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AuthorGaller, Angeladc.contributor.author
AuthorHilgard, Dörtedc.contributor.author
AuthorBollow, Estherdc.contributor.author
AuthorHermann, Thomasdc.contributor.author
AuthorKretschmer, Nicoledc.contributor.author
AuthorMaier, Bertholddc.contributor.author
AuthorMönkemöller, Kirstendc.contributor.author
AuthorSchiel, Ralfdc.contributor.author
AuthorHoll, Reinharddc.contributor.author
Date of accession2020-07-31T07:19:04Zdc.date.accessioned
Available in OPARU since2020-07-31T07:19:04Zdc.date.available
Date of first publication2020-06-07dc.date.issued
AbstractBackground: International guidelines recommend psychosocial care for children and adolescents with type 1 diabetes. Objective: To assess psychological care in children and adolescents with type 1 diabetes in a real‐world setting and to evaluate associations with metabolic outcome. Methods: Delivery of psychological care, HbA1c, and rates of severe hypoglycemia and diabetic ketoacidosis (DKA) in children and adolescents with type 1 diabetes from 199 diabetes care centers participating in the German diabetes survey (DPV) were analyzed. Results: Overall, 12 326 out of 31 861 children with type 1 diabetes were supported by short‐term or continued psychological care (CPC). Children with psychological care had higher HbA1c (8.0% vs 7.7%, P <.001) and higher rates of DKA (0.032 vs 0.021 per patient‐year, P <.001) compared with children without psychological care. In age‐, sex‐, diabetes duration‐, and migratory background‐matched children, HbA1c stayed stable in children supported by CPC during follow‐up (HbA1c 8.5% one year before psychological care started vs 8.4% after two years, P = 1.0), whereas HbA1c was lower but increased significantly by 0.3% in children without psychological care (HbA1c 7.5% vs 7.8% after two years, P <.001). Additional HbA1c‐matching showed that the change in HbA1c during follow‐up was not different between the groups, but the percentage of children with severe hypoglycemia decreased from 16.3% to 10.7% in children receiving CPC compared with children without psychological care (5.5% to 5.8%, P =.009). Conclusions: In this real‐world setting, psychological care was provided to children with higher HbA1c levels. CPC was associated with stable glycemic control and less frequent severe hypoglycemia during follow‐up.dc.description.abstract
Languageen_USdc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseCC BY-NC-ND 4.0 Internationaldc.rights
Link to license texthttps://creativecommons.org/licenses/by-nc-nd/4.0/dc.rights.uri
KeywordClinicaldc.subject
KeywordHbA1cdc.subject
KeywordPsychologydc.subject
Dewey Decimal GroupDDC 150 / Psychologydc.subject.ddc
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHAdolescentdc.subject.mesh
MeSHChilddc.subject.mesh
MeSHDiabetes mellitus, Type 1dc.subject.mesh
MeSHGlycated hemoglobin Adc.subject.mesh
TitlePsychological care in children and adolescents with type 1 diabetesin a real-world setting and associations with metabolic controldc.title
Resource typeWissenschaftlicher Artikeldc.type
VersionpublishedVersiondc.description.version
DOIhttp://dx.doi.org/10.18725/OPARU-32431dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-32493-0dc.identifier.urn
GNDJugenddc.subject.gnd
GNDKinddc.subject.gnd
GNDDiabetes mellitus Typ 1dc.subject.gnd
GNDPsychologische Betreuungdc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
InstitutionInstitut für Epidemiologie und medizinische Biometrieuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
CategoryPublikationenuulm.category
Is Supplemented Byhttps://onlinelibrary.wiley.com/action/downloadSupplement?doi=10.1111%2Fpedi.13065&file=pedi13065-sup-0001-AppendixS1.docxuulm.relation.isSupplementedBy
DOI of original publication10.1111/pedi.13065dc.relation1.doi
Source - Title of sourcePediatric Diabetessource.title
Source - Place of publicationJohn Wiley and Sonssource.publisher
Source - Volume2020source.volume
Source - Year2020source.year
Source - eISSN1399-543Xsource.identifier.eissn
EU projectINNODIA / Translational approaches to disease modifying therapy of type 1 diabetes: an innovative approach towards understanding and arresting type 1 diabetes – Sofia ref.: 115797 / EC / H2020 / 115797uulm.projectEU
FundingCompetence Network Diabetes Mellitusuulm.funding
FundingDeutsche Diabetes Gesellschaftuulm.funding
FundingGerman Centre for Diabetes Research (DZD)uulm.funding
FundingRobert‐Koch‐Institute (RKI)uulm.funding
FundingDiabetes Associationuulm.funding
University Bibliographyjauulm.unibibliographie


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CC BY-NC-ND 4.0 International
Except where otherwise noted, this item's license is described as CC BY-NC-ND 4.0 International