Send to

Choose Destination
Diabetes Res Clin Pract. 2017 Dec;134:168-177. doi: 10.1016/j.diabres.2017.10.009. Epub 2017 Oct 17.

Mental health and well-being among type 1 diabetes caregivers in India: Evidence from the IDREAM study.

Author information

Smith College, Statistics and Data Science, Burton Hall 115, 44 College Lane, Smith College, Northampton, MA 01063, USA; University of Minnesota, School of Public Health, West Bank Office Building, 1300 S. 2nd Street, Suite 300, Minneapolis, MN 55455, USA. Electronic address:
University of Minnesota, Humphrey School of Public Affairs, 267 Humphrey School, 301 19th Avenue South, Minneapolis, MN 55455, USA. Electronic address:
Department of Economics, Colby College, 5237 Mayflower Hill Drive, Waterville, ME 049018, USA. Electronic address:
Division of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario (CHEO)/CHEO Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada. Electronic address:
Life for A Child, International Diabetes Federation, GPO Box 9824, Sydney NSW 2001, Australia. Electronic address:
Diabetes Research Education and Management Trust, Shreeniwas Opposite Dhantoli Park, Dhantoli, Nagpur 440012 M.S, India. Electronic address:



Although more than half of the world's children with T1D live in developing countries, still little is known about how caregiving for children with T1D affects the parent/caregivers' health in low- and middle-income country settings.


Caregivers of 178 children with T1D from a specialized diabetes clinic in Maharashtra, India were surveyed. Ordered and standard logistic regression models adjusted for caregiver, household and child characteristics, were fit to estimate the association of caregiving burden (objective caregiving burden and subjective caregiving burden (Zarit Burden Inventory - tertiles)) with caregiver depression (Patient Health Questionnaire [PHQ-9]) and well-being (CDC Unhealthy Days) outcomes.


Caregivers with high subjective caregiving burden had a 41% probability of most severe depression category (probability: 0.41, 95% CI: 0.25, 0.57) and an 39% probability of low well-being (probability: 0.39, 95% CI: 0.27, 0.51), compared to caregivers with low subjective burden. Caregivers with high subjective caregiving burden and high objective direct caregiving burden had an adjusted 30% probability of elevated depressive symptoms (PHQ≥10).


Among Indian T1D caregivers, high subjective caregiving burden and objective direct caregiving burden were associated with a high risk for caregiver depression and poorer well-being.


Caregiver; Depression; Type 1 diabetes; Well-being

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center