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- Title
Diabetes Attitudes Wishes and Needs (DAWN) in Polish Children with Type 1 Diabetes Mellitus (DM) - A Dynamic View in Cross-Sectional Study.
- Authors
Jarosz-Chobot, Przemyslawa; Deja, Grazyna; Zegarlicka-Poreba, Maria; Czupryniak, Anna; Kot, Wojciech; Kokoszka, Andrzej; Noczynska, Anna
- Abstract
Psychosocial attitudes seem to play a major role in future DM treatment success. Diagnose prevalent attitudes in children at the onset and after 1 yr DM duration. Analysis of 881 questionnaires with multiple/single/binary range scale based on DAWN study was performed in 15 diabetes centers, at diagnosis and after 1yr DM duration, 2005-6, Poland; age groups:≤6 GI(189), 7-12 GII020), 12-18yrs GIII(277). Questionnaires were filled in by parents in GI,II. Statistical significance of below findings was revealed: -the reaction to diagnosis "as never experienced anything similar" was stronger in GI,II(p<0.05) than in GIII and drop in GI,III(p<0.05) after l yr; -intensity of feeling "relieved at diagnosis" was reduced in all groups(p<0.05) after 1 yr, mostly GIII(p<0.001); -perceiving diagnosis "as a new challenge" was stronger in GIII vs GI(p<0.001) at onset but lost motivation after 1yr(p<0.001); -perception diagnosis as "catastrophes/punishment/injustice" rose in GI,III after 1yr(p<0.05); -support at diagnosis from family/doctor/nurse was expected by 90% of responders, decreased in time in GII,III(p<0.001); -responsibility for diabetic care resting on the doctor was more often in GII,III.vs GI(p<0.05),later decreased in GII,III(p<0.05); -anxiety of DM influence on "the next 5yrs of life" in GII,III(p<0.05), "physical activity" in GII(p<0.05), "being a family burden" in GII,III(p<0.05) increased in time. DM was stable cause of:sadness, worry and future school problems in 70% of responders.90% declared self-responsibility for DM care -remained constant. Half of all responders expected psychological support and it was not changed by DM duration. More than 80% of children look for new treatment methods. DM is psychosocial crisis for children and parents, which become deeper realistic feeling according to DM duration. However level of self-responsibility awareness is high and stable, depressed parents and youths do not believe in psychological support.
- Subjects
POLAND; DIABETES in children; SADNESS in children; WORRY in children; CHILD psychology
- Publication
Diabetes, 2007, Vol 56, pA712
- ISSN
0012-1797
- Publication type
Article