Jul 1, 1977

Socio-psychological factors and metabolic control in juvenile diabetes

Acta paediatrica Scandinavica
J Ludvigsson


The influence of exogenous and environmental factors on metabolic control was studied in 58 insulin treated juvenile diabetics, 6-17 years of age. Duration of diabetes varied between 3-14 years and age at onset of diabetes between 1-13 years. The social situation as well as knowledge about and attitudes towards diabetes among the patients and their parents were estimated by interviews, questionnaires and special tests. The quality of the diet, exercise and insulin treatment was assessed. An index of diabetic control was calculated on the basis of the patients daily urinalysis made at home. Multiple regression analysis and a special statistical "instrumental" variable technique were used in an effort to analyse the correlations between all variables. The social situation of the diabetic children was comparable with that of other Swedish children, but many parents felt the economic burden of the diabetic treatment as a problem. Knowledge tests showed that 25% of the parents and 62% of the patients above 12 years had unsatisfactory knowledge about diabetes. However, 93% of the patients seemed to have predominantly positive attitudes towards the treatment. Severe psychological problems had occurred in 7 cases. Food habits were appr...Continue Reading

Mentioned in this Paper

Attitude to Health
Food Habits
Urinalysis; Qualitative or Semiquantitative, Except Immunoassays
Diabetes Mellitus, Insulin-Dependent
Regression Analysis
Diabetes, Autoimmune
Exogenous Factors

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