Responses to the Strengths and Difficulties Questionnaire predict HbA1c trajectories in children and adolescents with type 1 diabetes: a population-based study
Authors' conclusion
Caregiver SDQ responses and sociodemographic information may help detect children and adolescents with type 1 diabetes, who need intensive multidisciplinary medical and psychological interventions.
Study context
- Population
- Danish 2009 national cohort of children and adolescents with T1D; yearly HbA1c 2010–2020; 52% females, mean (SD) age 12.5 (3.3) years, mean diabetes duration 5.2 (3.1) years7,247 HbA1c observations
- Participants
- 835 participants
- Exposure
- Caregiver Strengths and Difficulties Questionnaire (SDQ) scores as predictors of HbA1c trajectory membership
- Outcome
- HbA1c trajectory membership predicted by caregiver SDQ scores, adjusted for sex, age at diagnosis, diabetes duration, family structure and caregiver education
- Follow-up
- 2010-2020
Methodological detailsnational cohort, group-based trajectory modeling, multinomial logistic regression
- National cohort
- Group-based trajectory modeling
- Multinomial logistic regression
Main finding
As reported in the abstract
HbA1c trajectory membership by SDQ total difficulties score
Above target, moderate increase then decrease vs On target, gradual decrease: P = 0.0002 · Well above target, large increase then decrease vs On target, gradual decrease: P < 0.0001
Observational data: associations, not effects.
Further findings
SDQ subscale scores
- Emotional symptoms predicted trajectories 3 and 4
- Conduct problems and hyperactivity/inattention predicted trajectories 2, 3, and 4
Sociodemographic predictors
- Single-parent family and low caregiver education level both predicted trajectories 3 and 4
Original publication
Responses to the Strengths and Difficulties Questionnaire predict HbA1c trajectories in children and adolescents with type 1 diabetes: a population-based study. BMJ Open Diabetes Res Care. Published 1 November 2023. doi:10.
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