Uzun, Ayla Recep Tayyip Erdogan University - Education and Research Hospital, Child and Adolescent Mental Health and Diseases Clinic, Turkey , Fettahoğlu, Emine Çığıl Akdeniz University - Medicine of School - Department of Child Psychiatry, Turkey , Şimşek, Şeref Dicle University Oncology Hospital - Department of Child Psychiatry, Turkey , Durmaz, Erdem Mersin State Hospital - Department of Pediatric Endocrinology, Turkey , Bircan, İffet Akdeniz University - Medicine of School - Department of Pediatric Endocrinology, Turkey

Self-esteem and psychopathology in the children with Type 1 diabetes

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Aim. This study aims to evaluate psychiatric disorders and self-esteem in children with Type 1 diabetes mellitus (Type 1 DM). Methods. The study enrolled 52 volunteer children aged between 8 and 12-years-old, who have been diagnosed with Type 1 DM, and “group with psychiatric disease” (PG) (n=28) and “healthy controls” (HC) (n=26) consisted of healthy controls who are age- and sex-matched with patient group. Sociodemographic data were obtained using standard sociodemographic data collection form. The children were administered semi-structured diagnostic interview (K-SADS-PL), Piers-Harris children s self-concept scale (PHCSCS) and Rosenberg Self-esteem Scale (RSES). Results. It was observed that 59.6% of the children with DM (n=31) still had at least one psychiatric disorder. It was seen that, in the diabetic group, HbA1C levels were higher in those with psychiatric disorder compared to those without it (p=0.024). It was found that self-esteem of the children in the group with psychiatric disorder was lower compared to both healthy counterparts (p=0.00) and the children with DM (p=0.005). It was found that the children in the group with psychiatric disorder had lower self-esteem compared to healthy counterparts. When self-concept of the children was examined, it was seen that there was a difference across the groups (p=0.02), which was attributed to more negative self-concepts of the children with DM compared to healthy counterparts (p=0.04). In the children with DM, it was seen that interpersonal relation problems were seen in a wider range of areas. Conclusion. It is seen that, in the children with Type I DM, self-concept was more negative compared to healthy children, that problems in relation were seen in a wider range of areas and that the presence of a psychiatric disease increased HbA1C levels. These results suggest that psychiatric evaluation is required during the follow-up of the diabetic children, allowing the recognition and treatment of eventual psychopathologies and the prevention of the eventual complications that may develop in the future.

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Type I Diabetes Mellitus , child , psychopathology , self , esteem

Cumhuriyet Medical Journal

531