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Adolescents with type 1 diabetes mellitus and attention‐deficit/hyperactivity disorder require specific support from healthcare professionals
Aim Managing type 1 diabetes mellitus requires efficient cognitive and executive skills, and adolescents who have attention‐deficit/hyperactivity disorder (ADHD) may face specific challenges. This study explored young people′s experiences of diabetes treatment and care. Method In a population‐based...
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| Published in: | Acta Paediatrica 2017-12, Vol.106 (12), p.1994-1997 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c4289-3c3117028796bda0576cebb6783158a2a8b97743a76c857e87c6487cd3b38a363 |
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| cites | cdi_FETCH-LOGICAL-c4289-3c3117028796bda0576cebb6783158a2a8b97743a76c857e87c6487cd3b38a363 |
| container_end_page | 1997 |
| container_issue | 12 |
| container_start_page | 1994 |
| container_title | Acta Paediatrica |
| container_volume | 106 |
| creator | Lindblad, Ida Engström, Ann‐Charlotte Nylander, Charlotte Fernell, Elisabeth |
| description | Aim
Managing type 1 diabetes mellitus requires efficient cognitive and executive skills, and adolescents who have attention‐deficit/hyperactivity disorder (ADHD) may face specific challenges. This study explored young people′s experiences of diabetes treatment and care.
Method
In a population‐based study, comprising 175 patients aged 5–16 years with type 1 diabetes mellitus in two Swedish counties, we found that eight also met criteria for ADHD. Six of these, aged 14.5–16 years, participated 2013–2014 in interviews that targeted aspects of their diabetes treatment. Conducted by two psychologists, these used the inductive qualitative, semi‐structured interview format.
Results
The two boys and four girls all reported difficulties in creating routines for their diabetes treatment and that problems were aggravated during stress. They had been criticised by their parents and the diabetes team when their blood levels indicated inadequate diabetes control. They requested ongoing information, involvement of their friends, group meetings and easy access to the healthcare system during difficult times.
Conclusion
Patients with type 1 diabetes mellitus and concomitant ADHD faced problems with their diabetes management, especially during stressful situations. Diabetes care provision should pay particular attention to patients with co‐existing neuropsychiatric and neurodevelopmental disorders such as ADHD. |
| doi_str_mv | 10.1111/apa.13989 |
| format | article |
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Managing type 1 diabetes mellitus requires efficient cognitive and executive skills, and adolescents who have attention‐deficit/hyperactivity disorder (ADHD) may face specific challenges. This study explored young people′s experiences of diabetes treatment and care.
Method
In a population‐based study, comprising 175 patients aged 5–16 years with type 1 diabetes mellitus in two Swedish counties, we found that eight also met criteria for ADHD. Six of these, aged 14.5–16 years, participated 2013–2014 in interviews that targeted aspects of their diabetes treatment. Conducted by two psychologists, these used the inductive qualitative, semi‐structured interview format.
Results
The two boys and four girls all reported difficulties in creating routines for their diabetes treatment and that problems were aggravated during stress. They had been criticised by their parents and the diabetes team when their blood levels indicated inadequate diabetes control. They requested ongoing information, involvement of their friends, group meetings and easy access to the healthcare system during difficult times.
Conclusion
Patients with type 1 diabetes mellitus and concomitant ADHD faced problems with their diabetes management, especially during stressful situations. Diabetes care provision should pay particular attention to patients with co‐existing neuropsychiatric and neurodevelopmental disorders such as ADHD.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.13989</identifier><identifier>PMID: 28708247</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adolescents ; Attention Deficit Disorder with Hyperactivity - complications ; Attention deficit hyperactivity disorder ; Blood levels ; Cognitive ability ; Diabetes ; Diabetes care ; Diabetes mellitus ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - therapy ; Executive dysfunction ; Female ; Health Personnel ; Humans ; Hyperactivity ; Male ; Medical personnel ; Mental disorders ; Neurodevelopmental disorders ; Population studies ; Psychiatry ; Psykiatri ; Routines ; Teenagers ; Type 1 diabetes mellitus</subject><ispartof>Acta Paediatrica, 2017-12, Vol.106 (12), p.1994-1997</ispartof><rights>2017 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 Foundation Acta Pædiatrica</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4289-3c3117028796bda0576cebb6783158a2a8b97743a76c857e87c6487cd3b38a363</citedby><cites>FETCH-LOGICAL-c4289-3c3117028796bda0576cebb6783158a2a8b97743a76c857e87c6487cd3b38a363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28708247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-332699$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/259227$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Lindblad, Ida</creatorcontrib><creatorcontrib>Engström, Ann‐Charlotte</creatorcontrib><creatorcontrib>Nylander, Charlotte</creatorcontrib><creatorcontrib>Fernell, Elisabeth</creatorcontrib><title>Adolescents with type 1 diabetes mellitus and attention‐deficit/hyperactivity disorder require specific support from healthcare professionals</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
Managing type 1 diabetes mellitus requires efficient cognitive and executive skills, and adolescents who have attention‐deficit/hyperactivity disorder (ADHD) may face specific challenges. This study explored young people′s experiences of diabetes treatment and care.
Method
In a population‐based study, comprising 175 patients aged 5–16 years with type 1 diabetes mellitus in two Swedish counties, we found that eight also met criteria for ADHD. Six of these, aged 14.5–16 years, participated 2013–2014 in interviews that targeted aspects of their diabetes treatment. Conducted by two psychologists, these used the inductive qualitative, semi‐structured interview format.
Results
The two boys and four girls all reported difficulties in creating routines for their diabetes treatment and that problems were aggravated during stress. They had been criticised by their parents and the diabetes team when their blood levels indicated inadequate diabetes control. They requested ongoing information, involvement of their friends, group meetings and easy access to the healthcare system during difficult times.
Conclusion
Patients with type 1 diabetes mellitus and concomitant ADHD faced problems with their diabetes management, especially during stressful situations. Diabetes care provision should pay particular attention to patients with co‐existing neuropsychiatric and neurodevelopmental disorders such as ADHD.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Attention Deficit Disorder with Hyperactivity - complications</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Blood levels</subject><subject>Cognitive ability</subject><subject>Diabetes</subject><subject>Diabetes care</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Executive dysfunction</subject><subject>Female</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Mental disorders</subject><subject>Neurodevelopmental disorders</subject><subject>Population studies</subject><subject>Psychiatry</subject><subject>Psykiatri</subject><subject>Routines</subject><subject>Teenagers</subject><subject>Type 1 diabetes mellitus</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp10stu1DAUBuAIgehQWPACyBIbKpGOL0lsL0elXKRKsAC2lpOczLjKjFNfOpodbwDPyJNwhpQukOqFLVmff9nHpyheMnrOcCztZM-Z0Eo_KhasqVnJOZePiwVVVJQ1r8VJ8SzGa0q50FXztDjhSlLFK7kofq56P0LsYJci2bu0IekwAWGkd7aFBJFsYRxdypHYXU9sSiid3_3-8auHwXUuLTd4INguuVuXDngu-tBDIAFusgtA4gSdQ0liniYfEhmC35IN2DFtOotgCn6AGDHUjvF58WTABV7crafFt_eXXy8-llefP3y6WF2VXcWVLkUnGJMU36Gbtre0lk0HbdtIJVitLLeq1VJWwuK-qiUo2TUVTr1ohbKiEadFOefGPUy5NVNwWxsOxltn1nkyuLXOJoLhtcZion_7oH_nvq-MD2uTsxGCN1ojfzNzfNxNhpjM1mGRx9HuwOdomOaUaYl3RPr6P3rtczjWAlXDFK0rdQw8m1UXfIwBhvsbMGqOTWCwCczfJkD76i4xt1vo7-W_X0ewnMHejXB4OMmsvqzmyD_cZr-K</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Lindblad, Ida</creator><creator>Engström, Ann‐Charlotte</creator><creator>Nylander, Charlotte</creator><creator>Fernell, Elisabeth</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF2</scope><scope>F1U</scope></search><sort><creationdate>201712</creationdate><title>Adolescents with type 1 diabetes mellitus and attention‐deficit/hyperactivity disorder require specific support from healthcare professionals</title><author>Lindblad, Ida ; Engström, Ann‐Charlotte ; Nylander, Charlotte ; Fernell, Elisabeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4289-3c3117028796bda0576cebb6783158a2a8b97743a76c857e87c6487cd3b38a363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Attention Deficit Disorder with Hyperactivity - complications</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Blood levels</topic><topic>Cognitive ability</topic><topic>Diabetes</topic><topic>Diabetes care</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Executive dysfunction</topic><topic>Female</topic><topic>Health Personnel</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Mental disorders</topic><topic>Neurodevelopmental disorders</topic><topic>Population studies</topic><topic>Psychiatry</topic><topic>Psykiatri</topic><topic>Routines</topic><topic>Teenagers</topic><topic>Type 1 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lindblad, Ida</creatorcontrib><creatorcontrib>Engström, Ann‐Charlotte</creatorcontrib><creatorcontrib>Nylander, Charlotte</creatorcontrib><creatorcontrib>Fernell, Elisabeth</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Uppsala universitet</collection><collection>SWEPUB Göteborgs universitet</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lindblad, Ida</au><au>Engström, Ann‐Charlotte</au><au>Nylander, Charlotte</au><au>Fernell, Elisabeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adolescents with type 1 diabetes mellitus and attention‐deficit/hyperactivity disorder require specific support from healthcare professionals</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2017-12</date><risdate>2017</risdate><volume>106</volume><issue>12</issue><spage>1994</spage><epage>1997</epage><pages>1994-1997</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>Aim
Managing type 1 diabetes mellitus requires efficient cognitive and executive skills, and adolescents who have attention‐deficit/hyperactivity disorder (ADHD) may face specific challenges. This study explored young people′s experiences of diabetes treatment and care.
Method
In a population‐based study, comprising 175 patients aged 5–16 years with type 1 diabetes mellitus in two Swedish counties, we found that eight also met criteria for ADHD. Six of these, aged 14.5–16 years, participated 2013–2014 in interviews that targeted aspects of their diabetes treatment. Conducted by two psychologists, these used the inductive qualitative, semi‐structured interview format.
Results
The two boys and four girls all reported difficulties in creating routines for their diabetes treatment and that problems were aggravated during stress. They had been criticised by their parents and the diabetes team when their blood levels indicated inadequate diabetes control. They requested ongoing information, involvement of their friends, group meetings and easy access to the healthcare system during difficult times.
Conclusion
Patients with type 1 diabetes mellitus and concomitant ADHD faced problems with their diabetes management, especially during stressful situations. Diabetes care provision should pay particular attention to patients with co‐existing neuropsychiatric and neurodevelopmental disorders such as ADHD.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28708247</pmid><doi>10.1111/apa.13989</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0803-5253 |
| ispartof | Acta Paediatrica, 2017-12, Vol.106 (12), p.1994-1997 |
| issn | 0803-5253 1651-2227 1651-2227 |
| language | eng |
| recordid | cdi_swepub_primary_oai_gup_ub_gu_se_259227 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adolescent Adolescents Attention Deficit Disorder with Hyperactivity - complications Attention deficit hyperactivity disorder Blood levels Cognitive ability Diabetes Diabetes care Diabetes mellitus Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - therapy Executive dysfunction Female Health Personnel Humans Hyperactivity Male Medical personnel Mental disorders Neurodevelopmental disorders Population studies Psychiatry Psykiatri Routines Teenagers Type 1 diabetes mellitus |
| title | Adolescents with type 1 diabetes mellitus and attention‐deficit/hyperactivity disorder require specific support from healthcare professionals |
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