The use of psychological factors for predicting metabolic control in insulin-dependent diabetics

The relationship between metabolic control and depression, anxiety, locus of control, illness duration, family environment, and the interaction of locus of control and illness duration was investigated. In addition, the relationship of metabolic control and family conflict, control, cohesion, and independence was evaluated. The subjects were 42 female and 27 male insulin-dependent diabetics between the ages of 20 and 40. The MMPI-D, STAI, ANSIE, Moos FES, and a short demographic questionnaire were used to assess the psychological dimensions. Illness durations and glycosylated hemoglobin levels were obtained from the patients' medical charts. Scales were handed out to patients during regularly scheduled office visits, filled out at home, and mailed back to the experimenter. The results indicated no significant relationships between metabolic control and any of the variables. These findings add to the confusion concerning the relationship between psychological factors and control of diabetes.