American Journal of Nursing Science
Volume 7, Issue 3-1, June 2018, Pages: 33-38
Received: Jul. 10, 2017;
Accepted: Aug. 1, 2017;
Published: Aug. 23, 2017
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Minasidou Eugenia, Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece
Kourouzidou Korina, Psychopaediatric Clinic, General Hospital “Ippokrateio”, Thessaloniki, Greece
Mina Sophia, Psychopaediatric Clinic, General Hospital “Ippokrateio”, Thessaloniki, Greece
Kourakos Michael, Director of Nursing, General Hospital “Asklepeion” Voulas, Athens, Greece
Dimitriadou Alexandra, Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece
Kafkia Theodora, Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece
Diabetes Mellitus is a chronic disease than can cause negative mood, interpersonal problems, inefficacy, anhedonia and negative self-confidence. In addition, quality of life is affected for the patient and his/her family, mainly in everyday and social activities as well as in psychological status. In the present study the relationship between type 1 Diabetes Mellitus and mood disorders in children and adolescents has been investigated, as well as the factors affecting, negatively or positively, the way these disorders are manifested. Seventy two children and adolescents (47 girls and 25 boys) that attended hospital’s outpatient’s clinics in northern Greece were the sample of the study. Participation was voluntary; having obtained informed consent from parents and children. The Children Depression Inventory (CDI Kovacs, 1980) was used. Data analysis was conducted using SPSS 20.00. The research revealed that boys experience more interpersonal problems and inefficacy than girls. Looking with more details into the participants’ family status statistical significance was detected only regarding negative mood. Higher depression scores were noticed for “single parent families” followed by “divorced parents”, while children who lived with both parents scored the lowest. The results showed that statistically significant difference existed in the total CDI score and the subscales of negative self-confidence and inefficacy. Children up to 12 years old scored lower than children older than 13 years old. In conclusion, diabetes is requiring from children and their families adjustment in everyday life in order to achieve a good health and mental status. Knowledge of early signs and symptoms of childhood depression can help parents and teachers to detect them and ask for professional help and support. Healthcare professionals should plan care in a way that psychological support, positive motivation and compliance to treatment could be enhanced.
Mood Disorders in Children and Adolescents with Type 1 Diabetes, American Journal of Nursing Science. Special Issue: Nursing Education and Research.
Vol. 7, No. 3-1,
2018, pp. 33-38.
C. Patterson, E. Gyürüs, J. Rosenbauer, O. Cinek, A. Neu, E. Schober et al, “Trends in childhood type 1 diabetes incidence in Europe during 1989-2008: evidence of non-uniformity over time in rates of increase,” Diabetologia 2012; 55(8): 2142–2147.
P. Zimmet, K. Alberti, J. Shaw, “Global and societal implications of the diabetes epidemic,” Nature 2001; 414(6865): 782-787.
V. Helgeson, P. Snyder, O. Escobar, L. Siminerio, D. Becker, “Comparison of adolescents with and without diabetes on indices of psychosocial functioning for three year,” J Pediatr Psycchol 2007; 32(7): 794- 806.
American Diabetes Association, “Diagnosis and Classification of Diabetes Mellitus,” Diabetes Care 2009; 32 (Suppl. 1): 62 - 67.
K. Reynolds, V. Helgeson, “Children with diabetes compared to peers: Depressed? Distressed? A meta-analytic review,” Ann Behav Med 2011; 42(1): 29-41.
T. Wysocki, A. Taylor, B. Hough, T. Linscheid, K. Yeates, J. Naglieri, “Deviation from developmentally appropriate self-care autonomy: association with diabetes outcomes,” Diabetes Care 1996; 19(2): 119–125.
G. Holmebeck, “A developmental perspective on adolescent health and illness: an introduction to the special issues,” J Pediatr Psychol 2002; 27(5): 409-416.
V. Matziou, K. Tsoumakas, E. Vlahioti, L. Chrysicopoulou, P. Galanis, K. Petsios et al, “Factors influencing the quality of life of young patients with diabetes,” J Diabetes 2011; 3(1): 82-90.
J. Sendela, B. Zduńczyk, H. Trippenbach-Dulska, A. Szypowska, “Prevalence of Depressive Symptoms in School Aged Children With Type 1 Diabetes - A Questionnaire Study.” Psychiatr Pol 2015; 49(5): 1005 -1016.
R. Frank, K. Hagglund, L. Schopp, J. Thayer, A. Vieth, J. Cassidy et al, “Disease and family contributors to adaptation in juvenile rheumatoid arthritis and juvenile diabetes,” Arthritis Care Res 1998; 11(3): 166–176.
J. Jones, M. Lawson, D. Daneman, M. Olmstead, G. Rodin, “Eating disorders in adolescent females with and without type 1 diabetes: Cross sectional study,” BMJ 2000; 320(7249): 1563–1566.
L. Lowes, P. Lyne, “Chronic sorrow in parents of children with newly diagnosed diabetes: a review of the literature and discussion of the implications for nursing practice,” J Adv Nurs 2000; 32(1): 41–48.
S. Nielsen, “Eating disorders in females with type 1 diabetes: An update of a meta-analysis,” Eur Eat Disorders Rev 2002; 10(4): 241–254.
P. Colton, A. Rydall, M. Olmsted, G. Rodin, D. Daneman, “Disturbed eating behaviour and eating disorders in preteen and early teenage girls with type 1 diabetes,” Diabetes Care 2004; 27(7): 1654–1659.
W. Carr, “Education without theory,” Brit J Educ Studies 2006; 54(2): 136-139.
E. Ghika, “Psychoanalytic and psychosomatic approach of the adolescent with Diabetes Mellitus,” Diab Mel type 1: our news 2007; 62(3): 6–9 (in Greek).
A. Nicolucci, K. Kovacs Burns, R. Holt, M. Comaschi, N. Hermanns, H. Ishij et al, “Diabetes attitudes, wishes and needs second study (DAWN 2). Cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes,” Diabet Med 2013; 30(7): 787-777.
M. Grey, R. Whittemore, W. Tamborlane, “Depression in type 1 diabetes in children: natural history and correlates,” J Psychosom Res 2002; 53(4): 907–911.
J. Silverstein, P. Cheng, K. Ruedy, C. Kollman, R. Beck, G. Klingensmith et al, “Depressive Symptoms in Youth With T1D or T2D Diabetes: results of the paediatric diabetes consortium screening assessment of depression in diabetes study,” Diabetes Care 2015; 38(12): 2341–2343.
S. Bowes, L. Lowes, J. Warner, J. Gregory, “Chronic sorrow in parents of children with type 1 diabetes,” J Adv Nurs 2009; 65(5): 992-1000.
R. Anderson, K. Freedland, R. Clouse, R. Lustman, “The prevalence of co-morbid depression in adults with diabetes: A meta-analysis,” Diabetes Care 2001; 24(6): 1069-1078.
C. Moulton, J. Pickup, K. Ismail, “The link between depression and diabetes: the search for shared mechanisms,” Lancet Diabetes Endocrinol 2015; 3(6): 461-471.
P. Dziemidok, M. Makara-Studzinska, M. Jarosz, “Diabetes and Depression: a combination of civilization and life-style diseases is more than simple problem adding-literature review,” Ann Agric Environ Med 2011; 18(2): 318-322.
American Psychiatric Association (APA), Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Washington, 2016.
W. Katon, M. Von Korff, E. Lin, G. Simon, E. Ludman, J. Russo et al, “The Pathways Study: a randomized trial of collaborative care in patients with diabetes and depression,” Arch Gen Psychiatry 2004; 61(10): 1042-1049.
P. Lustman, R. Clouse, “Depression in diabetic patients: the relationship between mood and glycemic control,” J Diabetes Complications 2005; 19(2): 113-122.
M. Kovacs, “The Children’s Depression Inventory (CDI),” Psychopharmacol Bull 1985; 21(4): 995-998.
World Medical Association Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects, 2013.
K. Keenan, A. Hipwell, J. Duax, M. Stouthamer-Loeber, R. Loeber, “Phenomenology of depression in young girls,” J Am Acad Child Adolesc Psychiatry 2004; 43(9): 1098−1106.
T. Ollendick, A. Shortt, J. Sander, “Internalizing disorders of childhood and adolescence,” in J. E. Maddux & B. A. Winstead, Eds. Psychopathology: Foundations for a contemporary understanding, 2005, pp. 353−376.
E. Jane Costello, A. Erkanli, A. Angold, “Is there an epidemic of child or adolescent depression?” J Child Psychol Psychiatry 2006; 47(12): 1263−1271.
K. Bryden, R. Peveler, A. Stein, A. Neil, R. Mayou, D. Dunger, “Clinical and psychological course of diabetes from adolescence to young adulthood: a longitudinal cohort study,” Diabetes Care 2001; 24(9): 1536-1540.
P. Caughlin, S. Malis, “Connections with self-esteem and substance use,” J Social Personal Relationships 2004; 21(1): 125–148.
M. Chamorro, I. Martínez, C. Tomás, “Psychosocial Characteristics of Children and Adolescents With Type 1 Diabetes Mellitus,” An Esp Pediatr 2001; 55(5): 406-412 (in Spanish).
K. Hanna, D. Guthrie, “Parents and adolescents perceptions of helpful and nonhelpful support for adolescents assumption of diabetes management responsibility,” Issues Compr Pediatr Nurs 2001; 24(4): 209–223.