Featured Article: Trajectories of Glycemic Control Over Adolescence and Emerging Adulthood: An 11-Year Longitudinal Study of Youth With Type 1 Diabetes

Journal of Pediatric Psychology
Vicki S HelgesonDorothy Becker

Abstract

To identify trajectories of glycemic control over adolescence and emerging adulthood and to test whether demographic and psychosocial variables distinguished these trajectories. We enrolled 132 youth with type 1 diabetes when they were average age 12 and followed them for 11 years. We used group-based trajectory modeling to identify distinct patterns of glycemic control, and examined whether age 12 demographic and psychosocial variables distinguished the subsequent trajectories. We identified 5 trajectories of glycemic control: stable on target, stable above target, volatile late peak, stable high, and inverted U. Parent social status and household structure distinguished the more problematic trajectories from the stable on target group. Friend conflict, psychological distress, unmitigated communion, and self-care behavior at age 12 distinguished problematic glycemic control trajectories from the stable on target group. These results can be used to identify youth who are at risk for deteriorating glycemic control over adolescence.

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Citations

Oct 1, 2019·Journal of Psychosocial Nursing and Mental Health Services·Marianne Channas CockroftDebra C Wallace
Apr 25, 2020·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Koen RaymaekersKoen Luyckx
Dec 12, 2019·Journal of the International Neuropsychological Society : JINS·Yana SuchyCynthia A Berg
Mar 23, 2018·Current Diabetes Reports·Deborah J WiebeCaitlin S Kelly
Feb 20, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Rachel G MillerTina Costacou
Feb 20, 2021·Pediatric Diabetes·Kaitlyn E BrodarAlan M Delamater
Mar 16, 2021·International Journal of Behavioral Medicine·Neha A John-HendersonClaudia M Mueller
Jun 27, 2021·Pediatric Diabetes·Jaclyn Lennon PapadakisJill Weissberg-Benchell
Mar 12, 2019·Diabetes Spectrum : a Publication of the American Diabetes Association·Tim Wysocki
Jun 22, 2021·Diabetes Spectrum : a Publication of the American Diabetes Association·Arwen M MarkerSusana R Patton

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