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The human figure drawing in children with type 1 diabetes and healthy control individuals: What differences?
Journal Title: PSICOLOGIA DELLA SALUTE 
Author/s: Alda Troncone, Crescenzo Cascella, Antonietta Chianese, Dario Iafusco 
Year:  2018 Issue: Language: Italian 
Pages:  18 Pg. 27-44 FullText PDF:  264 KB
DOI:  10.3280/PDS2018-002006
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The purpose of this study was to evaluate the presence of psychological problems in children with type 1 diabetes by using human figure drawings. A total of 81 consecutive patients attending an Southern Italian university pediatric diabetology centre with a diagnosis of type 1 diabetes, along with 219 control subjects matched to the study group for age and gender, were asked to draw human figure drawings according to the Draw a Person: Screening Procedure for Emotional Disturbances (DAP:SPED). The glycosylated hemoglobin (HbA1C) mean value, measured every 3 months over the past year, was used as a measure of metabolic control. No significant differences between the children with type 1 diabetes and controls in the DAP:SPED total scores were observed, even when they were differentiated by gender or by weight An item by item human figure drawings comparison showed that the children with type 1 diabetes drew smaller figures for height and width than the controls, with more frequent presence of pointed fingers and the absence of clothes. Findings indicated the presence of distinctive elements in human figure drawings suggesting the existence of aspects of body image which characterize children with type 1 diabetes and distinguish them from healthy children. The differences observed support the need for monitoring the characteristics of body image in children with type 1 diabetes during the course of the development in order to increase the efficacy of early action to prevent the onset of psychological problems.
Keywords: Human figure drawing, type 1 diabetes, psychological problems

  1. Ackard D.M., Vik N., Neumark-Sztainer D., Schmitz K.H., Hannan P. and Jacobs D.R. Jr. (2008). Disordered eating and body dissatisfaction in adolescents with type 1 diabetes and a population-based camparison sample: comparative prevalence and clinical implications. Pediatric Diabetes, 9 (part I): 312-319.
  2. Argüelles T., Garcìa R. and Agramonte A. (2006). El dibujo como exponente de las percepciones sobre la enfermedad en niños y niñas con diabetes mellitus. Revista Cubana de Endocrinologia, 17 (1): 0-0.
  3. Celano C.M., Beale E.E., Moore S.V., Wexler D.J. and Huffman J.C. (2013). Positive psychological characteristics in diabetes: a review. Current Diabetes Reports, 13 (6): 917-929.
  4. Colton P.A., Rodin G.M., Olmsted M.P. and Daneman D. (1999) Eating disturbances in young women with type 1 diabetes mellitus: Mechanisms and consequences. Psychiatric Annals 29 (4): 213-218., 10.3928/0048-5713-19990401-0DOI: 10.3928/0048-5713-19990401-0
  5. Eiser C., Patterson D. and Tripp J.H. (1983). Diabetes and developing knowledge of the body. Archives Disease Childhood, 59 (2): 167-169.
  6. Flanagan R. and Motta R.W. (2007). Figure Drawings: A popular method. Psychology in the Schools, 44 (3): 257-270.
  7. Frank R.G., Hagglund K.J., Schopp L. et al. (1998). Disease and family contributors to adaptation in juvenile rheumatoid arthritus and juvenile diabetes. Arthritus Care and Research, 11 (3): 166-76.
  8. Hamlett K.W., Pellegrini D.S. and Katz K.S. (1992). Childhood chronic illness as a family stressor. Journal of Pediatric Psychology, 17 (1): 33-47.
  9. Hoey H., Aanstoot H., Chiarelli F., Daneman D., Danne T., Dorchy H. et al. (2001). Good metabolic control is associated with better quality of life in 2,101 adolescents with type 1 diabetes. Diabetes Care, 24 (11): 1923-1928.
  10. Kahill S. (1984). Human figure drawing in adults: An update of the empirical evidence, 1967–1982. Canadian Psychology, 25 (4): 269-292.
  11. Kakleas K., Kandyla B., Karayianni C. and Karavanaki K. (2009). Psychosocial problems in adolescents with type 1 diabetes mellitus. Diabetes & Metabolism, 35 (5): 339-350.
  12. Kalyva E., Malakonaki E., Eiser C. and Mamoulakis D. (2011). Health‐related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatric diabetes, 12 (1): 34-40.
  13. Kamphaus R.W. (1993). Comment on “The use and abuse of human drawing figure”. School Psychology Quarterly, 8: 187-188.
  14. Koppitz E.M. (1968). Psychological evaluation of children’s human figure drawings. New York: Grune & Stratton.
  15. Kortesluoma R.L., Punamaki R.L. and Nikkoken M. (2008). Hospitalized children drawing their pain: the contents and cognitive and emotional characteristic of pain drawings. Journal of Child Health Care, 12 (4): 284-300., 10.1177/136749350809620DOI: 10.1177/136749350809620
  16. Kovacs M., Iyengar S., Goldston D., Stewart J., Obrosky D.S. and Marsh J. (1990). Psychological functioning of children with insulin-dependent diabetes mellitus: A longitudinal study. Journal of Pediatric Psychology, 15 (5): 619-32.
  17. Larrañaga A., Docet M.F. and García-Mayor R.V. (2011). Disordered eating behaviors in type 1 diabetic patients. World Journal of Diabetes, 11 (2): 189-195.
  18. Lilienfeld S.O., Wood J.M. and Garb H.N. (2000). The scientific status of projective techniques. Psychological Science in the Public Interest, 1 (2): 27-66., 10.1111/1529-1006.00DOI: 10.1111/1529-1006.00
  19. Manucci E., Rotella F., Ricca V., Moretti S., Placidi G.F. and Rotella C.M. (2005). Eating disorders in patients with type 1 diabetes: A meta-analysis. Journal of Endocrinological Investigation, 28 (7): 417-419.
  20. Matto H.C. (2002). Investigating the validity of the Draw-A-Person: Screening Procedure for Emotional Disturbance: a measurement validation study with high-risk youth. Psychological Assessment, 14 (2): 221-5., 10.1037/1040-3590.14.2.22DOI: 10.1037/1040-3590.14.2.22
  21. McNeish T.J. (1989). Reliability and validity of a human figure drawing screening measure to identify emotional or behavioral disorders in children (Doctoral dissertation, The Ohio State University).
  22. McNeish T.J. and Naglieri J.A. (1993). Identification of individuals with serious emotional disturbance using the Draw-A-Person: Screening Procedure for Emotional Disturbance. The Journal of Special Education, 27 (1): 115-121., 10.1177/00224669930270010DOI: 10.1177/00224669930270010
  23. Naglieri J.A. (1988). Draw a Person: a Quantitative Scoring System. New York: Psychological Corporation.
  24. Naglieri J.A. (1993) Human figure drawings in perspective. School Psychology Quarterly, 8: 170-176.
  25. Naglieri J.A. and Pfeiffer S.I. (1992). Performance of disruptive behavior disordered and normal samples on the Draw-A-Person: Screening Procedure for Emotional Disturbance. Psychological Assessment, 4(2): 156-159., 10.1037/1040-3590.4.2.15DOI: 10.1037/1040-3590.4.2.15
  26. Naglieri J.A., McNeish T. and Bardos A. (1991). DAP: SPED. Draw-a-Person: Screening Procedure for Emotional Disturbance. Examiner’s Manual. Austin, TX: Pro-Ed.
  27. National Institute for Health and Care Excellence (2016). Diabetes in children and young people. Quality standard 125. Retrieved from: https://www.nice.org.uk/
  28. Northam E.A., Matthews L.K., Anderson P.J., Cameron F.J. and Werther G.A. (2005). Psychiatric morbidity and health outcome in Type 1 diabetes–perspectives from a prospective longitudinal study. Diabetic Medicine, 22 (2): 152-157.
  29. Nuvoli G., Maioli M., Ferrari C., Pala G. and Chiaretti G. (1989). Diabetes and illness image: an analysis of diabetic early-adolescents’ self-perception through the draw-a-person test. Psychological Reports, 65 (1): 83-93.
  30. Pinquart M. (2013). Body image of children and adolescents with chronic illness: A meta-analytic comparison with healthy peers. Body Image, 10(2): 141-148.
  31. Pipe M.E., Lamb M.E., Orbach Y. and Esplin P.W. (2004). Recent research on children’s testimony about experienced and witnessed events. Developmental Review, 24 (4): 440–468.
  32. Prewett P.N., Bardos A.N. and Naglieri J.A. (1988). Use of the Matrix Analogies Test-Short Form and the Draw A Person: A Quantitative Scoring System with learning-disabled and normal students. Journal of Psychoeducational Assessment, 6 (4): 347-353., 10.1177/07342829880060040DOI: 10.1177/07342829880060040
  33. Reynolds K.A. and Helgeson V. (2011). Children with diabetes compared to peers: Depressed? Distressed? Annals of Behavioral Medicine 42 (1): 29-41.
  34. Shaban C. (2010). Body image, intimacy and diabetes. European Diabetes Nursing, 7(2): 82-86.
  35. Stein M.T. (2001). The Use of Family Drawings by Children in Pediatric Practice. Journal of Developmental and Behavioral Pediatrics, 22 (supp.): 49-54.
  36. Troncone A., Prisco F., Cascella C., Chianese A. et al. (2014) The evaluation of body image in children with type 1 diabetes: A case-control study. Journal of Health Psychology. Health Psychology Open, 2(2).

Alda Troncone, Crescenzo Cascella, Antonietta Chianese, Dario Iafusco, The human figure drawing in children with type 1 diabetes and healthy control individuals: What differences? in "PSICOLOGIA DELLA SALUTE" 2/2018, pp. 27-44, DOI:10.3280/PDS2018-002006

   

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