Journal of International Psychiatry

【 Abstract 】 Objective To explore the level of self-awareness and its influencing factors in children with type 1 diabetes mellitus (T1DM). Methods 100 children with T1DM admitted to our hospital from January 2020 to December 2022 were selected to evaluate their self-awareness level using the Childrens Self Awareness Scale (PHCSS). They were divided into two groups based on their scores: the group with higher self-awareness level (PHCSS score>50 points) and the group with lower self-awareness level (PHCSS score<50 points). General information was collected and compared between the two groups Blood glucose indicators [fasting blood glucose (FBG), 2-hour postprandial blood glucose (2hPBG), glycosylated hemoglobin (HbA1c)], Achenbach Childrens Behavior Scale (CBCL), Autism Behavior Scale (ABC); Draw ROC curves to analyze the impact of psychological indicators on the self-awareness level of T1DM children, and use multivariate logistic regression to analyze the influencing factors of self-awareness level in T1DM children.Results 45 cases had low level of self-awareness and 55 cases had high level of self-awareness. The scores of Achenbach Child Behavior Scale (CBCL) and Autism Behavior Scale (ABC) in the low self-awareness group were higher than those in the high self-awareness group (P < 0.05); ROC analysis proved that CBCL and ABC could be used to assess the level of self-awareness in children with T1DM, and the areas under the curve were 0.818 and 0.776, P < 0.05. Multivariate Logistic regression analysis confirmed that CBCL score ≥50.20 and ABC score ≥36.38 were the influencing factors for the low level of self-awareness in T1DM children. Conclusion Low level of self-awareness is common in children with T1DM, and the mental and psychological level is the factor that affects the level of self-awareness of children. Clinical attention should be paid to the mental and psychological situation of children, and corresponding intervention measures should be given.

【 Key words 】 diabetes mellitus; Childrens self-awareness level; Mental psychology; Blood sugar