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Psychological impact of continuous subcutaneous insulin infusion pump therapy in non-selected newly diagnosed insulin dependent (type 1) diabetic children: evaluation after two years of therapy.
Diabete Metab. 1990 Jul-Aug; 16(4):273-7.DM

Abstract

Thirty type 1 (insulin dependent) diabetic children were treated from diagnosis onwards in a random order (using a table of random permutations) with either continuous subcutaneous insulin infusion pump therapy (CSII), or with conventional injection therapy (CT). After two years of therapy psychosocial measurements were obtained of fifteen CSII children (8 boys, 7 girls; mean age: 12+/-4 years) and thirteen CT children (6 boys, 7 girls; mean age: 10+/-4 years) and their parents. Two families of the CT group refused to participate. The examination consisted of six tests (for the children: junior dutch personality test, WISC-R intelligence test, family relation test, diabetes questionnaire; for the parents: family interaction scale and assessment of acceptance scale). Parents (and pediatricians) rated CSII children higher on compliance and better on metabolic control. Acceptance of diabetes, physical and psychological condition was rated equally by parents and doctors. Except for the diabetes questionnaire, the children of the two groups scored not significantly different. The CSII group expressed significantly less physical complaints and physical restrictions. CSII children showed a tendency to score higher on recalcitrance compared with CT children. How adequate this coping of CSII children may be, is discussed.

Authors+Show Affiliations

Slijper FM
Department of Child Psychiatry, Erasmus University Rotterdam, The Netherlands.
De Beaufort CE
No affiliation info available
Bruining GJ
No affiliation info available
De Visser JJ
No affiliation info available
Aarsen RS
No affiliation info available
Kicken DA
No affiliation info available
Van Strik R
No affiliation info available

MeSH

AdolescentAttitudeChildChild, PreschoolDiabetes Mellitus, Type 1Evaluation Studies as TopicFemaleHumansInfusion Pumps, ImplantableInjectionsInsulinInsulin Infusion SystemsMalePsychological TestsSurveys and Questionnaires

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

2265733

Citation

Slijper, F M., et al. "Psychological Impact of Continuous Subcutaneous Insulin Infusion Pump Therapy in Non-selected Newly Diagnosed Insulin Dependent (type 1) Diabetic Children: Evaluation After Two Years of Therapy." Diabete & Metabolisme, vol. 16, no. 4, 1990, pp. 273-7.
Slijper FM, De Beaufort CE, Bruining GJ, et al. Psychological impact of continuous subcutaneous insulin infusion pump therapy in non-selected newly diagnosed insulin dependent (type 1) diabetic children: evaluation after two years of therapy. Diabete Metab. 1990;16(4):273-7.
Slijper, F. M., De Beaufort, C. E., Bruining, G. J., De Visser, J. J., Aarsen, R. S., Kicken, D. A., & Van Strik, R. (1990). Psychological impact of continuous subcutaneous insulin infusion pump therapy in non-selected newly diagnosed insulin dependent (type 1) diabetic children: evaluation after two years of therapy. Diabete & Metabolisme, 16(4), 273-7.
Slijper FM, et al. Psychological Impact of Continuous Subcutaneous Insulin Infusion Pump Therapy in Non-selected Newly Diagnosed Insulin Dependent (type 1) Diabetic Children: Evaluation After Two Years of Therapy. Diabete Metab. 1990 Jul-Aug;16(4):273-7. PubMed PMID: 2265733.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychological impact of continuous subcutaneous insulin infusion pump therapy in non-selected newly diagnosed insulin dependent (type 1) diabetic children: evaluation after two years of therapy. AU - Slijper,F M, AU - De Beaufort,C E, AU - Bruining,G J, AU - De Visser,J J, AU - Aarsen,R S, AU - Kicken,D A, AU - Van Strik,R, PY - 1990/7/1/pubmed PY - 2000/3/11/medline PY - 1990/7/1/entrez SP - 273 EP - 7 JF - Diabete & metabolisme JO - Diabete Metab VL - 16 IS - 4 N2 - Thirty type 1 (insulin dependent) diabetic children were treated from diagnosis onwards in a random order (using a table of random permutations) with either continuous subcutaneous insulin infusion pump therapy (CSII), or with conventional injection therapy (CT). After two years of therapy psychosocial measurements were obtained of fifteen CSII children (8 boys, 7 girls; mean age: 12+/-4 years) and thirteen CT children (6 boys, 7 girls; mean age: 10+/-4 years) and their parents. Two families of the CT group refused to participate. The examination consisted of six tests (for the children: junior dutch personality test, WISC-R intelligence test, family relation test, diabetes questionnaire; for the parents: family interaction scale and assessment of acceptance scale). Parents (and pediatricians) rated CSII children higher on compliance and better on metabolic control. Acceptance of diabetes, physical and psychological condition was rated equally by parents and doctors. Except for the diabetes questionnaire, the children of the two groups scored not significantly different. The CSII group expressed significantly less physical complaints and physical restrictions. CSII children showed a tendency to score higher on recalcitrance compared with CT children. How adequate this coping of CSII children may be, is discussed. SN - 0338-1684 UR - https://www.unboundmedicine.com/medline/citation/2265733/Psychological_impact_of_continuous_subcutaneous_insulin_infusion_pump_therapy_in_non_selected_newly_diagnosed_insulin_dependent__type_1__diabetic_children:_evaluation_after_two_years_of_therapy_ DB - PRIME DP - Unbound Medicine ER -