Self-Regulation as a Protective Factor for Diabetes Distress and Adherence in Youth with Type 1 Diabetes During the COVID-19 Pandemic.

Autor:	Miller AL; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA., Albright D; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA., Bauer KW; Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA., Riley HO; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA., Hilliard ME; Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA., Sturza J; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA., Kaciroti N; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA., Lo SL; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA., Clark KM; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA., Lee JM; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.; Department of Pediatrics, Susan B. Meister Child Health Evaluation and Research Center (CHEAR), University of Michigan, Ann Arbor, MI, USA., Fredericks EM; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.; Department of Pediatrics, Susan B. Meister Child Health Evaluation and Research Center (CHEAR), University of Michigan, Ann Arbor, MI, USA.
Jazyk:	angličtina
Zdroj:	Journal of pediatric psychology [J Pediatr Psychol] 2022 Aug 12; Vol. 47 (8), pp. 873-882.
DOI:	10.1093/jpepsy/jsac045
Abstrakt:	Objective: The COVID-19 pandemic increased economic, social, and health stressors for families, yet its impacts on families of youth with chronic conditions, such as type 1 diabetes (T1D), are not well understood. Self-regulation (SR)-or the capacities to control emotions, cognition, and behavior in response to challenge-is known to support T1D management and coping in the face of stress. Strong SR may have protected youth with T1D from the impacts of pandemic-related stressors. This study compared youth and parent emotional functioning and T1D management before and after the pandemic's onset in relation to family pandemic-related stress and youth SR. Methods: Parents of youth with T1D (N = 88) and a subset of these youth (N = 43; Mean age 15.3 years [SD 2.2]) completed surveys regarding SR, stress, emotional functioning, and T1D-related functioning prior to and after March 2020. Outcomes were compared using mixed effects models adjusting for covariates. Family pandemic-related stress experiences and youth SR were tested as moderators of change. Results: Parents' responsibility for T1D management increased across pandemic onset and their diabetes-related distress decreased. Family pandemic-related stress was associated with decreased emotional functioning over time. Youth SR, particularly emotional and behavioral aspects, predicted better emotional and T1D-related functioning. Discussion: While youth with T1D whose families experienced higher pandemic-related stress had poorer adjustment, strong emotional and behavioral SR appeared to protect against worsening youth mood and adherence across pandemic onset. Both social-contextual and individual factors are important to consider when working with families managing T1D. (© The Author(s) 2022. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu