Cargando…

Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia

OBJECTIVE: Despite the challenges of living with type 1 diabetes, many adolescents achieve “resilient outcomes”: high engagement in self-management behaviors such as self-monitoring of blood glucose (SMBG), good quality of life (QOL), and within-target glycemic outcomes (HbA(1c)). Adaptive diabetes-...

Descripción completa

Detalles Bibliográficos
Autores principales: Hilliard, Marisa E., Hagger, Virginia, Hendrieckx, Christel, Anderson, Barbara J., Trawley, Steven, Jack, Michelle M., Pouwer, Frans, Skinner, Timothy, Speight, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481988/
https://www.ncbi.nlm.nih.gov/pubmed/28446529
http://dx.doi.org/10.2337/dc16-2688
_version_ 1783245498773143552
author Hilliard, Marisa E.
Hagger, Virginia
Hendrieckx, Christel
Anderson, Barbara J.
Trawley, Steven
Jack, Michelle M.
Pouwer, Frans
Skinner, Timothy
Speight, Jane
author_facet Hilliard, Marisa E.
Hagger, Virginia
Hendrieckx, Christel
Anderson, Barbara J.
Trawley, Steven
Jack, Michelle M.
Pouwer, Frans
Skinner, Timothy
Speight, Jane
author_sort Hilliard, Marisa E.
collection PubMed
description OBJECTIVE: Despite the challenges of living with type 1 diabetes, many adolescents achieve “resilient outcomes”: high engagement in self-management behaviors such as self-monitoring of blood glucose (SMBG), good quality of life (QOL), and within-target glycemic outcomes (HbA(1c)). Adaptive diabetes-related behaviors (i.e., “strengths”) are associated with resilient outcomes, yet the combination of risks and strengths in relation to resilient outcomes is unclear. The aim of this study was to investigate relations among diabetes strengths and resilient outcomes in the context of psychological and family risk factors. RESEARCH DESIGN AND METHODS: A total of 471 Australian adolescents with type 1 diabetes (mean age 15.7 ± 1.9 years; diabetes duration 6.9 ± 4.2 years; 62% female; 53% using insulin pumps) completed a national cross-sectional survey about their diabetes-related strengths, risk factors (depressive/anxiety symptoms, family conflict), and resilient outcomes (SMBG frequency, general QOL, HbA(1c)). RESULTS: Greater diabetes strengths were significantly related to resilient outcomes: more frequent SMBG (r = 0.39), lower HbA(1c) (r = −0.31), and higher general QOL (r = 0.50), as well as to lower risks: fewer depressive (r = −0.45) and anxiety (r = −0.40) symptoms and less conflict (r = 0.28). In multivariate regressions, diabetes strengths consistently related to all resilient outcomes beyond significant risk factors. CONCLUSIONS: In a large sample of Australian adolescents, diabetes strengths were strongly related to key resilient outcomes, even in the presence of well-documented psychological and family risk factors. More research is needed to determine whether strengths reduce or buffer other risks. Given the associations with self-management, HbA(1c), and general QOL, monitoring and enhancing diabetes strengths may support resilience promotion during a vulnerable developmental period.
format Online
Article
Text
id pubmed-5481988
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher American Diabetes Association
record_format MEDLINE/PubMed
spelling pubmed-54819882018-07-01 Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia Hilliard, Marisa E. Hagger, Virginia Hendrieckx, Christel Anderson, Barbara J. Trawley, Steven Jack, Michelle M. Pouwer, Frans Skinner, Timothy Speight, Jane Diabetes Care Clinical Care/Education/Nutrition/Psychosocial Research OBJECTIVE: Despite the challenges of living with type 1 diabetes, many adolescents achieve “resilient outcomes”: high engagement in self-management behaviors such as self-monitoring of blood glucose (SMBG), good quality of life (QOL), and within-target glycemic outcomes (HbA(1c)). Adaptive diabetes-related behaviors (i.e., “strengths”) are associated with resilient outcomes, yet the combination of risks and strengths in relation to resilient outcomes is unclear. The aim of this study was to investigate relations among diabetes strengths and resilient outcomes in the context of psychological and family risk factors. RESEARCH DESIGN AND METHODS: A total of 471 Australian adolescents with type 1 diabetes (mean age 15.7 ± 1.9 years; diabetes duration 6.9 ± 4.2 years; 62% female; 53% using insulin pumps) completed a national cross-sectional survey about their diabetes-related strengths, risk factors (depressive/anxiety symptoms, family conflict), and resilient outcomes (SMBG frequency, general QOL, HbA(1c)). RESULTS: Greater diabetes strengths were significantly related to resilient outcomes: more frequent SMBG (r = 0.39), lower HbA(1c) (r = −0.31), and higher general QOL (r = 0.50), as well as to lower risks: fewer depressive (r = −0.45) and anxiety (r = −0.40) symptoms and less conflict (r = 0.28). In multivariate regressions, diabetes strengths consistently related to all resilient outcomes beyond significant risk factors. CONCLUSIONS: In a large sample of Australian adolescents, diabetes strengths were strongly related to key resilient outcomes, even in the presence of well-documented psychological and family risk factors. More research is needed to determine whether strengths reduce or buffer other risks. Given the associations with self-management, HbA(1c), and general QOL, monitoring and enhancing diabetes strengths may support resilience promotion during a vulnerable developmental period. American Diabetes Association 2017-07 2017-04-26 /pmc/articles/PMC5481988/ /pubmed/28446529 http://dx.doi.org/10.2337/dc16-2688 Text en © 2017 by the American Diabetes Association. http://www.diabetesjournals.org/content/licenseReaders may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.
spellingShingle Clinical Care/Education/Nutrition/Psychosocial Research
Hilliard, Marisa E.
Hagger, Virginia
Hendrieckx, Christel
Anderson, Barbara J.
Trawley, Steven
Jack, Michelle M.
Pouwer, Frans
Skinner, Timothy
Speight, Jane
Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia
title Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia
title_full Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia
title_fullStr Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia
title_full_unstemmed Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia
title_short Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth–Australia
title_sort strengths, risk factors, and resilient outcomes in adolescents with type 1 diabetes: results from diabetes miles youth–australia
topic Clinical Care/Education/Nutrition/Psychosocial Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481988/
https://www.ncbi.nlm.nih.gov/pubmed/28446529
http://dx.doi.org/10.2337/dc16-2688
work_keys_str_mv AT hilliardmarisae strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT haggervirginia strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT hendrieckxchristel strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT andersonbarbaraj strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT trawleysteven strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT jackmichellem strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT pouwerfrans strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT skinnertimothy strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia
AT speightjane strengthsriskfactorsandresilientoutcomesinadolescentswithtype1diabetesresultsfromdiabetesmilesyouthaustralia