A Biopsychosocial Approach to the Onset of Childhood Diabetes

Research output: ThesisDoctoral Thesis (compilation)

Standard

A Biopsychosocial Approach to the Onset of Childhood Diabetes. / Thernlund, Gunilla.

Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden, 1996. 160 p.

Research output: ThesisDoctoral Thesis (compilation)

Harvard

Thernlund, G 1996, 'A Biopsychosocial Approach to the Onset of Childhood Diabetes', Doctor, Child and Adolescent Psychiatry.

APA

Thernlund, G. (1996). A Biopsychosocial Approach to the Onset of Childhood Diabetes. Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden,.

CBE

Thernlund G. 1996. A Biopsychosocial Approach to the Onset of Childhood Diabetes. Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden,. 160 p.

MLA

Thernlund, Gunilla A Biopsychosocial Approach to the Onset of Childhood Diabetes Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden,. 1996.

Vancouver

Thernlund G. A Biopsychosocial Approach to the Onset of Childhood Diabetes. Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden, 1996. 160 p.

Author

Thernlund, Gunilla. / A Biopsychosocial Approach to the Onset of Childhood Diabetes. Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden, 1996. 160 p.

RIS

TY - THES

T1 - A Biopsychosocial Approach to the Onset of Childhood Diabetes

AU - Thernlund, Gunilla

N1 - Defence details Date: 1996-12-05 Time: 10:15 Place: N/A External reviewer(s) Name: Vandvik, Inger Helene Title: Professor Affiliation: [unknown] ---

PY - 1996

Y1 - 1996

N2 - This thesis is a part of a prospective multi-centre study concerning psychosocial aspects of importance for the onset and course of insulin-dependent diabetes mellitus (IDDM). The investigated population was all children with onset of IDDM in the participating clinics during 1988 and 1989. Of 79 diseased children, 67 participated in the study. To each child a healthy control child was chosen, 61 accepted to participate. Data was collected by interviews and self-report questionnaires at the first hospital admission, two months after onset, and at the end of the first year. Many of the instruments were designed and/or tested for reliability and validity, as the network map and the crisis questionnaires. The children with diabetes had experienced a higher life stress than the control children, especially during their first two years of life. Some more case children had shown behaviour symptoms before onset than the control children. These facts support the hypothesis that stress might interact with autoimmune mechanisms during the development of the disease. There were insignificant differences between the cases and controls regarding social support and family function. The children did not differ from a normal population by psychological assessment. Most parents reacted with strong to moderate distress at the onset. The children showed lesser reactions than the parents. During the first year, most families adapted well to the disease. A pattern with injection anxiety but low general distress at onset for children and mothers was associated with a better metabolic control during the first two years.

AB - This thesis is a part of a prospective multi-centre study concerning psychosocial aspects of importance for the onset and course of insulin-dependent diabetes mellitus (IDDM). The investigated population was all children with onset of IDDM in the participating clinics during 1988 and 1989. Of 79 diseased children, 67 participated in the study. To each child a healthy control child was chosen, 61 accepted to participate. Data was collected by interviews and self-report questionnaires at the first hospital admission, two months after onset, and at the end of the first year. Many of the instruments were designed and/or tested for reliability and validity, as the network map and the crisis questionnaires. The children with diabetes had experienced a higher life stress than the control children, especially during their first two years of life. Some more case children had shown behaviour symptoms before onset than the control children. These facts support the hypothesis that stress might interact with autoimmune mechanisms during the development of the disease. There were insignificant differences between the cases and controls regarding social support and family function. The children did not differ from a normal population by psychological assessment. Most parents reacted with strong to moderate distress at the onset. The children showed lesser reactions than the parents. During the first year, most families adapted well to the disease. A pattern with injection anxiety but low general distress at onset for children and mothers was associated with a better metabolic control during the first two years.

KW - psychosocial factors

KW - family

KW - risk factors

KW - onset

KW - child

KW - type 1 diabetes

KW - social support

KW - Coping

KW - longitudinal

KW - Endocrinology

KW - secreting systems

KW - diabetology

KW - Endokrinologi

KW - sekretion

KW - diabetologi

M3 - Doctoral Thesis (compilation)

PB - Department of Child and Youth Psychiatry, Box 638, S-220 09 Lund, Sweden,

ER -