Association between depressive symptoms in mothers and metabolic control in adolescents with type 1 diabetes
Asociación entre síntomas depresivos de las madres y control metabólico en adolescentes con Diabetes Mellitus tipo 1
| dc.contributor | en-US | |
| dc.contributor | Concurso Becario Residente 2018, Dirección de Investigación y Doctorado, Escuela de Medicina, Pontificia Universidad Católica de Chile | es-ES |
| dc.creator | von Borries, Denise | |
| dc.creator | Astudillo, Patricio | |
| dc.creator | Perez, Viviana | |
| dc.creator | García F, Hernán | |
| dc.creator | Rumié, Karime | |
| dc.creator | García B., Hernán | |
| dc.date | 2020-04-22 | |
| dc.identifier | http://www.revistachilenadepediatria.cl/index.php/rchped/article/view/1151 | |
| dc.identifier | 10.32641/andespediatr.v91i2.1151 | |
| dc.description | Poor metabolic control in patients with Type 1 Diabetes Mellitus (T1DM) is associated with shortand long-term complications. Adolescents with T1DM present poorer metabolic control than patients of other age groups. Few studies have shown an association between mothers with depressive symptoms and the metabolic control of their adolescent children.Objective: To evaluate the association between maternal depressive symptoms and metabolic control of their adolescents with T1DM.Subjects and Method: Cross-sectional observational study carried out with adolescents aged between 10 and 18 years, with T1DM diagnosis of at least 1 year ago and their mothers. The Beck Depression Inventory-II and the SALUFAM questionnaire were applied, and sociodemographic data were collected. Glycosylated hemoglobin from capillary blood was used as a marker of metabolic control.Results: 86 couples (mother-adolescent children) were studied. The average age of the adolescents was 14.04 years and the average evolution time of T1DM was 5.95 years. 27.325.6% of mothers had depressive symptoms, which was associated with worse metabolic control of their children (HbA1c of 7.66% and 8.91%, p-value <0.001). 17.9% of adolescents had depressive symptoms, which was not associated with maternal depressive symptoms or worse metabolic control. Maternal depressive symptoms were also associated with lower maternal and paternal educational levels, high number of children in the family, presence of other siblings with chronic illnesses, and high health vulnerability (SALUFAM).Conclusions: The mother’s depressive symptoms can be associated with worst metabolic control in T1MD adolescents. It is fundamental a multidisciplinary family approach to get better metabolic controls in T1DM adolescents. | en-US |
| dc.description | Un mal control metabólico en pacientes con Diabetes Mellitus tipo 1 (DM1) se asocia a complicaciones a corto y largo plazo. Los adolescentes con Diabetes tipo 1 presentan peor control metabólico comparado con pacientes de otros grupos etarios. Escasos estudios han demostrado una asociación entre síntomas depresivos de las madres con el control metabólico de sus hijos adolescente.Objetivo: Evaluar la asociación entre síntomas depresivos maternos y control metabólico de adolescentes con DM1.Sujetos y Método: Estudio observacional transversal realizado en adolescentes, edades 10 a 18 años, con diagnóstico de DM1 de más de un año de evolución y sus madres. Se aplicó test de Beck II, cuestionario de depresión infantil, cuestionario SALUFAM y cuestionario de datos sociodemográficos. Se realizó hemoglobina glicosilada capilar, como marcador de control metabólico.Resultados: Se estudiaron 86 parejas (madre-hijo adolescente), adolescentes de edad media 14.04 años y 5.95 años de evolución de DM1. El 25.6% (n 22) de las madres presentó síntomas depresivos, asociándose a peor control metabólico en sus hijos (HbA1c: 7.66% y 8.91%, p < 0.001). El 17.9% de adolescentes presentó síntomas depresivos, no asociándose a síntomas depresivos maternos ni a peor control metabólico. Los síntomas depresivos maternos se asociaron a menor nivel educacional materno y paterno, mayor número de hijos en la familia, presencia de otros hermanos con enfermedades crónicas y a mayor vulnerabilidad en salud (SALUFAM).Conclusiones: La presencia de síntomas depresivos maternos se asocia a peor control metabólico en el adolescente con DM1, siendo fundamental un enfoque multidisciplinario familiar para obtener mejores resultados metabólicos en los adolescentes. | es-ES |
| dc.format | application/pdf | |
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.language | eng | |
| dc.publisher | Sociedad Chilena de Pediatría | es-ES |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/view/1151/1592 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/view/1151/2262 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/downloadSuppFile/1151/4307 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/downloadSuppFile/1151/4308 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/downloadSuppFile/1151/4309 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/downloadSuppFile/1151/4310 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/downloadSuppFile/1151/4311 | |
| dc.relation | http://www.revistachilenadepediatria.cl/index.php/rchped/article/downloadSuppFile/1151/5141 | |
| dc.rights | Copyright (c) 2020 Revista Chilena de Pediatría | es-ES |
| dc.source | Revista Chilena de Pediatría; Vol. 91, Núm. 2 (2020): Marzo - Abril; 190-198 | en-US |
| dc.source | Andes Pediatrica; Vol. 91, Núm. 2 (2020): Marzo - Abril; 190-198 | es-ES |
| dc.source | 2452-6053 | |
| dc.source | 2452-6053 | |
| dc.subject | en-US | |
| dc.subject | Type 1 Diabetes Mellitus; Depressive Symptoms; Glycated Hemoglobin; Adolescence; Mother; Endocrinology; Mental Health; Glucose Metabolism; Depressive Disorder; Diabetes Mellitus | en-US |
| dc.subject | es-ES | |
| dc.subject | Diabetes Mellitus Tipo 1; Síntomas Depresivos; Hemoglobina Glicosilada; Adolescencia; Madre; Endocrinología; Salud Mental; Metabolismo de la Glucosa; Trastornos Depresivos; Diabetes Mellitus | es-ES |
| dc.title | Association between depressive symptoms in mothers and metabolic control in adolescents with type 1 diabetes | en-US |
| dc.title | Asociación entre síntomas depresivos de las madres y control metabólico en adolescentes con Diabetes Mellitus tipo 1 | es-ES |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion | |
| dc.type | en-US | |
| dc.type | es-ES |
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Revista Chilena de Pediatría
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