IJFANS International Journal of Food and Nutritional Sciences

ISSN PRINT 2319 1775 Online 2320-7876

MATERNAL DISTRESS IN THE MANAGEMENT OF CHILDREN WITH TYPE 1 DIABETES MELLITUS

Main Article Content

Rejitha R, Dr. Mini Joseph

Abstract

Type 1 diabetes mellitus (T1DM), is an autoimmune disease that frequently occurs in children, adolescents, and young adults in which the body’s immune system attacks the insulin-secreting beta cells of the pancreas which leads to hyperglycemia. Diabetes-related distress refers to an emotional response, worries, concerns, and fear associated with diabetes that requires chronic care and management. Parents of children with T1DM are more stressed than normal children due to the high levels of commitment required to effectively manage T1DM. Mothers of T1DM, primary caregivers are more responsible for doing the majority of routine disease-related tasks and are reportedly more stressed.100 mother of children who have been diagnosed with T1DM was included in the study. The mean age of the children was 14.88+/-2.47 and their BMI was 20+/-2.89. Using Problems Associated with Diabetes –Parents Revised (PAID-PR) questionnaire measured the degree of maternal distress under 4 subdimensions - Diabetes-related emotional problems, treatment-related problems, food-related problems, and social support-related problems.5 points Likert scale type was used for answering the questionnaire. A score of 2-2.9 indicates moderate distress and ≥3 indicates high distress. The PAID-PR questionnaire found that the mean Total Diabetes Distress score was 3.1 and their subdimension scores were 3.18, 2.98, 2.61, and 2.24. The most distressing feeling was concern about the child’s future on possible chances of diabetic complications (61%) and uncontrolled diabetes (61%). Similarly, 72% and 80% were less distressed about factors like the child being deprived of food and feeling excluded from activities/events because of his/her diabetes respectively. We observed definitive high levels of maternal distress when considering the total diabetes distress score and diabetes-related emotional problems. No significant correlation was found between PAID-PR with HbA1c and the duration of the disease. We suggest that diabetes-related emotional problems are to be more addressed followed by treatment-related problems, food-related problems, and social support-related problems.

Article Details