ESPE Abstracts (2014) 82 P-D-2-3-350

Wellbeing of Adolescents with Type 1 Diabetes: Influence of Metabolic Control and Family Factors

Jesse Vanbesiena, Laurence Berlangera, Susanne Böhlera, Jolien Laridaenb, Inge Giesa, Sara Van Akenb, Kathleen De Waeleb, Martine Coolsb, Ellen Marisb, Johan Vanderfaeilliec & Jean De Scheppera,b


aUniversity Hospital, Brussels, Belgium; bUniversity Hospital, Ghent, Belgium; cDepartment of Psychology, Free University, Brussels, Belgium


Background: Adolescence is often a period of worse metabolic control and less wellbeing in diabetic children. We studied global (GW) and diabetic-related (DRW) wellbeing in diabetic adolescents and the influence of sex, age, ethnic origin, family composition (single- or two-parent family), family income and metabolic control.

Method: 133 (71 girls, 120 autochthonous, 20 treated with CSII, 107 from a two-parent family, 68 from families with a monthly income above 3 000 euro) of 310 diabetic adolescents (12–18 years) from two University hospitals completed the Pediatric Quality of Life Inventory PedsQL and a demographic questionnaire.

Results: Median (range) age and diabetes duration was 15.2 years (12.4–18.8) and 5 years (1–16) respectively. Mean (S.D.) HbA1c was 7.9% (1.0), comparable between the two hospitals, but significantly (P<0.001) lower than in the non-responding adolescents (8.4(1.2)%). The mean (S.D.) GW and DRW total scores were 82 (12) and 74 (14), comparable between sexes and hospitals and strongly correlated (r=0.676, P<0.001). An abnormal score for physical, psychosocial, emotional, social and school performance was found in 9.0, 14.3, 15.0, 9.8 and 20.3% respectively. HbA1c (r=−0.230, P<0.01) and age (r=−0.180, P<0.05) correlated negatively with DRW, however not with GW. Autochthonous diabetics had, compared with immigrants, a significantly (P<0.005) higher DRW score, but a comparable GW score. The GW and DRW scores of patients living in a single-parent family were significantly lower compared with two-parent families (P<0.005). Each subscore of GW varied significantly with family income (P<0.005). Using multiple regression analysis, only family income as a strong predictor of GW (P<0.05) and only ethnicity of DRW (P<0.05).

Conclusion: The global wellbeing of diabetic adolescents in Flanders is comparable with that in other countries. Metabolic control, family income and ethnic origin has to be taken into account in the comparison of wellbeing of diabetic patients between centers.