Cognitive disengagement syndrome in children with type 1 diabetes: important implications for clinical outcomes

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dc.authoridUzun Cicek, Ayla/0000-0003-2274-3457
dc.authoridCELIK, Nurullah/0000-0003-1583-6807
dc.contributor.authorCicek, Ayla Uzun
dc.contributor.authorCelik, Nurullah
dc.date.accessioned2024-10-26T18:03:52Z
dc.date.available2024-10-26T18:03:52Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractAims Children with type 1 diabetes (T1D) are prone to a variety of psychiatric disorders, however, to date, no study has examined cognitive disengagement syndrome (CDS) in children with T1D. The present study aimed to evaluate the frequency of CDS symptoms in children with T1D and whether it is related to glycemic control. Methods This cross-sectional study included 74 children with T1D and 88 healthy (control) children, aged 8-14 years. All children were evaluated through a semi-structured psychiatric interview, the Kent-EGY test, porteus maze test, stroop test TBAG form, Barkley child attention scale, and Conners' parent rating scale-revised-short form. Result Children with T1D had considerably higher rates of elevated CDS symptoms than control children (35.1% vs. 10.2%, p < 0.001). Children with T1D performed poorly on attention and cognitive tests. High levels of CDS symptomatology were strongly associated with earlier diabetes onset age, longer disease duration, a higher percentage of diabetic ketoacidosis at diagnosis, higher HbA1c levels, and higher daily insulin dosages. Also, T1D patients with elevated CDS symptoms had lower IQ and attention scores and worse cognitive function performance compared to participants with low levels of CDS symptomatology. Conclusions Elevated CDS symptoms are significantly higher in children with T1D and are associated with poorer diabetes control. The routine psychiatric examination of children with T1D should also include a screening for CDS, particularly in patients with poor glycemic control.
dc.identifier.doi10.1007/s00592-023-02178-w
dc.identifier.endpage61
dc.identifier.issn0940-5429
dc.identifier.issn1432-5233
dc.identifier.issue1
dc.identifier.pmid37670030
dc.identifier.scopus2-s2.0-85169796224
dc.identifier.scopusqualityQ1
dc.identifier.startpage53
dc.identifier.urihttps://doi.org/10.1007/s00592-023-02178-w
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28628
dc.identifier.volume61
dc.identifier.wosWOS:001062157600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer-Verlag Italia Srl
dc.relation.ispartofActa Diabetologica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectType 1 diabetes
dc.subjectCognitive disengagement syndrome
dc.subjectGlycemic control
dc.subjectChildren
dc.subjectAdolescents
dc.subjectCognitive functioning
dc.titleCognitive disengagement syndrome in children with type 1 diabetes: important implications for clinical outcomes
dc.typeArticle

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