Background and Aims. The intensive treatment in diabetes mellitus disturbs the common activities of the child, requiring a focus on the disease both from the part of the child and of the family, having an impact on the life quality. Therefore, the general assessment of the life quality of the child with diabetes mellitus becomes important.
Materials and Methods. The study comprised 153 children known with type 1 diabetes mellitus, recorded with the Centers of Diabetes, Nutrition and Metabolic Diseases of Iasi and Suceava, aged between 8 – 18 years old, with a duration of diabetes mellitus of 1 – 10 years. For comparison, we employed a control group of 30 non-diabetic children. Each child and parent filled-in two questionnaires: Pediatric Quality of Life Inventory (PedsQL) and Diabetes Family Conflict Scale.
Results. The direct analysis showed that child life quality decreases slightly in the case of a great number of insulin injections, but not significant. The multivariate analysis regarding PedsQL assessment score highlighted the fact that only the family conflict condition reported to diabetes mellitus of the child and the number of insulin administrations a day, influence in a significant manner their life quality.
Conclusions. Family involvement in the management of diabetes mellitus of the child represents a fertile field for conflict appearance in family and we propose the intensive and correct involvement of the family in the management of diabetes mellitus of the child in order to maintain a high level of child life quality.
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1. Rickert KA Drotar D. Adherence to medical treatment in pediatric chronic illness: critical issues and answered questions. In: Promoting Adherence to Medical Treatment in Chronic Childhood Illness. Mahwah NJ Lawrence Erlbaum (Eds.) p. 3–33 2000.
2. Varni JW Seid M Kurtin PS. Pediatric health-related quality of life measurement technology: a guide for health care decision makers. J Clin Outcomes Manag 6: 33–40 1999.
3. Ingersoll GM Marrero DG. A modified quality-of-life measure for youths: psychometric properties. Diabetes Educ 17: 114–118 1991.
4. Silverstein J Klingensmith G Copeland K et al. Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care 28: 186–212 2005.
5. Jacobson AM Hauser ST Lavori P et al. Family environment and glycemic control: a four-year prospective study of children and adolescents with insulin-dependent diabetes mellitus. Psychosom Med 56: 401–409 1994.
6. Miller-Johnson S Emery RE Marvin RS Clarke W Lovinger R Martin M. Parent-child relationships and the management of insulin-dependent diabetes mellitus. J Consult Clin Psychol 62: 603–610 1994.
7. Laffel LM Vangsness L Connell A Goebel-Fabbri A Butler D Anderson BJ. Impact of ambulatory family-focused teamwork intervention on glycemic control in youth with type 1 diabetes. J Pediatr 142: 409–416 2003.
8. Wysocki T Harris MA Buckloh LM et al. Effects of behavioral family systems therapy for diabetes on adolescents’ family relationships treatment adherence and metabolic control. J Pediatr Psychol 31: 928–938 2006.
9. Wysocki T Harris MA Greco P et al. Randomized controlled trial of behavior therapy for families of adolescents with insulin-dependent diabetes mellitus. J Pediatr Psychol 25: 23–33 2000.
10. Verrips EGH Vogels TGC Koopman HM et al. Measuring health-related quality of life in a child population. Eur J Pub Health 9: 114–119 1999.
11. Hood KK Butler DA Anderson BJ Laffel LM. Updated and revised diabetes family conflict scale. Diabetes Care 30: 1764-1769 2007.
12. Varni JW Burwinkle TM Jacobs JR Gottschalk M Kaufman F Jones KL. The PedsQL in type 1 and type 2 diabetes: reliability and validity of the pediatric quality of life inventory generic core scales and type 1 diabetes module. Diabetes Care 26: 631–637 2003.
13. Grey M Boland EA Yu C Sullivan-Bolyai S Tamborlane WV. Personal and family factors associated with quality of life in adolescents with diabetes. Diabetes Care 21: 909–914 1998.
14. Seid M Varni JW Kurtin PS. Measuring quality of care for vulnerable children: challenges and conceptualization of a pediatric outcome measure of quality. Am J Med Qual 15: 182–188 2000.