Authors
Camilia Kamoun, Jane C Khoury, Wael Shamseddeen, Mohamad El Zein, Nancy Abigail Crimmins, Pascale Nawfal, Hala Mounir Tfayli
Published in
Frontiers in pediatrics. Volume 14. Pages 1806430. Epub Jun 24, 2026.
Abstract
The impact of caregiver anxiety on management of type 1 diabetes (T1D) is not well understood. This study examined the association between caregiver anxiety, glycemic control, and anxiety symptoms in youth with T1D.
We conducted a cross-sectional study of 200 dyads of youth aged 11-17 years, with T1D duration >1 year and their primary caregivers. Caregiver anxiety was assessed by the State-Trait Anxiety Inventory (STAI), and youth anxiety by the Screen for Child Anxiety Related Emotional Disorders (SCARED). Multiple logistic regression examined associations between STAI quartiles and glycemic control defined as HbA1c ≤ 7.5%.
Youth with caregivers in the lowest quartile of state anxiety had lower odds of HbA1c ≤ 7.5% compared to the middle 50% [adjusted odds ratio = 0.35; 95% CI (0.14-0.84), p = 0.018]. Possible anxiety disorder based on SCARED scores was identified in 60.5% of youth. Higher caregiver STAI-scores correlated with higher youth SCARED-scores.
Low caregiver state anxiety was associated with worse glycemic control in youth with T1D, a counterintuitive finding that may reflect differences in caregiver involvement. Anxiety symptoms were highly prevalent among youth in this cohort. These findings highlight the complex interplay between caregiver anxiety, youth anxiety and glycemic control, and support the importance of psychological screening, and family-centered approaches in routine diabetes care.
PMID:
42422449
Bibliographic data and abstract were imported from PubMed on 09 Jul 2026.
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