Goal disturbance and coping in children with Type I Diabetes Mellitus

Relationships with health-related quality of life and A1C

A. van Bussel, A.M. Nieuwesteeg, E. Janssen, H.J.A. van Bakel, B.R.H. Van den Bergh, N. Maas-van Schaaijk, R. Odink, C.H.A.M. Rijk, E.E. Hartman

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective
Our first objective was to compare the health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (8–12 years) with that of a healthy reference group, and to compare glycated hemoglobin (A1C) values of these children to recommended guidelines. Our second objective was to examine how goal disturbance and coping behaviour were related to HRQoL and A1C.
Method
Forty-three children, 8–12 years of age, completed a set of questionnaires that assessed generic and diabetes-specific HRQoL, goal disturbance and coping behaviour. Demographic and clinical characteristics were extracted from medical records.
Results
Children with type 1 diabetes reported lower psychosocial HRQoL than healthy references (d=−0.48), especially on emotional functioning (d=−0.58). Goal disturbance was associated with lower generic HRQoL. Furthermore, the coping strategies avoidance, emotional reaction and wishful thinking were negatively associated with lower generic and disease-specific HRQoL (r ranged from −0.33 to −0.65), whereas acceptance was positively associated with disease-specific HRQoL (r=0.36). The average A1C was with 8.1% significantly above the recommended guidelines of 7.5%. Moreover, the coping strategies avoidance (r=0.31) and emotional reaction (r=0.32) were positively associated with higher blood glucose levels.
Conclusions
The psychosocial HRQoL of children with type 1 diabetes was affected, which was directly associated with the inability to reach personal goals (goal disturbance). An accepting coping strategy might solve these HRQoL problems and additionally improve A1C values.
Original languageEnglish
Pages (from-to)169-174
JournalCanadian Journal of Diabetes
Volume37
Issue number3
DOIs
Publication statusPublished - 2013

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Glycosylated Hemoglobin A
Medical Records
Surveys and Questionnaires

Cite this

van Bussel, A. ; Nieuwesteeg, A.M. ; Janssen, E. ; van Bakel, H.J.A. ; Van den Bergh, B.R.H. ; Maas-van Schaaijk, N. ; Odink, R. ; Rijk, C.H.A.M. ; Hartman, E.E. / Goal disturbance and coping in children with Type I Diabetes Mellitus : Relationships with health-related quality of life and A1C. In: Canadian Journal of Diabetes. 2013 ; Vol. 37, No. 3. pp. 169-174.
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title = "Goal disturbance and coping in children with Type I Diabetes Mellitus: Relationships with health-related quality of life and A1C",
abstract = "ObjectiveOur first objective was to compare the health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (8–12 years) with that of a healthy reference group, and to compare glycated hemoglobin (A1C) values of these children to recommended guidelines. Our second objective was to examine how goal disturbance and coping behaviour were related to HRQoL and A1C.MethodForty-three children, 8–12 years of age, completed a set of questionnaires that assessed generic and diabetes-specific HRQoL, goal disturbance and coping behaviour. Demographic and clinical characteristics were extracted from medical records.ResultsChildren with type 1 diabetes reported lower psychosocial HRQoL than healthy references (d=−0.48), especially on emotional functioning (d=−0.58). Goal disturbance was associated with lower generic HRQoL. Furthermore, the coping strategies avoidance, emotional reaction and wishful thinking were negatively associated with lower generic and disease-specific HRQoL (r ranged from −0.33 to −0.65), whereas acceptance was positively associated with disease-specific HRQoL (r=0.36). The average A1C was with 8.1{\%} significantly above the recommended guidelines of 7.5{\%}. Moreover, the coping strategies avoidance (r=0.31) and emotional reaction (r=0.32) were positively associated with higher blood glucose levels.ConclusionsThe psychosocial HRQoL of children with type 1 diabetes was affected, which was directly associated with the inability to reach personal goals (goal disturbance). An accepting coping strategy might solve these HRQoL problems and additionally improve A1C values.",
author = "{van Bussel}, A. and A.M. Nieuwesteeg and E. Janssen and {van Bakel}, H.J.A. and {Van den Bergh}, B.R.H. and {Maas-van Schaaijk}, N. and R. Odink and C.H.A.M. Rijk and E.E. Hartman",
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doi = "10.1016/j.jcjd.2013.02.058",
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Goal disturbance and coping in children with Type I Diabetes Mellitus : Relationships with health-related quality of life and A1C. / van Bussel, A.; Nieuwesteeg, A.M.; Janssen, E.; van Bakel, H.J.A.; Van den Bergh, B.R.H.; Maas-van Schaaijk, N.; Odink, R.; Rijk, C.H.A.M.; Hartman, E.E.

In: Canadian Journal of Diabetes, Vol. 37, No. 3, 2013, p. 169-174.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Goal disturbance and coping in children with Type I Diabetes Mellitus

T2 - Relationships with health-related quality of life and A1C

AU - van Bussel, A.

AU - Nieuwesteeg, A.M.

AU - Janssen, E.

AU - van Bakel, H.J.A.

AU - Van den Bergh, B.R.H.

AU - Maas-van Schaaijk, N.

AU - Odink, R.

AU - Rijk, C.H.A.M.

AU - Hartman, E.E.

PY - 2013

Y1 - 2013

N2 - ObjectiveOur first objective was to compare the health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (8–12 years) with that of a healthy reference group, and to compare glycated hemoglobin (A1C) values of these children to recommended guidelines. Our second objective was to examine how goal disturbance and coping behaviour were related to HRQoL and A1C.MethodForty-three children, 8–12 years of age, completed a set of questionnaires that assessed generic and diabetes-specific HRQoL, goal disturbance and coping behaviour. Demographic and clinical characteristics were extracted from medical records.ResultsChildren with type 1 diabetes reported lower psychosocial HRQoL than healthy references (d=−0.48), especially on emotional functioning (d=−0.58). Goal disturbance was associated with lower generic HRQoL. Furthermore, the coping strategies avoidance, emotional reaction and wishful thinking were negatively associated with lower generic and disease-specific HRQoL (r ranged from −0.33 to −0.65), whereas acceptance was positively associated with disease-specific HRQoL (r=0.36). The average A1C was with 8.1% significantly above the recommended guidelines of 7.5%. Moreover, the coping strategies avoidance (r=0.31) and emotional reaction (r=0.32) were positively associated with higher blood glucose levels.ConclusionsThe psychosocial HRQoL of children with type 1 diabetes was affected, which was directly associated with the inability to reach personal goals (goal disturbance). An accepting coping strategy might solve these HRQoL problems and additionally improve A1C values.

AB - ObjectiveOur first objective was to compare the health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (8–12 years) with that of a healthy reference group, and to compare glycated hemoglobin (A1C) values of these children to recommended guidelines. Our second objective was to examine how goal disturbance and coping behaviour were related to HRQoL and A1C.MethodForty-three children, 8–12 years of age, completed a set of questionnaires that assessed generic and diabetes-specific HRQoL, goal disturbance and coping behaviour. Demographic and clinical characteristics were extracted from medical records.ResultsChildren with type 1 diabetes reported lower psychosocial HRQoL than healthy references (d=−0.48), especially on emotional functioning (d=−0.58). Goal disturbance was associated with lower generic HRQoL. Furthermore, the coping strategies avoidance, emotional reaction and wishful thinking were negatively associated with lower generic and disease-specific HRQoL (r ranged from −0.33 to −0.65), whereas acceptance was positively associated with disease-specific HRQoL (r=0.36). The average A1C was with 8.1% significantly above the recommended guidelines of 7.5%. Moreover, the coping strategies avoidance (r=0.31) and emotional reaction (r=0.32) were positively associated with higher blood glucose levels.ConclusionsThe psychosocial HRQoL of children with type 1 diabetes was affected, which was directly associated with the inability to reach personal goals (goal disturbance). An accepting coping strategy might solve these HRQoL problems and additionally improve A1C values.

U2 - 10.1016/j.jcjd.2013.02.058

DO - 10.1016/j.jcjd.2013.02.058

M3 - Article

VL - 37

SP - 169

EP - 174

JO - Canadian Journal of Diabetes

JF - Canadian Journal of Diabetes

SN - 1499-2671

IS - 3

ER -