The effect of problem-solving skills on blood glucose regulation and disease management in children with type 1 diabetes mellitus
Author:
Mutluer Tuba1, Aslan Genç Herdem1, Demir Tuana2, Demirel Çağrı2, Bakır Çiçek Nur2, Necef Işıl3, Muradoğlu Serra3, Yeşiltepe Mutlu Gül4, Hatun Şükrü4
Affiliation:
1. Department of Child and Adolescent Psychiatry and Mental Health , Koç University School of Medicine , Istanbul , Türkiye 2. Koç University School of Medicine , Istanbul , Türkiye 3. Department of Child Psychology , Koç Üniversitesi Hastanesi , Istanbul , Türkiye 4. Department of Pediatric Endocrinology , Koç University School of Medicine , Istanbul , Türkiye
Abstract
Abstract
Objectives
This cross-sectional study examined the relationship between problem-solving skills, glucose regulation, and disease management in children with type 1 diabetes mellitus (T1DM) as well as the role of depression in this association.
Methods
The participants (n=54) were recruited from a diabetes camp. Problem-solving inventory (PSI), Beck depression inventory (BDI), and diabetes self-management profile (DSMP) were administered as tests. Forty-six participants who have been diagnosed with T1DM for at least a year and completed the survey were included in the analyses. Participants were categorized into high and low depression groups based on the median split. Student’s t-test was used to detect demographic differences in groups. Linear regression models were used to examine the association between PSI, HbA1c, and DSMP. Regressions for PSI and DSMP were repeated in low and high-depression groups.
Results
Of the 46 participants with T1DM, 52 % were female, with a mean age of 13.96 ± 1.94 (range 10–17). Avoidant and monitoring style of problem solving as well as the total score of PSI significantly predicted HbA1c levels. Impulsive and avoidant style of problem solving, problem-solving confidence, and total scores of PSI significantly predicted DSMP (p<0.05). The high depression group had a significantly higher DSMP score than the low depression group (p=0.001), with no difference in HbA1c levels (p=0.968). When the DSMP regressions were repeated, no significant associations were seen in the low depression group. Avoidant style of problem solving, problem-solving confidence, and the total score of PSI significantly predicted DSMP in the high depression group (p<0.005).
Conclusions
Problem solving-skills are essential in children with T1DM for a successful disease management. Depression modulates the association between the problem-solving and self-management profile.
Publisher
Walter de Gruyter GmbH
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health
Reference43 articles.
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