PEDIATRICS Vol. 65 No. 1 January 1980, pp. 69-73
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Psychosocial Adjustment of Latency-Aged Diabetics: Determinants and Relationship to Control

Margaret J. Grey RN, MSN1, Myron Genel MD1, and William V. Tamborlane MD1

1 Department of Pediatrics, Yale University Schools of Medicine and Nursing, Section of Pediatric Endocrinology, New Haven, Connecticut

The relationship of psychosocial adjustment, family functioning, self-esteem, and diabetic control was studied in 20 latency-aged diabetic children and their parents. Moderate to severe adjustment problems were found in 11 (55%) of the patients. Child self-esteem, parental self-esteem, and family functioning, as scored by standard instruments, were all significantly greater in the group of children considered to be well-adjusted as compared to the maladjusted group (P .05 to .001). Of these, parental self-esteem appeared to correlate most closely with the child's adjustment. Twenty-four-hour urinary glucose excretion was two- to threefold greater in maladjusted as compared to well-adjusted patients (71 ± 20 vs 20 ± 5 gm, P .05). These data suggest that psychosocial adjustment problems frequently occur in latency-aged children with diabetes, are associated with poorer chemical control, and require a family-centered approach to intervention and management.

Submitted on January 19, 1979
Accepted on March 12, 1979




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