Shared Responsibility Moderates Relations between Psychological Distress and Self-Care among Adolescents with T1D
| Autor: | Vicki Helgeson, Hiba Abujaradeh, Susan M. Sereika, Susan M. Cohen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Endocrinology
Diabetes and Metabolism media_common.quotation_subject Psychological distress Anger Moderation medicine.disease Distress Diabetes management Diabetes mellitus Internal Medicine medicine Anxiety medicine.symptom Psychology Depression (differential diagnoses) media_common Clinical psychology |
| Zdroj: | Diabetes. 67 |
| ISSN: | 1939-327X 0012-1797 |
| DOI: | 10.2337/db18-799-p |
| Popis: | Psychological distress and parental involvement in diabetes management are predictors of self-care behaviors among adolescents with T1D. To date, little research has examined parental involvement as a moderator of the association between distress on self-care behaviors. This study examined whether shared responsibility (SR) moderates relations of distress on self-care. Methods: A secondary analysis was conducted using longitudinal data from 132 adolescents with T1D (53% female; aged 10.7-14.2 years; 1-13 years duration of T1D) and their parents. Adolescents were interviewed and parents completed a questionnaire annually for 5 years. Adolescents and parents reported on the extent to which they shared diabetes care responsibilities. Adolescents reported on distress (depression, anxiety, anger) and self-care. Linear mixed modeling was used to assess whether SR moderated relations of concurrent and lagged psychological distress on self-care. Results: For concurrent analyses, parent-reported SR moderated relations between both depressive symptoms and anxiety on self-care (p Conclusions: As adolescents get older, lower distress was associated with better self-care for those with higher levels of SR but not for those with low SR. Continuation of SR during adolescence may mitigate the effects of distress on self-care. Healthcare providers should promote parental involvement in diabetes management throughout adolescence for better diabetes outcomes. Disclosure H. Abujaradeh: None. V. Helgeson: None. S.M. Cohen: None. S.M. Sereika: None. |
| Databáze: | OpenAIRE |
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