面对1型糖尿病管理挑战的青少年的延迟折扣和焦虑和抑郁症状

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Childrens Health Care Pub Date : 2025-01-01 Epub Date: 2023-06-20 DOI:10.1080/02739615.2023.2226393

Molly A B Anderson, Catherine Stanger

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引用次数: 0

摘要

我们研究了焦虑/抑郁、延迟折扣（DD）及其相互作用是否与1型糖尿病（T1D）青少年的A1c水平升高和依从性降低有关。61名青少年T1D患者完成了DD任务和A1c血液检测。通过使用血糖仪数据自我监测血糖（SMBG）来评估依从性。使用家长填写的问卷评估焦虑/抑郁。较大的DD与较高的A1c相关，但与SMBG无关。焦虑/抑郁与A1c或SMBG无关。更严重的焦虑/抑郁会放大DD对A1c的影响。焦虑/抑郁症状可能是青少年T1D患者改善血糖控制的目标。

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Delay discounting and symptoms of anxiety and depression in adolescents experiencing challenges with managing type 1 diabetes.

We examined if anxiety/depression, delay discounting (DD), and their interaction were associated with greater A1c levels and reduced medical adherence in adolescents with type 1 diabetes (T1D). Sixty-one adolescents with T1D completed a DD task and an A1c blood test. Adherence was assessed by self-monitoring of blood glucose (SMBG) using glucometer data. Anxiety/depression was assessed using a parent-completed questionnaire. Greater DD was associated with higher A1c, but not SMBG. Anxiety/depression was not associated with A1c or SMBG. Greater anxiety/depression magnified the effect of DD on A1c. Anxious/depressed symptoms may be a target for youth with T1D to improve glycemic control.

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来源期刊

Childrens Health Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

11.10%

发文量