Mindfulness-Based Intervention for Adolescents With Type 1 Diabetes: A Case Series.

IF 0.9 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2025-06-01 DOI:10.1177/21694826251319328

Francesca Lupini, Hailey Moore, Molly Basch, Jack Vagadori, Frances Cooke, Katherine Patterson Kelly, Randi Streisand, Lauren Shomaker, Mesgana Dagnachew, Daniel K Cooper, Eleanor R Mackey

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引用次数: 0

Abstract

Objective: Adolescents with type 1 diabetes (T1D) have risk for elevated negative affect, and mindfulness-based interventions (MBI) may be effective interventions. The aim of this case series was to (1) highlight individual changes in negative affect (depression, anxiety, and stress), mindfulness, and diabetes outcomes (diabetes distress, diabetes self-management, and HbA1c) after participating in an MBI and (2) highlight the utility of MBI in historically marginalized populations.

Methods: Cases were chosen from a sample of adolescents with T1D and elevated negative affect who took part in a pilot randomized controlled trial of an MBI. Individuals were selected due to adherence to study protocol, similar baseline scores on target outcomes, and demographic similarities that indicate historical marginalization. The participants were two 12-14-year-old girls with T1D, one identifying as Black/African American, "Jayla," and one identifying as biracial Latinx/Hispanic, "Valerie" who participated in a 6-7 session virtual group MBI. Participants completed surveys at baseline, post-intervention, and three months post-intervention.

Results: Jayla and Valerie demonstrated improvements in multiple domains including depression, anxiety, stress, mindfulness, diabetes distress, and diabetes self-management. We observed small improvements in HbA1c and disordered eating in Valerie, but not in Jayla.

Conclusions: This case series demonstrates the potential utility of MBI in adolescents with T1D and negative affect, particularly those experiencing increased burden of SDOH.

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正念为基础的干预青少年1型糖尿病：一个案例系列。

目的：青少年1型糖尿病（T1D）患者存在负面情绪升高的风险，正念干预（MBI）可能是有效的干预措施。本病例系列的目的是：(1)强调参加MBI后个人在负面影响（抑郁、焦虑和压力）、正念和糖尿病结局（糖尿病痛苦、糖尿病自我管理和糖化血红蛋白）方面的变化；(2)强调MBI在历史上边缘化人群中的效用。方法：从参加MBI随机对照试验的青少年T1D和高负性情绪样本中选择病例。个体的选择是基于对研究方案的遵守，目标结果的相似基线得分，以及表明历史边缘化的人口统计学相似性。参与者是两个12-14岁的T1D女孩，一个是黑人/非裔美国人“Jayla”，另一个是拉丁裔/西班牙裔混血儿“Valerie”，她们参加了一个6-7次的虚拟小组MBI。参与者在基线、干预后和干预后三个月完成调查。结果：Jayla和Valerie在抑郁、焦虑、压力、正念、糖尿病困扰和糖尿病自我管理等多个领域都有改善。我们观察到瓦莱丽的糖化血红蛋白和饮食紊乱有小幅改善，但贾伊拉没有。结论：这个病例系列表明MBI在青少年T1D和负面情绪中的潜在效用，特别是那些经历SDOH负担增加的青少年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.