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Psychological Treatment Improves Hemoglobin A1c Outcomes in Adolescents with Type 1 Diabetes Mellitus |
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| Authors: | Matthew J. Bitsko Melanie K. Bean Sarah Bart Rebecca H. Foster Leroy Thacker Gary L. Francis |
| Affiliation: | 1. Children’s Hospital of Richmond, 1101 East Marshall Street, Richmond, VA, 23298, USA 2. Department of Pediatrics, Children’s Hospital of Richmond, Virginia Commonwealth University, 1101 East Marshall Street, Richmond, VA, 23298, USA 3. Department of Psychology, Virginia Commonwealth University, 1101 East Marshall Street, Richmond, VA, 23298, USA 7. Department of Pediatrics, Virginia Commonwealth University, PO Box 980440, Richmond, VA, 23298-0440, USA 4. Yeshiva of Greater Washington, 2010 Linden Lane, Silver Spring, MD, 20902, USA 5. Department of Psychology, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN, 38105, USA 6. Department of Biostatistics, School of Medicine, Virginia Commonwealth University, 830 East Main Street, One Capitol Square, 7th Floor, Richmond, VA, 23298, USA |
| Abstract: | Adolescents diagnosed with Type 1 Diabetes Mellitus often exhibit reduced adherence to their medical regimen and poor glycemic control. A retrospective study examined longitudinal hemoglobin A1c (HgbA1c) outcomes for adolescent patients referred to the psychology service embedded within an endocrinology clinic. Three patient groups were examined: (1) Treatment: 59 adolescents referred who engaged in psychotherapy; (2) No Treatment: 40 adolescents referred yet failed to initiate psychotherapy; (3) Control: 58 adolescents not referred for treatment and matched on demographics to the two treatment groups. Over 1 year, the Treatment group had a sustained decrease in HgbA1c while the No Treatment and Control groups had an overall increase in HgbA1c. At study end, the Treatment group had HgbA1c values that were not significantly different from patients who were not considered in need of psychological treatment (Control). Adolescents that utilized the pediatric psychology service saw decreased HgbA1c values over time. |
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