Positive Well-Being in Youth With Type 1 Diabetes During Early Adolescence.

Pub Date : 2018-11-01 Epub Date: 2017-02-12 DOI:10.1177/0272431617692444

Dara M Steinberg, Barbara J Anderson, Maartje de Wit, Marisa E Hilliard

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Abstract

Developmental shifts during early adolescence relate to type 1 diabetes (T1D) self-management, increased risk of emotional distress, and worsening health status. Less is known about positive experiences related to T1D. This study evaluated associations of positive well-being (PWB) with diabetes burden, self-management, and glycemic control. Youth (N = 55, age = 12-13 years; X̄ age = 12.75 + 0.56 years, 50.9% male, 38.2% non-Caucasian) reported PWB, depressive symptoms, and diabetes burden. Parents reported on overall T1D adherence. Adherence behaviors and glycemic control were assessed objectively. Higher PWB correlated with lower depressive symptoms (r _s = -.45), less diabetes burden (r _s = -.48), and better glycemic control (r _s = -.43), all p < .01. When controlling for diabetes duration, higher PWB correlated with lower depressive symptoms and better glycemic control. PWB was not related to demographics or adherence. Initial exploration suggests PWB is related to key diabetes constructs, and maybe valuable to consider along with efforts to support youth with T1D during a vulnerable developmental period.

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青少年早期1型糖尿病患者的积极幸福感。

青春期早期的发育变化与1型糖尿病（T1D）自我管理、情绪困扰风险增加和健康状况恶化有关。对与T1D相关的积极经历知之甚少。本研究评估了积极幸福感（PWB）与糖尿病负担、自我管理和血糖控制的关系。年轻人（N=55，年龄=12-13岁；X年龄=12.75+0.56岁，50.9%为男性，38.2%为非白种人）报告了PWB、抑郁症状和糖尿病负担。家长报告了T1D的总体依从性。对依从性行为和血糖控制进行了客观评估。较高的PWB与较低的抑郁症状（Rs=-.45）、较低的糖尿病负担（Rs=-4.48）和较好的血糖控制（Rs=-0.43）相关，所有p均<0.01。在控制糖尿病持续时间时，较高的PWB与较低的抑郁症状和较好的血糖控制相关。PWB与人口统计学或依从性无关。初步探索表明，PWB与关键的糖尿病结构有关，在脆弱的发育期支持患有T1D的年轻人可能有价值。

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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