Turkish Archives of Pediatrics
Original Article

An Evaluation of Difficulty in Emotion Regulation, Impulsivity, and Emotional Eating in Children and Adolescents Diagnosed with Type 1 Diabetes Mellitus


Department of Child and Adolescent Psychiatry, Yozgat Bozok University Faculty of Medicine, Yozgat, Turkey


Department of Child and Adolescent Psychiatry, Düzce University, Turkey


Department of Public Health, Yozgat Bozok University, Yozgat, Turkey


Department of Child Endocrinology, Düzce University, Turkey


Department of Pediatric Health and Diseases, Yozgat Bozok University Faculty of Medicine, Yozgat, Turkey


Department of Psychology, Dönüşüm Conversion Therapy and Counseling and Education Center, Yozgat, Turkey

Turk Arch Pediatr 2024; 59: 78-86
DOI: 10.5152/TurkArchPediatr.2024.23098
Read: 240 Downloads: 74 Published: 02 January 2024

Objective: The aim of this study was to investigate difficulties in emotion regulation, emotional eating, and impulsivity in children diagnosed with type 1 diabetes mellitus (T1DM).

Materials and Methods: The study included 53 children who were diagnosed with T1DM, and a control group of 50 subjects. The Schedule for Affective Disorders and Schizophrenia for School-age Children—Present and Lifetime Version, Difficulties in Emotion Regulation Scale— Short Form (DERS-16), Emotional Eating Scale-Child and Adolescent Form (EES-C), and the Barratt Impulsivity Scale 11—Short Form (BIS-11) were administered to the participants.

Results: In the T1DM group, the disease duration was a mean of 52.7 ± 40.62 months, and only 17% had good metabolic control. The rate of psychiatric disorder determined was significantly higher in the T1DM group (P = .001). No significant difference was determined between the 2 groups in respect of the DERS-16, EES-C, and BIS-11 total and subscale scores. However, in multivariate linear regression, the increase in BIS-11 total score was affected by increasing DERS impulse (β = 0.475), decreasing age (β = −0.209), and presence of T1DM (β = 0.211). An increase in the DERS-16 total score was associated with the presence of psychiatric disorder (β = −0.258) and an increase in BIS-11-A (the second scale assesses concentration problems) (β = 0.317) score. In the T1DM group, the glycated hemoglobin level was lower in the group with insulin treatment with the injection method (8.2 ± 2.1%) than in those with the pump method (9.1 ± 1.5%) (P = .069).

Conclusion: It is important that mental health professionals take an active role in all processes of the disease in order to protect the mental health of children with T1DM.

Cite this article as: Yıldız Miniksar D, Öz B, Kılıç M, et al. An evaluation of difficulty in emotion regulation, impulsivity, and emotional eating in children and adolescents diagnosed with type 1 diabetes mellitus. Turk Arch Pediatr. 2024;59(1):78-86.

EISSN 2757-6256