Depressive symptoms and diabetes management from late adolescence to emerging adulthood

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Katherine J W BaucomDeborah J Wiebe

Abstract

To examine changes in depressive symptoms as well as between- and within-person associations between depressive symptoms and Type 1 diabetes (T1D) management across the transition from late adolescence to emerging adulthood. Beginning in the senior year of high school, 197 late adolescents with T1D (Mage = 17.77) reported on their student status and living situation, and completed self-report measures of depressive symptoms and adherence to the diabetes regimen, annually at 3 time points. Glycemic control was gathered from hemoglobin A1c (HbA1c) assay kits at the same time points. Results of multilevel models demonstrated high depressive symptoms at baseline, with significant increases in depressive symptoms across time when participants were not living in their parental home, but no change when living with parents. Participants with higher mean levels of depressive symptoms relative to peers (between-person association) had poorer adherence and glycemic control (i.e., higher HbA1c) on average. Within-person fluctuations in depressive symptoms were significantly associated with adherence: greater increases in depressive symptoms (relative to adolescents' own average) were associated with greater deteriorations in adherence. The...Continue Reading

Citations

Aug 29, 2020·Current Diabetes Reports·Lauren D Gulley, Lauren B Shomaker
Nov 26, 2019·Translational Behavioral Medicine·Shelagh A MulvaneyMaureen Monaghan
Dec 12, 2019·Journal of the International Neuropsychological Society : JINS·Yana SuchyCynthia A Berg
Dec 29, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·Björg ÁsbjörnsdóttirElisabeth R Mathiesen
Sep 18, 2020·Diabetes Research and Clinical Practice·Emily R HamburgerSarah S Jaser
Feb 20, 2021·Pediatric Diabetes·Kaitlyn E BrodarAlan M Delamater
Jul 6, 2021·Journal of Pediatric Nursing·Kaitlyn Rechenberg, Rebecca Koerner
Dec 7, 2021·Diabetes Spectrum : a Publication of the American Diabetes Association·Persis V CommissariatMolly L Tanenbaum

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