青少年糖尿病自我效能感（DSE）与心理健康的关系

IF 6.2 1区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes Pub Date : 2025-06-13 DOI:10.2337/db25-1208-p

LUCAS S. MATZENBACHER, LIANE J. TINSLEY, BARBARA J. ANDERSON-THOMAS, LISA K. VOLKENING, LORI M. LAFFEL

{"title":"青少年糖尿病自我效能感（DSE）与心理健康的关系","authors":"LUCAS S. MATZENBACHER, LIANE J. TINSLEY, BARBARA J. ANDERSON-THOMAS, LISA K. VOLKENING, LORI M. LAFFEL","doi":"10.2337/db25-1208-p","DOIUrl":null,"url":null,"abstract":"Introduction and Objective: Teens and parents may have different perceptions of teens’ DSE. We investigated how agreement on teen DSE between teens with T1D and their parents impacts psychosocial outcomes. Methods: Teens with T1D (ages 13-17) and their parents completed parallel surveys measuring DSE, diabetes family conflict, emotional responses to BG checks, diabetes distress, parent involvement, T1D care adherence, and quality of life at 0, 6, and 12 mo. Baseline teen and parent DSE scores were categorized as high or low by the median and used to classify teen-parent dyads as ‘agreement on high’, ‘agreement on low’, ‘discordant (teen higher)’, and ‘discordant (parent higher)’. Linear mixed models evaluated impact of baseline DSE agreement on psychosocial outcomes over 1 year. Results: Among 296 teens (50% female; 78% white; age 15.0±1.3 yrs; T1D duration 6.6±3.7 yrs) and their parents, agreement on low DSE was associated with worse psychosocial outcomes for teens and parents (Table) compared with agreement on high DSE. Discordance (parent higher) only affected teen outcome for lower teen self-care. When parents reported low teen DSE, parents experienced worse psychosocial outcomes regardless of teen perception. Conclusion: Agreement between teens and parents on DSE relates to psychosocial outcomes, emphasizing the importance of considering perspectives of both teens and parents in assessment of psychosocial dimensions of T1D. Disclosure L.S. Matzenbacher: None. L.J. Tinsley: None. B.J. Anderson-Thomas: None. L.K. Volkening: None. L.M. Laffel: Advisory Panel; Boehringer-Ingelheim, Sanofi, MannKind Corporation, Medtronic, Vertex Pharmaceuticals Incorporated, Tandem Diabetes Care, Inc, Insulet Corporation. Research Support; Dexcom, Inc. Advisory Panel; Sequel Med Tech. Other Relationship; Janssen Pharmaceuticals, Inc. Consultant; Arbor Biotech. Funding NIH (R01DK095273); JDRF (2-SRA-2014-253-M-B)","PeriodicalId":11376,"journal":{"name":"Diabetes","volume":"225 1","pages":""},"PeriodicalIF":6.2000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"1208-P: Parent–Teen Agreement on Teen Diabetes Self-Efficacy (DSE) Relates to Psychosocial Well-Being\",\"authors\":\"LUCAS S. MATZENBACHER, LIANE J. TINSLEY, BARBARA J. ANDERSON-THOMAS, LISA K. VOLKENING, LORI M. LAFFEL\",\"doi\":\"10.2337/db25-1208-p\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction and Objective: Teens and parents may have different perceptions of teens’ DSE. We investigated how agreement on teen DSE between teens with T1D and their parents impacts psychosocial outcomes. Methods: Teens with T1D (ages 13-17) and their parents completed parallel surveys measuring DSE, diabetes family conflict, emotional responses to BG checks, diabetes distress, parent involvement, T1D care adherence, and quality of life at 0, 6, and 12 mo. Baseline teen and parent DSE scores were categorized as high or low by the median and used to classify teen-parent dyads as ‘agreement on high’, ‘agreement on low’, ‘discordant (teen higher)’, and ‘discordant (parent higher)’. Linear mixed models evaluated impact of baseline DSE agreement on psychosocial outcomes over 1 year. Results: Among 296 teens (50% female; 78% white; age 15.0±1.3 yrs; T1D duration 6.6±3.7 yrs) and their parents, agreement on low DSE was associated with worse psychosocial outcomes for teens and parents (Table) compared with agreement on high DSE. Discordance (parent higher) only affected teen outcome for lower teen self-care. When parents reported low teen DSE, parents experienced worse psychosocial outcomes regardless of teen perception. Conclusion: Agreement between teens and parents on DSE relates to psychosocial outcomes, emphasizing the importance of considering perspectives of both teens and parents in assessment of psychosocial dimensions of T1D. Disclosure L.S. Matzenbacher: None. L.J. Tinsley: None. B.J. Anderson-Thomas: None. L.K. Volkening: None. L.M. Laffel: Advisory Panel; Boehringer-Ingelheim, Sanofi, MannKind Corporation, Medtronic, Vertex Pharmaceuticals Incorporated, Tandem Diabetes Care, Inc, Insulet Corporation. Research Support; Dexcom, Inc. Advisory Panel; Sequel Med Tech. Other Relationship; Janssen Pharmaceuticals, Inc. Consultant; Arbor Biotech. Funding NIH (R01DK095273); JDRF (2-SRA-2014-253-M-B)\",\"PeriodicalId\":11376,\"journal\":{\"name\":\"Diabetes\",\"volume\":\"225 1\",\"pages\":\"\"},\"PeriodicalIF\":6.2000,\"publicationDate\":\"2025-06-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Diabetes\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2337/db25-1208-p\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2337/db25-1208-p","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

摘要

前言与目的：青少年和家长可能对青少年的DSE有不同的看法。我们调查了患有T1D的青少年和他们的父母在青少年DSE上的一致如何影响心理社会结果。方法：患有T1D的青少年（13-17岁）及其父母在0、6和12个月时完成平行调查，测量DSE、糖尿病家庭冲突、对BG检查的情绪反应、糖尿病困扰、父母参与、T1D护理依从性和生活质量。青少年和父母的基线DSE得分按中位数分为高或低，并用于将青少年父母二元分类为“一致性高”、“一致性低”、“不一致（青少年高）”和“不一致（父母高）”。线性混合模型评估基线DSE协议对1年内社会心理结局的影响。结果：296名青少年中，女性占50%；78%的白人;年龄15.0±1.3岁；T1D持续时间（6.6±3.7年）及其父母，与高DSE的一致性相比，低DSE的一致性与青少年和父母更差的社会心理结局相关（表）。不和谐（父母高）只影响青少年低自我照顾的结果。当父母报告的青少年DSE较低时，无论青少年的看法如何，父母都会经历更糟糕的心理社会结果。结论：青少年和父母对DSE的一致看法与心理社会结果有关，强调了在评估T1D的心理社会维度时考虑青少年和父母的观点的重要性。l·s·马岑巴赫：没有。L.J.廷斯利：没有。B.J.安德森-托马斯：没有。沃克宁：没有。L.M. Laffel：顾问小组；Boehringer-Ingelheim, Sanofi, MannKind Corporation, Medtronic, Vertex Pharmaceuticals Incorporated, Tandem Diabetes Care, Inc .，胰岛素公司。研究支持;, Dexcom公司将公司。顾问小组;续作医疗技术。其他关系；杨森制药公司顾问;阿伯生物技术。资助NIH (R01DK095273)；JDRF (2 - sra - 2014 - 253 - m - b)

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

1208-P: Parent–Teen Agreement on Teen Diabetes Self-Efficacy (DSE) Relates to Psychosocial Well-Being

Introduction and Objective: Teens and parents may have different perceptions of teens’ DSE. We investigated how agreement on teen DSE between teens with T1D and their parents impacts psychosocial outcomes. Methods: Teens with T1D (ages 13-17) and their parents completed parallel surveys measuring DSE, diabetes family conflict, emotional responses to BG checks, diabetes distress, parent involvement, T1D care adherence, and quality of life at 0, 6, and 12 mo. Baseline teen and parent DSE scores were categorized as high or low by the median and used to classify teen-parent dyads as ‘agreement on high’, ‘agreement on low’, ‘discordant (teen higher)’, and ‘discordant (parent higher)’. Linear mixed models evaluated impact of baseline DSE agreement on psychosocial outcomes over 1 year. Results: Among 296 teens (50% female; 78% white; age 15.0±1.3 yrs; T1D duration 6.6±3.7 yrs) and their parents, agreement on low DSE was associated with worse psychosocial outcomes for teens and parents (Table) compared with agreement on high DSE. Discordance (parent higher) only affected teen outcome for lower teen self-care. When parents reported low teen DSE, parents experienced worse psychosocial outcomes regardless of teen perception. Conclusion: Agreement between teens and parents on DSE relates to psychosocial outcomes, emphasizing the importance of considering perspectives of both teens and parents in assessment of psychosocial dimensions of T1D. Disclosure L.S. Matzenbacher: None. L.J. Tinsley: None. B.J. Anderson-Thomas: None. L.K. Volkening: None. L.M. Laffel: Advisory Panel; Boehringer-Ingelheim, Sanofi, MannKind Corporation, Medtronic, Vertex Pharmaceuticals Incorporated, Tandem Diabetes Care, Inc, Insulet Corporation. Research Support; Dexcom, Inc. Advisory Panel; Sequel Med Tech. Other Relationship; Janssen Pharmaceuticals, Inc. Consultant; Arbor Biotech. Funding NIH (R01DK095273); JDRF (2-SRA-2014-253-M-B)

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Diabetes 医学-内分泌学与代谢

CiteScore

12.50

自引率

2.60%

发文量

1968

审稿时长

1 months

期刊介绍： Diabetes is a scientific journal that publishes original research exploring the physiological and pathophysiological aspects of diabetes mellitus. We encourage submissions of manuscripts pertaining to laboratory, animal, or human research, covering a wide range of topics. Our primary focus is on investigative reports investigating various aspects such as the development and progression of diabetes, along with its associated complications. We also welcome studies delving into normal and pathological pancreatic islet function and intermediary metabolism, as well as exploring the mechanisms of drug and hormone action from a pharmacological perspective. Additionally, we encourage submissions that delve into the biochemical and molecular aspects of both normal and abnormal biological processes. However, it is important to note that we do not publish studies relating to diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus. Our aim is to provide a platform for research that contributes to advancing our understanding of the underlying mechanisms and processes of diabetes.