ArticlePediatric diabetes2025
Depressive Symptoms and Glycemic Control Among Children and Adolescents With Diabetes: The Mediation Effect of Self-Care Behaviors.
Article in Pediatric diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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Abstract
Objective: This study aimed to assess the association between depressive symptoms and glycemic control among children and adolescents with diabetes and to determine if their self-care behaviors mediate this association. Methods: A total of 207 patients of children and adolescents with diabetes were included in a cross-sectional survey study. The Chinese version of the Children's Depression Inventory (CDI) was used to evaluate the depressive symptoms of the patients. The Chinese version of the Summary of Diabetes of Self-Care Activities (SDSCA) was used to evaluate the level of diabetes self-care behaviors. The values of HbA1c of children and adolescents with diabetes were obtained from patients' medical history cases or self-reporting. Structural equation modeling (SEM) was used to examine the mediation effect of self-care behaviors between depressive symptoms and glycemic control. Results: In 207 children and adolescents with diabetes, the total score of depressive symptoms was 12.71 ± 6.73 and the total score of self-care behaviors was 42.31 ± 14.09. The HbA1c of the patients was 9.14 ± 2.55%. High depressive symptoms and low self-care behaviors are related to high levels of HbA1c (all Conclusions: 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.
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