PURPOSE: The purpose of this study was to examine the child, parent, and family factors associated with quality of life and metabolic control in school-aged children with type 1 diabetes on intensive treatment. METHODS: A cross-sectional analysis was performed of child, parent, and family psychosocial variables with child quality of life and metabolic control. RESULTS: Families of school-aged children were able to intensively manage type 1 diabetes, achieve good metabolic control (< 7.5%), experience good quality of life, and cope well with the demands of treatment. However, increased depressive symptoms were reported in children (8%) and a parent (29%). CONCLUSIONS: Most school-aged children and families in this sample coped well with the demands of intensive treatment. However, intensive psychosocial support may also be indicated because managing a complex chronic illness is stressful and potentially difficult for some families.
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Whittemore et al. (2003) studied this question.
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