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Health-Related Quality of Life and Social Support in Adolescents with Type 1 Diabetes

Published online by Cambridge University Press:  12 January 2015

Luciana Cassarino-Perez  and
Débora Dalbosco Dell’Aglio
Luciana Cassarino-Perez*
Affiliation:
Universidade Federal do Rio Grande do Sul (Brazil)
Débora Dalbosco Dell’Aglio
Affiliation:
Universidade Federal do Rio Grande do Sul (Brazil)
*
*Correspondence concerning this article should be addressed to Luciana Cassarino-Perez. Rua Antônio Costa, 90. Vista Alegre. 80820–20. Curitiba (Brazil). Phone: +55–4199161999. E-mail: lucicaspe@gmail.com
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Abstract

This study investigated the correlations between health-related quality of life and social support in adolescents with type 1 diabetes (T1DM). Participants were 102 adolescents between 12 and 17 years old, who were patients of a healthcare program in the city of Porto Alegre, south of Brazil. Two questionnaires, the KIDSCREEN-52 and the Brazilian version of Social Support Appraisals, were used to evaluate health-related quality of life and social support. Results showed good quality of life and social support levels. Strong correlations were verified between social support and three of the KIDSCREEN-52 dimensions: psychological well-being (r = .63; p < .01); peers and social support (r = .67; p < .01) and school environment (r = .64; p < .01). Analysis of linear regression showed that gender, age and social support are variables associated with health-related quality of life, explaining 52.6% of variance. Results revealed the impact of the disease to young people, and can help to find strategies to improve care in these cases.

Keywords

adolescencetype 1 diabeteshealth-related quality of lifesocial support

Information

Type
Research Article
Information
The Spanish Journal of Psychology , Volume 17 , 2014 , E108
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2014 

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References

Almino, M. A. F. B., Queiroz, M. V. O., & Jorge, M. S. B. (2009). Diabetes mellitus na adolescência: Experiências e sentimentos dos adolescentes e das mães com a doença. [Diabetes during adolescence: Experiences of adolescents and their mothers]. Journal of São Paulo University School of Nursing, 43, 760–767. http://dx.doi.org/10.1590/S0080-62342009000400004 Google Scholar
Amiel, S. A., Sherwin, R. S., Simonson, D. C., Lauritano, A. A., & Tamborlane, W. V. (1986). Impaired insulin action in puberty. The New England Journal of Medicine, 315, 215–219. http://dx.doi.org/10.1056/NEJM198607243150402 CrossRefGoogle ScholarPubMed
Bisegger, C., Cloetta, B., von Bisengger, U., Abel, T., & Ravens-Sieberer, U. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Soz-Praventivmed, 50, 281–291. http://dx.doi.org/10.1007/s00038-005-4094-2 CrossRefGoogle ScholarPubMed
Brazilian Diabetes Society. (2012, April 18). Re: There are 12 million diabetics in Brazil. (Weblog message). Retrieved from: http://www.diabetes.org.br/ultimas/sao-12-milhoes-de-diabeticos-no-brasil Google Scholar
Butner, J., Berg, C., Osborn, P., Butler, J., Godri, C., Fortenberry, K., … Wiebe, D. J. (2009). Parent–adolescent discrepancies in adolescents’ competence and the balance of adolescent autonomy and adolescent and parent well-being in the context of type 1 diabetes. Developmental Psychology, 45, 835–849. http://dx.doi.org/10.1037/a0015363 CrossRefGoogle ScholarPubMed
Chiarelli, F., Giannini, C., & Mohn, A. (2004). Growth, growth factors and diabetes. European Journal of Endocrinology. 151, 109–117. http://dx.doi.org/10.1530/eje.0.151U109 CrossRefGoogle ScholarPubMed
Cleary, P. D., Wilson, P. D., & Fowler, F. J (1995). Health-related quality of life in HIV-infected persons: A conceptual model. In Dimsdale, J. E., & Baum, A. (Eds.), Quality of life in behavioral medicine research. (pp. 191–204). New Jersey, NJ: Lawrence Erlbaum Associates.Google Scholar
Damião, E. B. C., & Pinto, C. M. M. (2007). “Being transformed by illness”: Adolescents' diabetes experience. Latin American Journal of Nursing, 15, 568–574. http://dx.doi.org/10.1590/S0104-11692007000400008 Google ScholarPubMed
Elmaci, F. (2006). The role of social support on depression and adjustment levels of adolescents having broken and unbroken families. Educational Sciences: Theory & Practice, 6, 421–431.Google Scholar
Fragoso, L. V. C., Araújo, M. F. M., Lima, A. K. G., Freitas, R. W. J. F., & Damasceno, M. M. C. (2010). Daily experiences of adolescents with type 1 Diabetes Mellitus. Text and Context Nursing, 19, 443–451. http://dx.doi.org/10.1590/S0104-07072010000300005 CrossRefGoogle Scholar
García-Viniegra, C. R. V. (2008). Calidad de vida: Aspectos teóricos y metodológicos. [Quality of life: Theoretical and methodological aspects]. Buenos Aires, Argentina: Paidós.Google Scholar
Gaspar, T., & Matos, M. G. (2008). Qualidade de vida em crianças e adolescentes: Versão portuguesa dos instrumentos KIDSCREEN-52 [Quality of life in children and adolescents: Portuguese version of the instruments KIDSCREEN-52]. Estrada da Costa, Portugal: Aventura Social & Saúde.Google Scholar
Grey, M., Boland, E. A., Yu, C., Sullivan-Bolyai, S., & Tamborlane, W. V. (1998). Personal and family factors associated with quality of life in adolescents with diabetes. Diabetes Care, 21, 909–914. http://dx.doi.org/10.2337/diacare.21.6.909 CrossRefGoogle ScholarPubMed
Guedes, D. P., Astudillo, H. A. V., Morales, J. M. M., Vecino, J. C., & Júnior, R. P. (2010, October). Age and gender differences in health-related quality of life of adolescents from Latin America countries. Poster session presented at the meeting of The International Association of Physical Education in Higher Education. La Coruña, Spain.Google Scholar
Guedes, D. P., & Guedes, J. E. R. P. (2011). Translation, cross-cultural adaptation and psychometric properties of KIDSCREEN-52 for the Brazilian population. Revista Paulista de Pediatria, 29, 364–371. http://dx.doi.org/10.1590/S0103-05822011000300010 CrossRefGoogle Scholar
Heleno, M. G. V., Vizzotto, M. M., Mazzotti, T., Cressoni-Gomes, R., & Modesto, S. E. F. (2009). Vacation camp for children and adolescents with Type 1 Diabetes Mellitus: Findings of the psychological approach. Boletim de Psicologia, 59, 77–90.Google Scholar
Helgeson, V. S., Lopez, L. C., & Kamarck, T. (2009). Peer relationship and diabetes: Retrospective and ecological momentary assessment approaches. Health Psychology, 28, 273–282. http://dx.doi.org/10.1037/a0013784 CrossRefGoogle ScholarPubMed
International Diabetes Federation. (2013). IDF Diabetes Atlas, (6 th Ed.). Brussels, Belgium: Author. Retrieved from: http://www.idf.org/diabetesatlas Google Scholar
Jaser, S., & Grey, M. (2010). A pilot study of observed parenting and adjustment in adolescents with type 1 diabetes and their mothers. Journal of Pediatric Psychology, 35, 738–747. http://dx.doi.org/10.1093/jpepsy/jsp098 CrossRefGoogle ScholarPubMed
Karloss, A., Arman, M., & Wikblad, K. (2008). Teenagers with type 1 diabetes – a phenomenological study of the transition towards autonomy in self-management. International Journal of Nursing Studies, 45, 562–570. http://dx.doi.org/10.1016/j.ijnurstu.2006.08.022 CrossRefGoogle Scholar
Kyngas, H. (2004). Support network of adolescents with chronic disease: Adolescent’s perspective. Nursing and Health Science, 6, 287–293.CrossRefGoogle Scholar
Kyngas, H. (2007). Predictors of good adherence of adolescents with diabetes (insulin-dependent diabetes mellitus). Chronic Illness, 3, 20–28. http://dx.doi.org/10.1177/1742395307079191 CrossRefGoogle ScholarPubMed
Liss, D. S., Waller, D. A., Kennard, B. D., McIntire, D., Capra, P., & Stephens, J. (1998). Psychiatric illness and family support in children and adolescents with diabetes ketoacidosis: A controlled study. Journal of American Academy of Child and Adolescent Psychiatry, 37, 536–544. http://dx.doi.org/10.1097/00004583-199805000-00016 CrossRefGoogle ScholarPubMed
Mackey, E. R., Hilliard, M. E., Berger, S. S., Streisand, R., Chen, R., & Holmes, C. (2011). Individual and family strengths: An examination of the relation to disease management and metabolic control in youth with type 1 diabetes. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 29, 314–326. http://dx.doi.org/10.1037/a0026589 CrossRefGoogle ScholarPubMed
Matos, M. G., & Gonçalves, S. M. P. (2009). Bullying nas escolas: Comportamentos e percepções. [Bullying in schools: perceptions and behaviors]. Psicologia teoria e pesquisa, 28, 3–15.Google Scholar
Miauton, L., Narring, F., & Michaud, P. A. (2003). Chronic illness, life style and emotional health in adolescence: Results of a cross-sectional survey on the health of 15–20-years-old in Switzerland. European Journal of Pediatrics, 162, 682–689. http://dx.doi.org/10.1007/s00431-003-1179-x CrossRefGoogle ScholarPubMed
Michel, G., Bisegger, C., Fuhr, D. C., & Abel, T. (2009). Age and gender differences in health-related quality of life of children and adolescents in Europe: A multilevel analysis. Quality of Life Research, 18, 1147–1157. http://dx.doi.org/10.1007/s11136-009-9538-3 CrossRefGoogle ScholarPubMed
Novato, T. S., & Grossi, S. A. A. (2011). Factors associated to the quality of life of adolescents with type 1 diabetes mellitus. Revista da Escola de Enfermagem da USP, 45, 770–776. http://dx.doi.org/10.1590/S0080-62342011000300032 CrossRefGoogle Scholar
Oliveira, V. Z., & Gomes, W. B. (1998). O adolescer em jovens portadores de doenças orgânicas crônicas [Being a teenager with chronic disease]. In Gomes, W. B. (Ed.), Fenomenologia e pesquisa em Psicologia [Phenomenology and research in psychology] (pp. 97–133). Porto Alegre, Brazil: Editora da Universidade Federal do Rio Grande do Sul.Google Scholar
Olsson, C. A., Boyce, M. F., Tounbourou, J. W., & Sawyer, S. M. (2005). The role of peer support in facilitating psychosocial adjustment to chronic illness in adolescence. Clinical Child Psychology and Psychiatry, 10, 78–87. http://dx.doi.org/10.1177/1359104505048793 CrossRefGoogle Scholar
Ottova, V., Erhart, M., Rajmil, L., Dettenborn-Betz, L., & Ravens-Sieberer, U. (2012). Overweight and its impact on the health-related quality of life in children and adolescents: Results from the European KIDSCREEN survey. Quality of Life Research, 21, 59–69. http://dx.doi.org/10.1007/s11136-011-9922-7 CrossRefGoogle ScholarPubMed
Patton, G. C., & Viner, R. (2007). Pubertal transitions in health. Lancet, 369, 1130–1139. http://dx.doi.org/10.1016/S0140-6736(07)60366-3 CrossRefGoogle ScholarPubMed
Pereira, M. G., Berg-Cross, L., Almeida, P., & Machado, J. C. (2008). Impact do family environment and support on adherence, metabolic control, and quality of life in adolescents with diabetes. International Journal of Behavioral Medicine, 15, 187–193. http://dx.doi.org/10.1080/10705500802222436 CrossRefGoogle ScholarPubMed
Peters, C. D., Storch, E. A., Geffken, G. R., Heidgerken, A. D., & Silverstein, J. H. (2008). Victimization of youth with type 1 diabetes by teachers: Relations with adherence and metabolic control. Journal of Child Health and Care, 12, 209–220. http://dx.doi.org/10.1177/1367493508092508 CrossRefGoogle ScholarPubMed
Petersen, A. C., Sarigiani, P. A., & Kennedy, R. E. (1991). Adolescent depression: Why more girls? Journal of Youth and Adolescence, 20, 247–271. http://dx.doi.org/10.1007/BF01537611 CrossRefGoogle ScholarPubMed
Sato, A. F., Berlin, K. S., Hains, A. A., Davies, W. H., Smothers, M. K., Clifford, L. M., & Alemzadeh, R. (2008). Teacher support of adherence for adolescents with type 1 diabetes: Preferred teacher support behaviors and youths’ perception of support. The Diabetes Educator, 34, 866–873. http://dx.doi.org/10.1177/0145721708322858 CrossRefGoogle ScholarPubMed
SEARCH for Diabetes in Youth Study Group (2006). The burden of diabetes mellitus among US youth: Prevalence estimates from the SEARCH for diabetes in youth study. Pediatrics, 118, 1510–1518. http://dx.doi.org/10.1542/peds.2006-0690 CrossRefGoogle Scholar
Seidl, E. M., & Zannon, C. M. L. C. (2004). Quality of life and health: Conceptual and methodological issues Reports in Public Health, 20, 580–588. http://dx.doi.org/10.1590/S0102-311X2004000200027 Google ScholarPubMed
Seiffge-Krenke, I., Laursen, B., Dickson, D. J., & Harlt, A. C. (2013). Declining metabolic control and decreasing parental support among families with adolescents with diabetes: The risk of restrictiveness. Journal of Pediatric Psychology, 38, 518–530. http://dx.doi.org/10.1093/jpepsy/jst006 CrossRefGoogle ScholarPubMed
Spear, H. J., & Kulbok, P. (2004). Autonomy in adolescence: A concept analysis. Public Health Nursing, 21, 144–152. http://dx.doi.org/10.1111/j.0737-1209.2004.021208.x CrossRefGoogle ScholarPubMed
Squassoni, C. E. (2012). Reliability, validity and study of normative patterns of the Brazilian version of SOCIAL SUPPORT APPRAISALS (SSA) (Unpublished doctoral dissertation). Federal University of São Carlos, Brazil.Google Scholar
Squassoni, C. E., & Matsukura, T. S. (2014). Adaptação transcultural da versão portuguesa do Social Support Appraisals para o Brasil [Cross-cultural adaptation of the Portuguese version of the Social Support Appraisals for Brazil]. Psicologia Reflexão e Crítica, 27, 71–80. http://dx.doi.org/10.1590/S0102-79722014000100009 CrossRefGoogle Scholar
The KIDSCREEN Group Europe (2006). The KIDSCREEN questionnaires: Quality of life questionnaires for children and adolescents. Lengerich, Germany: Pabst Science Publishers.Google Scholar
Vaux, A., Philips, J., Holly, L., Thompson, B., Williams, D., & Stewart, D. (1986). The Social Support Appraisals (SSA) Scale: Studies of reliability and validity. American Journal of Community Psychology, 14, 195–218. http://dx.doi.org/10.1007/BF00911821 CrossRefGoogle Scholar
Williams, E. F., Gannon, K., & Soon, K. (2011). The experiences of young people living with Edipedermolysis Bullosa simplex: A qualitative study. Journal of Health Psychology, 16, 701–710. http://dx.doi.org/10.1177/1359105310387954 CrossRefGoogle Scholar