Kaitlyn Rechenberg1, Robin Whittemore2, Margaret Holland3, Margaret Grey4. 1. Yale University School of Nursing, 400 West Campus Drive, Orange, CT 06577, United States. Electronic address: Kaitlyn.rechenberg@yale.edu. 2. Yale University School of Nursing, 400 West Campus Drive, Orange, CT 06577, United States. Electronic address: Robin.whittemore@yale.edu. 3. Yale University School of Nursing, 400 West Campus Drive, Orange, CT 06577, United States. Electronic address: Margaret.holland@yale.edu. 4. Yale University School of Nursing, 400 West Campus Drive, Orange, CT 06577, United States. Electronic address: Margaret.grey@yale.edu.
Abstract
BACKGROUND: Type 1 diabetes (T1D) is one of the most common chronic health conditions in adolescents in the United States. Adherence to the recommended treatment regimen has been reported as a source of stress for adolescents. AIM: The purpose of this study was to examine the associations among general and diabetes-specific stress and glycemic control (HbA1c), self-management, and diabetes-specific quality of life (QOL) in adolescents with T1D. METHODS: A secondary analysis of baseline data (N=320) from a randomized controlled trial was conducted. Adolescents completed validated measures of general and diabetes-specific stress, self-management, and diabetes-specific QOL. HbA1c levels were obtained from medical records. RESULTS: Over 50% of the sample scored at or above criteria for high general and diabetes-specific stress. Higher general and diabetes-specific stress was significantly associated with higher HbA1c, poorer self-management activities, and lower diabetes-specific QOL. Diabetes-specific stress accounted for a significant proportion of the variance in HbA1c, while general stress did not. General and diabetes-specific stress accounted for 40% of the variance in diabetes-specific QOL. CONCLUSIONS:General and diabetes-specific stress are common in adolescents with T1D. Healthcare providers must be mindful of the sources of stress that adolescents with T1D face on a daily basis. General stress and diabetes-specific stress should be differentiated and may require different interventions to improve coping and outcomes.
RCT Entities:
BACKGROUND:Type 1 diabetes (T1D) is one of the most common chronic health conditions in adolescents in the United States. Adherence to the recommended treatment regimen has been reported as a source of stress for adolescents. AIM: The purpose of this study was to examine the associations among general and diabetes-specific stress and glycemic control (HbA1c), self-management, and diabetes-specific quality of life (QOL) in adolescents with T1D. METHODS: A secondary analysis of baseline data (N=320) from a randomized controlled trial was conducted. Adolescents completed validated measures of general and diabetes-specific stress, self-management, and diabetes-specific QOL. HbA1c levels were obtained from medical records. RESULTS: Over 50% of the sample scored at or above criteria for high general and diabetes-specific stress. Higher general and diabetes-specific stress was significantly associated with higher HbA1c, poorer self-management activities, and lower diabetes-specific QOL. Diabetes-specific stress accounted for a significant proportion of the variance in HbA1c, while general stress did not. General and diabetes-specific stress accounted for 40% of the variance in diabetes-specific QOL. CONCLUSIONS: General and diabetes-specific stress are common in adolescents with T1D. Healthcare providers must be mindful of the sources of stress that adolescents with T1D face on a daily basis. General stress and diabetes-specific stress should be differentiated and may require different interventions to improve coping and outcomes.
Authors: Lynne S Schilling; Jane K Dixon; Kathleen A Knafl; Mary R Lynn; Kathryn Murphy; Susan Dumser; Margaret Grey Journal: Nurs Res Date: 2009 Jul-Aug Impact factor: 2.381
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Authors: Elizabeth J Mayer-Davis; David M Maahs; Michael Seid; Jamie Crandell; Franziska K Bishop; Kimberly A Driscoll; Christine M Hunter; Jessica C Kichler; Debra Standiford; Joan M Thomas Journal: Lancet Child Adolesc Health Date: 2018-07-30