Emotional dysfunction associated with diabetes in Mexican adolescents and young adults with type-1 diabetes

Salud Publica Mex. Jan-Feb 2003;45(1):13-8. doi: 10.1590/s0036-36342003000100002.


Objective: To assess the emotional dysfunction associated with diabetes in Mexican young individuals with type-1 diabetes.

Material and methods: A cross-sectional survey was conducted to perform a complete clinical and psychosocial evaluation of 93 consecutive type-1 diabetes patients, and 14 to 30 years.

Results: Adolescents had higher scores of emotional dysfunction related to diabetes and a diminished knowledge in diabetes-related areas. A multivariate logistic regression model showed that an inadequate emotional response to diabetes (high problem areas in diabetes or PAID scores) was mainly associated with a poor glycemic control (OR = 2.9, 95% CI 0.9-9.7, p = 0.09). Apprehension about the future and the possibility of serious complications had the highest mean PAID score in all age groups.

Conclusions: New strategies should be developed to improve the routine care and support of young individuals with type-1 diabetes.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 1 / psychology*
  • Emotions*
  • Female
  • Humans
  • Male
  • Mexico
  • Surveys and Questionnaires