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Mental health of adolescents with type I diabetes: A case report

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DOI: 10.4236/health.2013.58172    3,488 Downloads   4,959 Views   Citations


Type I Diabetes Mellitus (DM I) is the third most common chronic childhood disease and can cause both short-term and long-term complications, as well as acute life-threatening events. The announcement of the DM I diagnosis in childhood or adolescence constitutes a major psychosocial stressor for the child and his family. Diabetes in general complicates the parent-child relationship and increases adolescents’ negative thoughts about themselves and depressive mood. The majority of patients experience depressive and/or anxiety symptoms at the time of diagnosis, which generally resolve within six to nine months. Poor adjustment in this initial phase places adolescents at risk for later psychosocial difficulties. On a long-term basis, individuals with DM I may exhibit significant psychiatric and behavioral problems including depression, anxiety and anger. We here reported the case of a 13-year-old boy, suffering from DM I for 3 years, who developed poor metabolic control, depressive symptoms and life-threatening behavior in the past 6 months and was hospitalized at an inpatient psychiatric unit. The complex biopsychosocial needs of adolescents with Type I Diabetes Mellitus should be recognized and addressed through tailored interventions by medical and mental health professionals.

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The authors declare no conflicts of interest.

Cite this paper

Marini, E. , Giannakopoulos, G. , Charitaki, S. , Belivanaki, M. , Salavou, V. , Liakopoulou, M. and Kolaitis, G. (2013) Mental health of adolescents with type I diabetes: A case report. Health, 5, 1268-1271. doi: 10.4236/health.2013.58172.


[1] Haller, M.J., Atkinson, M.A. and Schatz, D. (2005) Type 1 diabetes mellitus: Etiology, presentation, and management. Pediatric Clinics of North America, 52, 1553-1578. doi:10.1016/j.pcl.2005.07.006
[2] Karvonen, M., et al. (2000) Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group. Diabetes Care, 23, 1516-1526. doi:10.2337/diacare.23.10.1516
[3] McNamara, R., et al. Development and evaluation of a psychosocial intervention for children and teenagers experiencing diabetes (DEPICTED): A protocol for a cluster randomised controlled trial of the effectiveness of a communication skills training programme for healthcare professionals working with young people with type 1 diabetes,” BMC Health Services Research, 10, 36. doi:10.1186/1472-6963-10-36
[4] Tamborlane, W.V. and Ahern, J. (1997) Implications and results of the diabetes control and complications trial. Pediatric Clinics of North America, 44, 285-300. doi:10.1016/S0031-3955(05)70477-6
[5] Fritsch, S.L., Overton, M.W. and Robbins, D.R. (2011) The interface of child mental health and juvenile diabetes mellitus. Pediatric Clinics of North America, 58, 937-954. doi:10.1016/j.pcl.2011.06.008
[6] Desrocher, M. and Rovet, J. (2004) Neurocognitive correlates of type 1 diabetes mellitus in childhood. Child Neuropsychology, 10, 36-52. doi:10.1076/chin.
[7] Levenson, J.M. and Sweatt, J.D. (2006) Epigenetic mechanisms: A common theme in vertebrate and invertebrate memory formation. Cellular and Molecular Life Sciences, 63, 1009-1016. doi:10.1007/s00018-006-6026-6
[8] Drotar, D. and Ievers, C. (1994) Age differences in parent and child responsibilities for management of cystic fibrosis and insulin-dependent diabetes mellitus. Journal of Developmental & Behavioral Pediatrics, 15, 265-272. doi:10.1097/00004703-199408000-00008
[9] Northam, E.A., Todd, S. and Cameron, F.J. (2006) Interventions to promote optimal health outcomes in children with Type 1 diabetes—Are they effective? Diabetic Medicine, 23, 113-121. doi:10.1111/j.1464-5491.2005.01678.x
[10] Northam, E., et al. (1996) Psychosocial and family functioning in children with insulin-dependent diabetes at diagnosis and one year later. Journal of Pediatric Psychology, 21, 699-717. doi:10.1093/jpepsy/21.5.699
[11] Kovacs, M., et al. (1985) Initial coping responses and psychosocial characteristics of children with insulin-dependent diabetes mellitus. Journal of Pediatrics, 106, 827-834. doi:10.1016/S0022-3476(85)80368-1
[12] Liss, D.S., et al. (1998) Psychiatric illness and family support in children and adolescents with diabetic ketoacidosis: A controlled study. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 536-544. doi:10.1097/00004583-199805000-00016
[13] Levenson, J.L. (2006) Psychiatric issues in endocrinology: Updates in psychosomatic medicine and consultation-liaison psychiatry. Primary Psychiatry, 13, 27-30.
[14] Whittemore, R., et al. (2002) Correlates of depressive symptoms in adolescents with type 1 diabetes. Pediatric Diabetes, 3, 135-143. doi:10.1034/j.1399-5448.2002.30303.x
[15] Massengale, J. (2005) Depression and the adolescent with type 1 diabetes: The covert comorbidity. Issues in Mental Health Nursing, 26, 137-148. doi:10.1080/01612840590901590
[16] Kamboj, M.K. and Tareen, R.S. (2011) Management of nonpsychiatric medical conditions presenting with psychiatric manifestations. Pediatric Clinics of North America, 58, 219-241. doi:10.1016/j.pcl.2010.10.008
[17] Kolaitis, G., et al. (2003) Schedule for affective disorders and schizophrenia for school-age children-present episode (K-SADS-P): A pilot inter-rater reliability study for Greek children and adolescents. European Psychiatry, 18, 374-375. doi:10.1016/j.eurpsy.2003.02.002
[18] Kaufman, J., et al. (2000) K-SADS-PL. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 1208. doi:10.1097/00004583-200010000-00002
[19] APA (2000) Diagnostic and statistical manual of mental disorder. 4th Edition, American Psychiatric Association, Washington DC.
[20] Kokkonen, K. (1995) Mental health and social adaptation in young adults with juvenile-onset diabetes. Nordic Journal of Psychiatry, 49, 175-181. doi:10.3109/08039489509011903
[21] Kovacs, M., et al. (1990) Psychological functioning among mothers of children with insulin-dependent diabetes mellitus: A longitudinal study. Journal of Consulting and Clinical Psychology, 58, 189-195. doi:10.1037/0022-006X.58.2.189

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