Psychological Flexibility Among Youth with Type 1 Diabetes: Relating Patterns of Acceptance, Adherence, and Stress to Adaptation

Behavioral Medicine
Rebecca C KamodyAlicia M Diaz Thomas

Abstract

Psychological flexibility, a complex concept encompassing both acceptance and action related factors, has been identified as a target for intervention for diabetes management. Research suggests acceptance, self-management, and stress, all factors that influence psychological flexibility, have an impact on adaptation to type 1 diabetes (T1D) by youth independently. However, yet to be explored is individually varying patterns of these variables and how they may relate to diabetes adaptation outcomes. The present study aimed to establish individual variations of patterns of these factors to derive profiles of psychological flexibility, and examine their relations to the adaptation outcomes of glycemic control and health-related quality of life. Youth (N = 162, aged 12-17 years) with T1D completed the Acceptance and Action Diabetes Questionnaire, Diabetes Stress Questionnaire, Self-Care Inventory, and Pediatric Quality of Life-Diabetes Module. Hemoglobin A1c values were abstracted from medical records. Latent profile analysis yielded three profiles: High Acceptance & Adherence/Low Stress, Low Acceptance/Moderate Adherence & Stress, and Low Acceptance & Adherence/High Stress. The High Acceptance & Adherence/Low Stress group displaye...Continue Reading

References

May 1, 1991·Nursing Research·M GreyF W Thurber
Feb 1, 1993·Journal of Pediatric Psychology·R H BoardwayJ P Gutai
Aug 29, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Inge Seiffge-Krenke, Mark Stemmler
Jun 10, 2004·Journal of Pediatric Psychology·Annette M La Greca
Jul 24, 2004·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Alissa R Glickman, Annette M La Greca
Dec 24, 2004·Diabetes Care·Janet SilversteinUNKNOWN American Diabetes Association
Mar 1, 2005·Diabetes Care·Augustina M A BrandsRoy P C Kessels
Dec 24, 2005·The New England Journal of Medicine·David M NathanUNKNOWN Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research
Apr 7, 2006·Diabetologia·G S MijnhoutR J Heine
May 2, 2007·Journal of Consulting and Clinical Psychology·Jennifer A GreggJune L Glenn-Lawson
Jun 7, 2007·Pediatric Diabetes·Kim C DonaghueUNKNOWN International Society for Pediatric and Adolescent Diabetes
Apr 26, 2008·Endocrine Reviews·Christopher T Kodl, Elizabeth R Seaquist
Aug 1, 2009·The Journal of Pediatrics·Diana B PetittiUNKNOWN SEARCH for Diabetes in Youth Study Group
Mar 2, 2010·Journal of Pediatric Psychology·Vicki S HelgesonLinda Siminerio
Aug 4, 2010·Nature Reviews. Endocrinology·Samuel Dagogo-Jack
Oct 12, 2010·Nursing Outlook·Robin WhittemoreMargaret Grey
Dec 15, 2010·Clinical Psychology Review·Todd B Kashdan, Jonathan Rottenberg
Mar 1, 2011·Body Image·Nazrat M MirzaMatilde M Palmer
Mar 31, 2011·Pediatric Diabetes·Jennifer M RohanDennis Drotar
Jan 26, 2012·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Sarah S JaserMargaret Grey
Apr 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Pamela S KingDeborah J Wiebe
Jul 4, 2012·Journal of Pediatric Psychology·Kristoffer S BerlinAnthony A Hains
Sep 1, 2012·Current Diabetes Reviews·Anke NieuwesteegEsther Hartman
Dec 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Marisa E HilliardKorey K Hood
May 6, 2014·JAMA : the Journal of the American Medical Association·Dana DabeleaUNKNOWN SEARCH for Diabetes in Youth Study
Jun 18, 2014·Diabetes Care·Jane L ChiangUNKNOWN Type 1 Diabetes Sourcebook Authors
Jul 23, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·A SchmittN Hermanns
Sep 25, 2014·Journal of Pediatric Psychology·Rebecca C KamodyRobert J Ferry
Dec 1, 2006·Multivariate Behavioral Research·Gitta Lubke, Michael C Neale

❮ Previous
Next ❯

Citations

Nov 25, 2017·Applied Psychology. Health and Well-being·Sara GostoliChiara Rafanelli
Sep 12, 2020·Pediatric Diabetes·Kristoffer S BerlinAngelica R Eddington
Jun 30, 2019·Psychiatry Investigation·Mehmet Emrah KaradereFerit Kerim Küçükler
Nov 7, 2019·Current Opinion in Organ Transplantation·Patrick J Smith, Linda C Cendales

❮ Previous
Next ❯

Software Mentioned

DM
Mplus
PedsQL

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.

Related Papers

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
Fu-Sung LoRuey-Hsia Wang
Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Meredith A GruhnSarah S Jaser
© 2022 Meta ULC. All rights reserved