ESPE Abstracts (2019) 92 P1-37

ESPE2019 Poster Category 1 Diabetes and Insulin (14 abstracts)

Association of Maternal Depressive Symptoms with Worse Metabolic Control in Adolescents with Type 1 Diabetes

Denise Von Borries , Viviana Perez , Hernan Jorge Garcia , Karime Rumie , Patricio Astudillo & Hernan Garcia

Pontificia Universidad Catolica de Chile, Santiago, Chile

Introduction: Metabolic control (MC) of patients with type 1 diabetes (DM1) is linked with complications in short and long term follow up. Adolescence is a critical period in the treatment of DM1, making it difficult to achieve good MC. Few studies, all conducted in the United States, have shown an association between mother´s depressive symptoms with poorer MC of their adolescent.

Objective: To evaluate the association between maternal depressive symptoms and Metabolic control of adolescents with DM1 in chilean patients .

Patients and Methods: Cross-sectional observational study. Adolescents between 10 and 18 years of age, with a diagnosis of DM1 more than 1 year since the beginning of DM1, and their mothers were recruited . Beck II test (BDI-II), depression questionnaire Childhood (CDI), SALUFAM questionnaire and sociodemographic data questionnaire were applied. Hemoglobin was measured by capillary glycosylation (HbA1c), as a marker of metabolic control. For numerical variables, a T student test, and ANOVA were performed, and for categorical variables a Fisher's test. A significant P <0.05 value was considered.

Results: A total of 86 adolescents of 14.04 ± 2.3 years old and 5.95 ± 3.7 years of evolution and their mothers completed the study . 27.3% of mothers presented depressive symptoms, being associated with poorer metabolic control (HbA1c of 8.91%, vs 7.66% p value <;0.001). The mother´s depressive symptoms were associated with a lower maternal and paternal educational level, lower home income, number of children in the family, presence of chronic diseases in siblings and health vulnerability. Between adolescents 17.6% had depressive symptoms, wich were not associated with maternal depressive symptoms or worse metabolic control.

Conclusions: The presence of maternal depressive symptoms is associated with worse metabolic control in adolescents. A screening for depressive symptoms in mothers of adolescents with DM1 is recommended in order to achieve better metabolic results in adolescents with DM1

Volume 92

58th Annual ESPE

Vienna, Austria
19 Sep 2019 - 21 Sep 2019

European Society for Paediatric Endocrinology 

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