Diabetes-related distress over time and its associations with glucose levels in school-aged children
Authors' conclusion
Across 6 months, DRD remained stable or increased in 80% of school-aged children and 69% of parents. Only child HbA1c and DRD at baseline predicted higher child HbA1c 6 months later. Our results suggest it may be valuable to screen families of school-age children for DRD routinely and to develop treatments to help them reduce DRD.
Study context
- Population
- Families of school-age children (8–12.99 years) with T1D, two large pediatric hospital systems in the USA; mean child age 10.23±1.5 years, 50% male, 86% non-Hispanic white
- Participants
- 132 parent-child dyads
- Outcome
- Stability of parent (PPAID-C) and child (PAID-C) diabetes-related distress (DRD) and associations with child HbA1c
- Follow-up
- 6 months
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
DRD change from baseline to 6 months
- Children with stable diabetes-related distress (DRD)
- 60%
- Parents with stable DRD
- 55%
- Children with increasing DRD
- 20%
- Parents with increasing DRD
- 14%
- Children with decreasing DRD
- 20%
- Parents with decreasing DRD
- 31%
Observational data: associations, not effects.
Further findings
Baseline child HbA1c and DRD scores predicting child HbA1c 6 months later (linear regression)
- β
- 0.013
- T(157)
- 2.32
- p
- P = 0.02
Original publication
Diabetes-related distress over time and its associations with glucose levels in school-aged children. BMJ Open Diabetes Res Care. Published 1 June 2025. doi:10.
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