| Sweet sins: frequency and psychiatric motivation for theft among adolescents with type 1 diabetes. | |
| | |
MedLine Citation:
|
PMID: 21447088 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Butwicka A, Fendler WM, Zalepa A, Szadkowska A, Gmitrowicz A, Młynarski WM. Sweet sins: frequency and psychiatric motivation for theft among adolescents with type 1 diabetes. Background: Behavioral problems are an issue among adolescents with type 1 diabetes (T1D). The authors hypothesize that theft, possibly because of an underlying psychiatric morbidity, may be a way of procuring sweets leading to worse glycemic control. Objective: To evaluate psychiatric morbidity and the association of theft and metabolic control among children and adolescents with T1D, using data from an interim analysis of an ongoing quality-of-life and psychiatric comorbidity study. Methods: One hundred and nine consecutively hospitalized individuals aged 8-18 years with T1D were asked about incidents of theft. The data on psychiatric morbidity were taken from an ongoing longitudinal study using semi-structured diagnostic interview (KSADS-PL). Results: Overall, 10 children (9%) reported that they had committed theft. Primary motivation for theft was reported as either direct or indirect gain of sweets. Patients who admitted to theft were more likely to have worse metabolic control expressed by glycated hemoglobin (HbA1c) [10.4% (interquartile range 9.8-11.8) vs. 7.7% (6.9-8.8); p < 0.0001] and higher odds of having psychiatric morbidity (odds ratio 8.2; 95% confidence interval 1.9-34.2) than their peers. In the subgroup analysis of patients with psychiatric morbidity, HbA1c was significantly higher if having committed a theft was reported [10.2% (9.4-11.9) vs. 8.1% (7.2-9.2); p < 0.001]. No significant differences in socioeconomic status, clinical factors, or rates of complications were found. Conclusions: Theft may be a factor negatively affecting metabolic control in children with T1D and underlying psychiatric co-morbidity. Psychiatric morbidity is more frequent among patients with T1D and a history of theft. |
| | |
Authors:
|
Agnieszka Butwicka; Wojciech M Fendler; Adam Zalepa; Agnieszka Szadkowska; Agnieszka Gmitrowicz; Wojciech M Młynarski |
Related Documents
:
|
19845888 - Evidence that self-relevant motives and metaphoric framing interact to influence politi... 21477418 - Evidence for a persistent, environment-dependent and deteriorating subtype of subclinic... 21196438 - Histories of social engagement and adult cognition: midlife in the u.s. study. 7988808 - Attitudes toward and subsequent career choice of family practice: a weak relationship. 18778898 - The association of ecstasy use and academic achievement among adolescents in two u.s. n... 23155728 - Assessing the relationship between alcohol outlets and domestic violence: routine activ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-30 |
Journal Detail:
|
Title: Pediatric diabetes Volume: - ISSN: 1399-5448 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-3-30 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100939345 Medline TA: Pediatr Diabetes Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
© 2011 John Wiley & Sons A/S. |
Affiliation:
|
Department of Adolescent Psychiatry, Medical University of Lodz, Lodz, Poland Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, Lodz, Poland Warsaw School of Social Science and Humanities, Warsaw, Poland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Repair of an Ascending Aortic Aneurysm Using Reduction Aortoplasty in a Jehovah's Witness.
Next Document: Identification of the STAT5B-RAR? fusion transcript in an acute promyelocytic leukemia patient witho...