| Impact of initial mental health status on glycemic control in pediatric patients with diabetes |
Jeongho Han1, Mi Yang1, Ha Kyung Lee1, Dong Jun Ha1, Hwa Young Kim1,2, Hee Jeong Yoo3,4, Jae Hyun Han3, Jaehyun Kim1,2 
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1Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea
2Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
3Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Korea
4Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea |
Address for correspondence:
Jaehyun Kim
Email: jaehyun.kim@snu.ac.kr
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Received: July 21, 2025 Revised: August 24, 2025 Accepted: September 3, 2025 |
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| Abstract |
Purpose
Psychiatric conditions are common in children and adolescents with diabetes and can hinder disease management. In this study, we examined whether mental health status at diagnosis predicts glycemic control at one year.
Methods
We included 57 patients aged 6–18 years diagnosed with type 1 diabetes or type 2 diabetes between 2019 and 2023 at Seoul National University Bundang Hospital. Mental health was assessed within three months of diagnosis using the Eating Disorder Inventory-2, Children’s Depression Inventory, and Child Behavior Checklist (CBCL) for ages 6-18. Poor glycemic control was defined as glycated hemoglobin > 6.5% at one year. Associations between screening results and glycemic control were analyzed using Fisher’s exact test and multivariate logistic regression.
Results
Of the 57 patients, 32 (56.1%) had type 1 diabetes, and the mean age at diagnosis was 12.9 ± 3.1 years; 31 (54.4%) were male. Poor glycemic control at one year was observed in 16 (28.1%) patients. While individual subscale positivity was not significantly associated with glycemic control, borderline somatic complaints on the CBCL were significantly associated with poor control (p = 0.022). In multivariate analysis, having two or more positive CBCL subscales showed a trend toward association with poor control (adjusted odds ratio = 21.47, p = 0.054).
Conclusion
Early psychological screening, especially for somatic symptoms or multiple psychological problems, may help identify pediatric patients with diabetes at risk for poor glycemic control. These findings underscore the importance of early detection and intervention in optimizing diabetes management.
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| Keywords:
Type 1 diabetes mellitus, Type 2 diabetes mellitus, Mental health, Adolescent, Child, Korea |
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