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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.