abstract summary 

Diabetes may impact physical and psychosocial well-being; the diabetes incidence has seen a drastic increase globally. There is also a rise in poor mental health and well-being in children with and without chronic illness; problems are being seen at a younger age. The objective of this review was to understand the determinants of these problems in a family context. We conducted a systematic review to investigate what lifestyle and psychological factors influence children with Type 1 diabetes and their parents. A focused literature search was performed using a combination of keywords that covered the relevant terminology for diabetes, target population, and associated emotional distress, using electronic bibliographic databases containing publications until May 2022. Methodological quality was assessed using the Quality Assessment Tools for Quantitative Studies. Twenty articles met the inclusion criteria. Quality scores were weak because of a lack of comparison groups, information about the type of therapy, or adequate sample sizes. Many of the studies included a wide age range in their sample. The majority of the studies reported that parents and their children showed depression symptoms, fear of hypoglycaemia, and higher parenting stress. We conclude that sufficiently powered studies employing appropriate control groups and measures are needed to elucidate the psychological variables associated with Type1 diabetes in children and the effects on parents, especially considering primary-age children who are increasingly reported to suffer from poor mental health, and its implications. This should help to introduce better targeted interventions and improve behavioural outcomes.

Authors & Co-authors:  Alazmi Afrah A Bashiru Masha Boi MB Viktor Simon S Erjavec Mihela M

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.1177/13591045231177115
SSN : 1461-7021
Study Population
Male,Female
Mesh Terms
Other Terms
Type1 diabetes;anxiety;children and parents;depression;systematic review
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Quantitative,Systemic Review
Country of Study
Publication Country
England