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. 2006 Jun;148(6):784-7.
doi: 10.1016/j.jpeds.2006.01.007.

Bullying, regimen self-management, and metabolic control in youth with type I diabetes

Eric A Storch  1 , Amanda D Heidgerken, Gary R Geffken, Adam B Lewin, Vanessa Ohleyer, Marianna Freddo, Janet H Silverstein
Affiliations

Bullying, regimen self-management, and metabolic control in youth with type I diabetes

Eric A Storch et al. J Pediatr. 2006 Jun.

Abstract

Objective: To determine the association among diabetes-related bullying, diabetes self-management, metabolic control, and depression in children and adolescents with type I diabetes (TID).

Study design: Measures of diabetes-related bullying and depression were administered to 167 youth with TID at their regularly scheduled diabetes care visits. Parents were administered a clinician-rated index of their child's diabetes self-management. HbA1c levels were assessed.

Results: Diabetes-related bullying was positively related to HbA1c concentration and negatively related to overall self-management and specifically to adherence to glucose testing and dietary tasks. Depressive symptoms partially mediated the relation between diabetes-related bullying and overall self-management.

Conclusion: Given the associations between diabetes-related bullying and regimen self-management, the issue of illness-related bullying merits serious attention for pediatricians and school personnel.

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