{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:44:49Z","timestamp":1785195889181,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Type 1 diabetes mellitus has a large psychosocial impact on children and their families. This study's primary aim was to investigate whether the COVID\u201019 pandemic affects the psychosocial impact of T1DM and glycaemic control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During the 2020 lockdown, New South Wales residents were not allowed to leave home except for essential activities. After 3\u2009months, children with T1DM and their parents were invited to complete online questionnaires. Data on glycaemic control were extracted from the children's clinical records with informed consent. Descriptive and comparative statistics were used to analyse the responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 149 families, 99 responses were received, with 92 participants identified. Comparable proportions of parents (56%) and children (45%) were anxious about the child's increased risk of contracting severe illness due to COVID\u201019. Most responses from parents and children were closely correlated (<jats:italic>r<\/jats:italic>\u2009&gt;\u20090.5, <jats:italic>P<\/jats:italic>\u2009\u2264\u20090.001) There was no consistent effect of lockdown on HbA1c levels, but there was a significant inverse correlation between HbA1c levels and parents' perception of the child having clear and concrete goals for diabetes care (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.25, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The HbA1c also correlated positively with the child feeling depressed and alone with their diabetes when isolated (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.36, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite life\u2010style changes and a negative psychosocial impact, we did not find objective evidence of any detrimental impact of the lockdown on diabetic control. However, higher HbA1c correlated with children feeling more depressed and alone. There was a comparable frequency of anxiety concerning the risk of severe COVID illness in children and their parents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16101","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T10:55:25Z","timestamp":1656586525000},"page":"1786-1791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The psychosocial impact of type 1 diabetes mellitus in children and adolescents during the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6782-0949","authenticated-orcid":false,"given":"Elise YL","family":"Neo","sequence":"first","affiliation":[{"name":"Department of Paediatrics Nepean Hospital  Kingswood New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9801-2058","authenticated-orcid":false,"given":"Hemani","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Nepean Hospital  Kingswood New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Mason","sequence":"additional","affiliation":[{"name":"Child Adolescent Development Unit Blue Mountains ANZAC Memorial hospital  Katoomba New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Liu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5867-2403","authenticated-orcid":false,"given":"Alison","family":"Poulton","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5114-9380","authenticated-orcid":false,"given":"Habib","family":"Bhurawala","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Nepean Hospital  Kingswood New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"391","article-title":"Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. Literature review","volume":"89","author":"Henr\u00edquez\u2010Tejo R","year":"2018","journal-title":"Rev. Chil. Pediatr."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.29-11-374"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.04963.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30096-1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14319"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2013.46"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2009.05.002"},{"key":"e_1_2_7_9_1","unstructured":"Australia's coronavirus lockdown \u2013 The first 50\u2009days [internet]. The Guardian. Guardian News and Media; 2020 [cited 2020 Oct 26]. Available from:https:\/\/www.theguardian.com\/world\/2020\/may\/02\/australias-coronavirus-lockdown-the-first-50-days"},{"key":"e_1_2_7_10_1","unstructured":"Main Features \u2013 Socio\u2010Economic Advantage and Disadvantage [Internet]. Australian Bureau of Statistics Australian Government. [cited 2020 Nov 10]. 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