Psychosocial functioning and glycemic control in emerging adults with Type 1 diabetes: A 5-year follow-up study

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Jessica RassartIlse Weets

Abstract

The principal aim of this study was to examine the longitudinal interplay of depressive symptoms, diabetes-specific perceptions and distress, and glycemic control in emerging adults with Type 1 diabetes. Emerging adults with Type 1 diabetes (18-30 years old) participated in a 2-wave longitudinal study spanning 5 years (N = 164 at Time 1). Patients completed questionnaires on depressive symptoms, diabetes-specific distress (treatment-related, food-related, emotional, and social support problems), and illness perceptions (consequences and personal control) at baseline and follow-up. HbA1c values were obtained from treating clinicians. The authors investigated the directionality of effects using cross-lagged path analysis. Stronger perceptions of control predicted a relative decrease in treatment-related problems 5 years later, whereas stronger perceptions of consequences predicted a relative increase in depressive symptoms, treatment-related, food-related, emotional, and social support problems over time. Furthermore, higher depressive symptoms predicted a relative increase in social support problems 5 years later. None of the study variables were related to changes in glycemic control over time. Our findings stress the importanc...Continue Reading

Citations

Nov 8, 2015·Diabetes Research and Clinical Practice·Leen OrisIlse Weets
Jan 5, 2017·Annual Review of Psychology·Vicki S Helgeson, Melissa Zajdel
Jun 22, 2019·Diabetes Care·Paula M TriefRuth S Weinstock
Jun 13, 2017·Social Work in Health Care·Kristina Rane, Catharina Gåfvels
Mar 23, 2018·Current Diabetes Reports·Deborah J WiebeCaitlin S Kelly
Aug 19, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Magdalena BeranUNKNOWN European Depression in Diabetes (EDID) Research Consortium

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