Cognitive Sphere and Health Self-Control in Teenagers with Type 1 Diabetes
https://doi.org/10.21603/sibscript-2024-26-5-770-781
Abstract
Type 1 diabetes mellitus is a complex disease, with self-control playing a key role in its effective treatment. Routine self-control requires high-order cognitive skills, e.g., planning, self-direction, compliance with medical recommendations, etc. All these pose a challenge for teenagers. The model of Responsible Self-Care developed by the World Health Organization takes into account not only health maintenance in diabetic patients, but also their cognitive ability to control their own attitude to treatment in order to achieve glycemic control. This study focused on the correlation between health self-control and neuropsychological profile in teenagers with diabetes. The sample included 38 diabetic patients represented by 13 boys and 25 girls aged 12–17. The study relied on the method of medical documentation analysis and the psychodiagnostic method, including the neuropsychological assessment battery by A. R. Luria and such questionnaires as Multidimensional-Functional Diagnostics of Responsibility, Self-Control Style, Locus of Disease Control, and Self-Efficiency in Disease. The correlation analysis confirmed a direct connection between the cognitive status and responsible behavior in teenagers with diabetes. Poor glycemic control and chronic hyperglycemia were associated with low test results in cognitive abilities, speech fluency, and memory capacity. Cognitive deficiency correlated with insufficient self-control, poor responsibility, and low self-efficiency, as well as with preference for external forms of control locus.
About the Authors
Ksenia I. Shachneva
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow
D. N. Chernov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Scopus Author ID: 15058871700
Moscow
Vladislav A. Sotnikov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Scopus Author ID: 58121415800
Moscow
References
1. Ananiev B. G. Man as a subject of knowledge. 3rd ed. St. Petersburg: Piter, 2010, 282. (In Russ.) https://elibrary.ru/qxabyz
2. Antsiferov M. B., Drobizhev M. Yu., Surkova Ye. V., Zakharchuk T. A., Melnikova O. G., Shchebletsov V. V. Locus of control in diabetics. Objective evaluation of subjective attitude to treatment. Problems of Endocrinology, 2002, 48(4): 23–27. (In Russ.) https://elibrary.ru/vjksne
3. Glozman Ja. M. Neuropsychological examination. Qualitative and quantitative data assessment. Saratov: IPRbooks, 2013, 264. (In Russ.) https://elibrary.ru/rbaptr
4. Drapkina O. M., Maslennikova G. Ya., Shepel R. N., Kutishenko N. P., Salagay O. O. Priority areas for the prevention of non-communicable diseases on the agenda of the 75th World Health Assembly: Plans for the future. Profilakticheskaya Meditsina, 2022, 25(6): 7–11. (In Russ.) https://doi.org/10.17116/profmed2022250617
5. Kaplya-Bubenets V. Responsible self – management is a conscious approach to health. Remedium, 2018, (4): 12–13. (In Russ.) https://elibrary.ru/upgqen
6. Kolupaev V. E., Suhovolskaja S. S., Efimushkina O. A. Efficiency of practical application of standard operational procedures using sigmametry on the example of testing glycated hemoglobin HbA1c. Laboratory Service, 2021, 10(1): 24–31. (In Russ.) https://doi.org/10.17116/labs20211001124
7. Konopkin O. A. General ability to self-regulation as a factor of subjective development. Voprosy Psykhologii, 2004, (2): 128–135. (In Russ.) https://elibrary.ru/agessg
8. Loginova N. A. Essay on B. G. Ananiev’s theory of individual mental development. Psikhologicheskii Zhurnal, 2014, 35(2): 91–102. (In Russ.) https://elibrary.ru/sdvfvl
9. Matveeva M. V., Samoilova Yu. G., Zhukova N. G., Tolmachov I. V., Brazovskiy K. S., Leiman O. P., Fimushkina N. Yu., Tonkikh O. S. Neuroimaging methods for assessing the brain in diabetes mellitus (literature review). Bulletin of Siberian Medicine, 2020, 19(2): 189–194. (In Russ.) https://doi.org/10.20538/1682-0363-2020-2-189-194
10. Morosanova V. I. Questionnaire on Style of Self-Control of Behavior. Zhurnal prakticheskoy psikhologii i psikhoanaliza, 2004, (2): 150–163. (In Russ.) https://elibrary.ru/dhuovu
11. Pryadein V. P. Psychodiagnostics of personality: Selected psychological tests. Surgut: SurSPU, 2013, 246. (In Russ.) https://elibrary.ru/pcvhdl
12. Rasskazova E. I., Tkhostov A. Sh. Validation of illness- and treatment-related locus of control scale and treatment-related self-efficacy scale. Vestnik YurGU. Seriia: Psikhologiia, 2016, 9(1): 71–83. (In Russ.) https://doi.org/10.14529/psy160108
13. Samoilova Iu. G., Novoselova M. V., Kostiunina A. K., Pirmagomedova E. D., Latypov A. V. Predictors of the development of encephalopathy in the patients presenting with diabetes mellitus. Problems of Endocrinology, 2013, 59(5): 67–71. (In Russ.) https://doi.org/10.14341/probl201359567-71
14. Samoilova Iu. G., Rotkank M. A., Kudlay D. A., Zhukova N. G., Matveeva M. V., Tolmachev I. V. A prognostic model of cognitive impairment in patients with type 1 diabetes mellitus. Zhurnal Nevrologii i Psihiatrii imeni S. S. Korsakova, 2020, 120(3): 19–22. (In Russ.) https://doi.org/10.17116/jnevro202012003119
15. Sosina V. B., Zakharov V. V., Strokov I. A., Vakhnina N. V. Cognitive impairment in diabetes mellitus. Nevrologiya, Neiropsikhiatriya, Psikhosomatika, 2017, 9(1): 90–95. (In Russ.) https://elibrary.ru/ytwtob
16. Tolpygina S. N., Martsevich S. Yu., Kontsevaya A. V., Drapkina O. M. Responsible self-care – the fundamental principles and place in the modern Russian healthcare system. Rational Pharmacotherapy in Cardiology, 2018, 14(1): 101–110. (In Russ.) https://doi.org/10.20996/1819-6446-2018-14-1-101-110
17. Filina N. Yu., Bolotova N. V., Polyakov V. K., Dronova E. G. Key problems of metabolic control in children with type 1 diabetes. Pediatrics. Consilium Medicum, 2019, (3): 99–103. (In Russ.) https://elibrary.ru/vynksi
18. Atkinson M. A. The pathogenesis and natural history of type 1 diabetes. Cold Spring Harbor perspectives in medicine, 2012, 2(11). https://doi.org/10.1101/cshperspect.a007641
19. Khadilkar A., Oza C. Glycaemic control in youth and young adults: Challenges and solutions. Diabetes, metabolic syndrome and obesity, 2022, 15: 121–129. https://doi.org/10.2147/DMSO.S304347
20. Kodl C. T., Seaquist E. R. Cognitive dysfunction and diabetes mellitus. Endocrine reviews, 2008, 29(4): 494–511. https://doi.org/10.1210/er.2007-0034
21. Kumar N., Singh V. B., Meena B. L., Kumar D., Kumar H., Saini M. L., Tiwari A. Mild cognitive impairment in young type 1 diabetes mellitus patients and correlation with diabetes control, lipid profile, and high-sensitivity C-reactive protein. Indian journal of endocrinology and metabolism, 2018, 22(6): 780–784. https://doi.org/10.4103/ijem.IJEM_58_18
22. Mobasseri M., Shirmohammadi M., Amiri T., Vahed N., Hosseini Fard H., Ghojazadeh M. Prevalence and incidence of type 1 diabetes in the world: A systematic review and meta-analysis. Health promotion perspectives, 2020, 10(2): 98–115. https://doi.org/10.34172/hpp.2020.18
23. Rodrigues Oliveira S. M., Rebocho A., Ahmadpour E., Nissapatorn V., de Lourdes Pereira M. Type 1 diabetes mellitus: A review on advances and challenges in creating insulin producing devices. Micromachines, 2023, 14(1). https://doi.org/10.3390/mi14010151
24. Saibindu B., Nirupama A. Y., Gaurang A., Chaudhuri S., Agiwal V. Self care practices in diabetes: A community based cross sectional study in Vikarabad, Telangana. Current Medical Issues, 2023, 21(3): 141–146. https://doi.org/10.4103/cmi.cmi_5_23
25. The global social and economic value of self-care 2022 Report, eds. Bauer C., May U., Giulini-Limbach C., Schneider-Ziebe A. Global Self-Care Federation, 2022, 72.
26. Wasserman R. M., Hilliard M. E., Schwartz D. D., Anderson B. J. Practical strategies to enhance executive functioning and strengthen diabetes management across the lifespan. Current diabetes reports, 2015, 15(8). https://doi.org/10.1007/s11892-015-0622-5
Review
For citations:
Shachneva K.I., Chernov D.N., Sotnikov V.A. Cognitive Sphere and Health Self-Control in Teenagers with Type 1 Diabetes. SibScript. 2024;26(5):770-781. (In Russ.) https://doi.org/10.21603/sibscript-2024-26-5-770-781
Views:
159
Email this article 