Iowa Gambling Task Performance Prospectively Predicts Changes in Glycemic Control among Adolescents with Type 1 Diabetes
| Autor: | Mary Murray, Jonathan Butner, Sara L. Turner, Tara L. Queen, Michael T. Swinyard, Cynthia A. Berg, Caitlin S. Kelly, Perrin C. White, Bryce A Huntbach, Yana Suchy, Deborah J. Wiebe |
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| Rok vydání: | 2017 |
| Předmět: |
Blood Glucose
Male Longitudinal study Pediatrics medicine.medical_specialty Adolescent endocrine system diseases Decision Making 030209 endocrinology & metabolism Developmental psychology Young Adult 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Diabetes management medicine Humans Risk factor Young adult Glycemic Glycated Hemoglobin Principal Component Analysis Type 1 diabetes General Neuroscience nutritional and metabolic diseases medicine.disease Iowa gambling task Affect Psychiatry and Mental health Clinical Psychology Diabetes Mellitus Type 1 Games Experimental chemistry Linear Models Female Neurology (clinical) Glycated hemoglobin Psychology 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of the International Neuropsychological Society. 23:204-213 |
| ISSN: | 1469-7661 1355-6177 |
| Popis: | Objectives:Good glycemic control is an important goal of diabetes management. Late adolescents with type 1 diabetes (T1D) are at risk for poor glycemic control as they move into young adulthood. For a subset of these patients, this dysregulation is extreme, placing them at risk for life-threatening health complications and permanent cognitive declines. The present study examined whether deficiency in emotional decision making (as measured by the Iowa Gambling Task; IGT) among teens with T1D may represent a neurocognitive risk factor for subsequent glycemic dysregulation.Methods:As part of a larger longitudinal study, a total of 241 high-school seniors (147 females, 94 males) diagnosed with T1D underwent baseline assessment that included the IGT. Glycated hemoglobin (HbA1c), which reflects glycemic control over the course of the past 2 to 3 months, was also assessed at baseline. Of the 241,189 (127 females, 62 males, mean age=17.76, mean HbA1c=8.11) completed HbA1c measurement 1 year later.Results:Baseline IGT performance in the impaired range (per norms) was associated with greater dysregulation in glycemic control 1 year later, as evidenced by an average increase in HbA1c of 2%. Those with normal IGT scores (per norms) exhibited a more moderate increase in glycemic control, with an HbA1c increase of 0.7%. Several IGT scoring approaches were compared, showing that the total scores collapsed across all trials was most sensitive to change in glycemic control.Conclusions:IGT assessment offers promise as a tool for identifying late adolescents at increased risk for glycemic dysregulation. (JINS, 2017,23, 204–213) |
| Databáze: | OpenAIRE |
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