How does the mental health of caregivers affect diabetes management in adolescents with type 1 diabetes?

Aim: The current study examined the impact of mental health status and socioeconomic conditions on diabetes management in adolescents with diabetes and their caregivers. Material and Methods: In this cross-sectional study, the Patient Health Questionnaire (PHQ-9) and the Hospital Anxiety and Depression Scale (HADS) were administered to adolescents over the age of ten who have had type 1 diabetes (T1D) for at least two years, along with their caregivers. The questionnaire results were assessed alongside the most recent HbA1c levels and the annual average HbA1c levels. Results: A statistically significant and positive association was found between the average child's HbA1C and the parent's PHQ-9 score (Spearman's rho = 0.332, p = .007), parent's HADS anxiety (Spearman's rho = 0.328, p = .008), and HADS depression (Spearman's rho = 0.322, p = .010) scores. There was also a positive and statistically significant association between the parent's PHQ-9 score (Spearman's rho = 0.291, p = .020) and depression (Spearman's rho = 0.280, p = .025) scores. However, no statistically significant association was found between the adolescents' average and last HbA1C levels and the PHQ-9, anxiety, and depression scores. Discussion: Parental mental health is as essential in the management of diabetes during adolescence as it is during childhood and should be evaluated regularly.