青少年1型糖尿病患者的执行功能与糖尿病管理和血糖控制的关系

Pub Date : 2023-01-01 DOI:10.2337/ds21-0107
Merel Hansmann, Lisa K Volkening, Rebecca K Snelgrove, Zijing Guo, Lori M Laffel
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引用次数: 0

摘要

目的:本研究的目的是评估青少年1型糖尿病患者的执行功能与糖尿病管理和血糖控制的关系,并比较青少年自我报告和父母代理报告的青少年执行功能。方法:1型糖尿病青少年(N = 169,女性46%,年龄15.9±1.3岁)及其父母完成执行功能行为评定量表(BRIEF)的自我报告和父母代理报告两种版本。结果:自我报告与父母代理报告BRIEF T得分呈中至强相关;家长代理得分明显高于自我报告得分。青少年执行功能问题(Global Executive Composite T score≥60)的发生率为9%,家长代理报告的发生率为26%。对于几乎所有的元认知指数量表,较高的家长代理评分(T评分≥60)与较低的依从性、较低的青少年糖尿病自我效能感和更多的家长参与糖尿病管理相关。几个元认知指数量表得分升高与泵使用减少(自我报告计划/组织,父母代理报告发起,父母代理报告监测)和A1C升高(自我报告计划/组织,父母代理报告和父母代理报告材料组织)相关。行为调节指数量表的唯一显著关联发生在依从性(通过父母代理报告)和糖尿病自我效能(通过自我报告和父母报告)。结论:有元认知问题的青少年1型糖尿病患者可能需要额外的糖尿病自我管理支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations of Executive Function With Diabetes Management and Glycemic Control in Adolescents With Type 1 Diabetes.

Aims: The aims of this study were to assess domains of executive function in relation to diabetes management and glycemic control in adolescents with type 1 diabetes and to compare adolescent self-report and parent proxy-report of adolescent executive function.

Methods: Adolescents with type 1 diabetes (N = 169, 46% female, age 15.9 ± 1.3 years) and their parents completed self-report and parent proxy-report versions of the Behavior Rating Inventory of Executive Function (BRIEF).

Results: Self-report and parent proxy-report BRIEF T scores were moderately to strongly correlated; parent proxy scores were significantly higher than self-report scores. Executive function problems (Global Executive Composite T score ≥60) occurred in 9% of adolescents by self-report and 26% by parent proxy-report. For almost all Metacognition Index scales, elevated (T score ≥60) parent proxy scores were associated with lower adherence, lower adolescent diabetes self-efficacy, and more parent involvement in diabetes management. Elevated scores on several Metacognition Index scales were associated with less pump use (Plan/Organize by self-report, Initiate by parent proxy-report, and Monitor by parent proxy-report) and higher A1C (Plan/Organize by self-report and parent proxy-report and Organization of Materials by parent proxy-report). The only significant associations for the Behavioral Regulation Index scales occurred for adherence (by parent proxy-report) and diabetes self-efficacy (by self-report and parent-report).

Conclusion: Adolescents with type 1 diabetes who have problems with metacognition may need additional support for diabetes self-management.

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