World Journal of Pediatrics

, Volume 9, Issue 3, pp 261–265

Psycho-behavioral changes in children with type 1 diabetes mellitus

Original Article



Type 1 diabetes mellitus (T1DM) is the most common type of diabetes in children. This study aimed to investigate psycho-behavioral changes in Chinese children with T1DM and to provide some advices for nurses, parents and other persons.


Forty-five patients with T1DM (26 boys and 19 girls with a mean age of 10.40±3.01 years) were enrolled. According to the glycosylated hemoglobin levels recommended by the American Diabetes Association, the patients were subdivided into a well-controlled group and a poorly-controlled group. Fifty-three healthy children served as a control group. Psycho-behavioral changes were investigated by using Achenbach’s Child Behavior Check List.


Compared with the control group, the patients with T1DM had significantly higher mean scores for withdrawal, anxiety/depression, attention problems, delinquent behavior, aggressive behavior, externalizing problems, and internalizing problems (P<0.017). Moreover, the mean scores for somatic complaints in the poorly-controlled subgroup were significantly higher than those in the well-controlled subgroup (t=3.582, P=0.001). Compared with the control group, the well-controlled subgroup had higher scores for withdrawal, anxiety/depression, and internalizing problems (P<0.017). But the poorly-controlled subgroup had higher scores for withdrawal, somatic complaint, anxiety/depression, delinquent behavior, aggressive behavior, externalizing and internalizing problems (P<0.017).


Children with T1DM may have some psycho-behavioral problems. Timely nursing interventions must be conducted to solve these problems.

Key words

behavior Child Behavior Check List psychology type 1 diabetes mellitus 


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Copyright information

© Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Endocrinology, Children’s Hospital, Zhejiang University School of Medicine and Key Laboratory of Reproductive GeneticsZhejiang University, Ministry of EducationHangzhouChina
  2. 2.Children’s HospitalZhejiang University School of MedicineHangzhouChina

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