Challenges During the Coronavirus Disease 2019 Pandemic: Diabetes Control and Psychosocial Issues in Children with Type 1 Diabetes Mellitus and Their Mothers


Emet D. C., Yeşil A. M., Çelik B., Şencan B., ÜNSAL Y., Gönç N., ...Daha Fazla

Turkish Archives of Pediatrics, cilt.58, sa.4, ss.418-424, 2023 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 58 Sayı: 4
  • Basım Tarihi: 2023
  • Doi Numarası: 10.5152/turkarchpediatr.2023.23030
  • Dergi Adı: Turkish Archives of Pediatrics
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.418-424
  • Anahtar Kelimeler: COVID-19, diabetes mellitus, psychologic, type 1
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Objective: Governments have enforced restrictions to prevent the spread of coronavirus disease 2019, which has affected lifestyle and psychosocial well-being. The aim of this study is to examine the psychosocial dimensions of children with type 1 diabetes mellitus and lifestyle changes in the face of the pandemic. Materials and Methods: Sixty school-aged children with type 1 diabetes mellitus were included to evaluate socioeconomic status, lifestyle changes, and psychological state after a 3-month school closure, using a questionnaire as well as scales in children and mothers [Depression-Anx iety-Stress Scale (short-form), Revised Child Anxiety-Depression Scale (parent-version), The Perceived Stress Scale in Children] via a Google® Form. The effect of pre-pandemic glycemic control on lifestyle and factors affecting HbA1c change were also investigated. Results: The percentage of mothers having scale scores above the cutoff in terms of stress, anxiety, and depression were 18.3%, 23.3%, and 33.3%, respectively. Mother’s and children’s anxiety, depression, and stress scores were positively correlated. Employed mothers had higher depression scores. Paternal unemployment increased the anxiety of the mothers. Seventy-eight percent (n = 46) of the mothers thought that diabetes in their children increased the risk of coro-navirus disease 2019 infection, and children of these mothers had higher depression, anxiety, and stress scores(P =.01, P <.01, P <.01). The majority of participants were adversely affected by coronavirus disease 2019 in terms of daily routines and dietary compliance. Patients with poor-controlled type 1 diabetes mellitus deteriorated more in terms of diet compliance (P =.01). Conclusion: Coronavirus disease 2019 affects the psychosocial dimensions in the family of children with type 1 diabetes mellitus. The psychosocial impact is reflected within the family and may affect diabetic control. Thus, it should be handled within the context of family. The provi-sion of proper information and guidance to parents may be crucial to alleviate the psychosocial burden on the family during the pandemic.