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    Comparison of mothers of adolescents diagnosed with type 1 diabetes mellitus and mothers of healthy adolescents in terms of difficulty in emotion regulation, depression and anxiety levels and clinical variables
    (Turkish J Pediatrics, 2023) Oz, Busra Olcay; Miniksar, Dilsad Yildiz; Kaban, Seyma Ozge; Cangur, Sengul; Yavuzyilmaz, Fatma
    Background. The aim of our study was to evaluate the difficulty in emotion regulation, depression and anxiety levels of mothers with a child diagnosed with type 1 diabetes mellitus (T1DM) compared to mothers of the non-T1DM control group.Methods. Our study included 72 adolescents followed up with T1DM and 72 healthy adolescents and their mothers. Psychiatric evaluation of children was performed according to DSM-IV diagnostic criteria. All mothers were administered the Difficulties in Emotion Regulation Scale-Brief Form (DERS-16) and the Hospital Anxiety-Depression Scale (HAD).Results. The most common psychiatric diagnoses in the T1DM group were attention deficit and hyperactivity disorder and anxiety disorders. The total and subscale scores of the DERS-16 and HAD scales of the mothers in the T1DM group were significantly higher than the control group. There was a statistically significant positive correlation between the DERS-16 total score and the HAD total and subscale scores of the mothers in the T1DM group. In the multivariate model found to be significant (p<0.001), only HbA1c levels an indicator of metabolic control, had significant and negative effects on emotion regulation, anxiety and depression (p<0.05), while sociodemographic characteristics did not have a significant effect (p>0.05)Conclusions. Difficulty in emotion regulation and depression-anxiety levels were found to be higher in mothers of adolescents with T1DM compared to the control group. Difficulties in emotion regulation, depression and anxiety symptoms in the parent may reduce the treatment compliance of the adolescent with T1DM, which may result in worse metabolic control. Therefore, both adolescents and their parents should be evaluated in terms of psychiatric symptoms and necessary guidance should be given.
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    An Evaluation of Difficulty in Emotion Regulation, Impulsivity, and Emotional Eating in Children and Adolescents Diagnosed with Type 1 Diabetes Mellitus
    (Aves, 2024) Miniksar, Dilsad Yildiz; Oz, Busra; Kilic, Mahmut; Kaban, Seyma Ozge; Yavuzyilmaz, Fatma; Ozturk, Osman; Ceviker, Hulusi Emre
    Objective: The aim of this study was to investigate difficulties in emotion regulation, emotional eating, and impulsivity in children diagnosed with type 1 diabetes mellitus (T1DM). Materials and Methods: The study included 53 children who were diagnosed with T1DM, and a control group of 50 subjects. The Schedule for Affective Disorders and Schizophrenia for School -age Children-Present and Lifetime Version, Difficulties in Emotion Regulation Scale- Short Form (DERS-16), Emotional Eating Scale-Child and Adolescent Form (EES -C), and the Barratt Impulsivity Scale 11-Short Form (BIS -11) were administered to the participants. Results: In the T1DM group, the disease duration was a mean of 52.7 +/- 40.62 months, and only 17% had good metabolic control. The rate of psychiatric disorder determined was significantly higher in the T1DM group (P = .001). No significant difference was determined between the 2 groups in respect of the DERS-16, EES -C, and BIS -11 total and subscale scores. However, in multivariate linear regression, the increase in BIS -11 total score was affected by increasing DERS impulse (beta = 0.475), decreasing age (beta = -0.209), and presence of T1DM (beta = 0.211). An increase in the DERS-16 total score was associated with the presence of psychiatric disorder (beta = -0.258) and an increase in BIS -11-A (the second scale assesses concentration problems) (beta = 0.317) score. In the T1DM group, the glycated hemoglobin level was lower in the group with insulin treatment with the injection method (8.2 +/- 2.1%) than in those with the pump method (9.1 +/- 1.5%) (P = .069). Conclusion: It is important that mental health professionals take an active role in all processes of the disease in order to protect the mental health of children with T1DM.