Depressive Symptoms and Glycemic Control Among Children and Adolescents With Diabetes: The Mediation Effect of Self‐Care Behaviors
Authors' conclusion
Depressive symptoms show a significant association with glycemic control among children and adolescents with diabetes, with self-care behaviors serving as a partial mediator in this relationship. Depressive severity may influence glycemic control partly by affecting self-care behaviors.
Study context
- Population
- Children and adolescents with diabetes
- Participants
- 207 children
- Outcome
- Association between depressive symptoms (CDI) and glycemic control (HbA1c), and mediation by self-care behaviors (SDSCA)
Methodological detailssurvey, structural equation modeling
- Survey
- Structural equation modeling
Main finding
As reported in the abstract
Depressive symptoms, self-care and glycemic control
- High depressive symptoms and low self-care behaviors related to high HbA1c
- all p < 0.001
- Effect of depressive symptoms on glycemic control partly mediated by self-care behaviors; mediation share of total effect
- 30.65%
- Total depressive symptom score (Children's Depression Inventory (CDI))
- 12.71 ± 6.73
- Total self-care behavior score (Summary of Diabetes of Self-Care Activities (SDSCA))
- 42.31 ± 14.09
- HbA1c
- 9.14 ± 2.55%
Observational data: associations, not effects.
Original publication
Depressive Symptoms and Glycemic Control Among Children and Adolescents With Diabetes: The Mediation Effect of Self‐Care Behaviors. Pediatr Diabetes. Published 23 October 2025. doi:10.
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