{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T18:07:59Z","timestamp":1771610879981,"version":"3.50.1"},"reference-count":43,"publisher":"Walter de Gruyter GmbH","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2023-0282_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This cross-sectional study examined the relationship between problem-solving skills, glucose regulation, and disease management in children with type 1 diabetes mellitus (T1DM) as well as the role of depression in this association.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2023-0282_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The participants (n=54) were recruited from a\u00a0diabetes camp. Problem-solving inventory (PSI), Beck depression inventory (BDI), and diabetes self-management profile (DSMP) were administered as tests. Forty-six participants who have been diagnosed with T1DM for at least a year and completed the survey were included in the analyses. Participants were categorized into high and low depression groups based on the median split. Student\u2019s t-test was used to detect demographic differences in groups. Linear regression models were used to examine the association between PSI, HbA<jats:sub>1c<\/jats:sub>, and DSMP. Regressions for PSI and DSMP were repeated in low and high-depression groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2023-0282_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 46 participants with T1DM, 52\u202f% were female, with a mean age of 13.96 \u00b1 1.94 (range 10\u201317). Avoidant and monitoring style of problem solving as well as the total score of PSI significantly predicted HbA<jats:sub>1c<\/jats:sub> levels. Impulsive and avoidant style of problem solving, problem-solving confidence, and total scores of PSI significantly predicted DSMP (p&lt;0.05). The high depression group had a significantly higher DSMP score than the low depression group (p=0.001), with no difference in HbA<jats:sub>1c<\/jats:sub> levels (p=0.968). When the DSMP regressions were repeated, no significant associations were seen in the low depression group. Avoidant style of problem solving, problem-solving confidence, and the total score of PSI significantly predicted DSMP in the high depression group (p&lt;0.005).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2023-0282_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Problem solving-skills are essential in children with T1DM for a successful disease management. Depression modulates the association between the problem-solving and self-management profile.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2023-0282","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T13:51:08Z","timestamp":1692971468000},"page":"949-956","source":"Crossref","is-referenced-by-count":2,"title":["The effect of problem-solving skills on blood glucose regulation and disease management in children with type 1 diabetes mellitus"],"prefix":"10.1515","volume":"36","author":[{"given":"Tuba","family":"Mutluer","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Mental Health , Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herdem","family":"Aslan Gen\u00e7","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Mental Health , Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuana","family":"Demir","sequence":"additional","affiliation":[{"name":"Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c7a\u011fr\u0131","family":"Demirel","sequence":"additional","affiliation":[{"name":"Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c7i\u00e7ek Nur","family":"Bak\u0131r","sequence":"additional","affiliation":[{"name":"Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u015f\u0131l","family":"Necef","sequence":"additional","affiliation":[{"name":"Department of Child Psychology , Ko\u00e7 \u00dcniversitesi Hastanesi , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serra","family":"Murado\u011flu","sequence":"additional","affiliation":[{"name":"Department of Child Psychology , Ko\u00e7 \u00dcniversitesi Hastanesi , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcl","family":"Ye\u015filtepe Mutlu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology , Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015e\u00fckr\u00fc","family":"Hatun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology , Ko\u00e7 University School of Medicine , Istanbul , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"2023100615123189507_j_jpem-2023-0282_ref_001","doi-asserted-by":"crossref","unstructured":"Desrocher, M, Rovet, J. 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