Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relat
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Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relation to glycemic control Maartje de Wit*1,2, Henriette A Delemarre-van de Waal3, Jan Alle Bokma4, Krijn Haasnoot5, Mieke C Houdijk6, Reinoud J Gemke3 and Frank J Snoek1,2 Address: 1Department of Medical Psychology, VU University Medical Center Amsterdam, The Netherlands, 2EMGO Institute, VU University Medical Center Amsterdam, The Netherlands, 3Department of Pediatrics, VU University Medical Center Amsterdam, The Netherlands, 4Department of Pediatrics, Spaarne Ziekenhuis Hoofddorp, The Netherlands, 5Department of Pediatrics, Medical Center Alkmaar, The Netherlands and 6Department of Pediatrics, Juliana Kinderziekenhuis Den Haag, The Netherlands Email: Maartje de Wit* - [email protected]; Henriette A Delemarre-van de Waal - [email protected]; Jan Alle Bokma - [email protected]; Krijn Haasnoot - [email protected]; Mieke C Houdijk - [email protected]; Reinoud J Gemke - [email protected]; Frank J Snoek - [email protected] * Corresponding author
Published: 16 February 2007 Health and Quality of Life Outcomes 2007, 5:10
doi:10.1186/1477-7525-5-10
Received: 13 December 2006 Accepted: 16 February 2007
This article is available from: http://www.hqlo.com/content/5/1/10 © 2007 de Wit et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: To determine physical and psychosocial well-being of adolescents with type 1 diabetes by self-report and parent report and to explore associations with glycemic control and other clinical and socio-demographic characteristics. Methods: Demographic, medical and psychosocial data were gathered from 4 participating outpatient pediatric diabetes clinics in the Netherlands. Ninety-one patients completed the Child Health Questionnaire-CF87 (CHQ-CF87), Centre for Epidemiological Studies scale for Depression (CES-D), and the DFCS (Diabetes-specific Family Conflict Scale). Parents completed the CHQPF50, CES-D and the DFCS. Results: Mean age was 14.9 years (± 1.1), mean HbA1c 8.8% (± 1.7; 6.2–15.0%). Compared to healthy controls, patients scored lower on CHQ subscales role functioning-physical and general health. Parents reported less favorable scores on the behavior subscale than adolescents. Fewer diabetes-specific family conflicts were associated with better psychosocial well-being and less depressive symptoms. Living in a one-parent family, being member of an ethnic minority and reporting lower well-being were all associated with higher HbA1c values. Conclusion: Overall, adolescents with type 1 diabetes report optimal well-being and parent report is in accordance with these findings. Poor glycemic control is common, with single-parent families and ethnic minorities
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