Psychological Care for Children and Adolescents with Diabetes and Patient Outcomes: Results from the International Pediatric Registry SWEET
Authors' conclusion
Most centers from the SWEET registry offered some form of structured psychological care, consistent with the recommendations of easy access to psychosocial care for children and adolescents with T1D and their families. The main benefit of this psychological care appears to be in the incidence of DKA between centers. The study data also continues to emphasize the importance of treatment targets in shaping the outcomes of pediatric diabetes care. These findings should inform health-service planners and the diabetes community of the importance of mental healthcare in multidisciplinary diabetes teams.
Study context
- Population
- Children and adolescents with T1D in centres of the multinational SWEET registry76 centres responded
- Participants
- 112 children
- Exposure
- Centres with vs without psychological service
- Outcome
- Patient HbA1c (mmol/mol) related to survey responses (glycemic control)
Methodological detailsmultinational, international pediatric registry (SWEET), structured online survey of centres, regression models adjusted for several confounders
- Multinational
- International pediatric registry (SWEET)
- Structured online survey of centres
- Regression models adjusted for several confounders
Main finding
As reported in the abstract
- Psychological service vs No psychological service: P = 0.004
- Regression adjusted for several confounders
Observational data: associations, not effects.
Further findings
| Outcome | OR (CI) | P value | |
|---|---|---|---|
| DKA | 1.8 (1.1–2.9) | P = 0.027 | |
| 0.20.5125Odds ratio (log scale) |
- Diabetic ketoacidosis (DKA): significantly lower odds for DKA with psychological service available
Centres providing psychological services
- Centres providing psychological services
- 89%
Original publication
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