Factors associated with health psychology use in pediatric type 1 diabetes.
Factors associated with health psychology use in pediatric type 1 diabetes.
复制标题
与儿科 1 型糖尿病中健康心理学使用相关的因素。
DOI：
10.1016/j.diabres.2020.108071
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发表时间：
2020
影响因子：
5.1
通讯作者：
Cox,ElizabethD
中科院分区：
文献类型：
--
作者：
Mann,ElizabethA;Binder,AlexT;Young,HenryN;Moreno,MeganA;Cox,ElizabethD
AimsIdentify 1型糖尿病（T1 D）儿童的健康心理学使用的患病率，并评估个人和上下文的特点是如何与use.MethodsChildren年龄8-16岁的T1 D和他们的父母被招募从两个三级糖尿病诊所。横断面数据包括父母和青少年调查和血红蛋白A1 c。父母自我报告孩子在过去沿着使用健康心理学的情况以及个人因素（例如，诱发因素，包括人口统计学，使能因素，包括健康保险类型，评估需要，包括心理健康诊断和感知需要，包括自我管理障碍）。健康心理学使用与个人的关联（例如，人口统计学、使能因素、评估和感知的需求）和背景（例如，结果363例符合条件的受试者中，267例（74%）参与了研究。只有8.2%（n = 22）的参与者报告了健康心理学的使用，并且与心理健康诊断的评估需求因素（OR 5.8; p < 0.001）和父母报告的自我管理障碍的感知需求因素显著相关。使用与其他个人或上下文factor.ConclusionsThough罕见，健康心理学的使用与心理健康诊断和自我管理障碍呈正相关。
AimsIdentify the prevalence of health psychology use in children with type 1 diabetes (T1D) and evaluate how individual and contextual characteristics are associated with use.MethodsChildren ages 8–16 years with T1D and their parents were recruited from two tertiary diabetes clinics. Cross-sectional data included parent and adolescent surveys and hemoglobin A1c. Parents self-reported the child’s use of health psychology in the last year along with individual factors (e.g., predisposing factors including demographics, enabling factors including health insurance type, evaluated need including mental health diagnoses and perceived need including self-management barriers). Association of health psychology use with individual (e.g., demographics, enabling factors, evaluated and perceived need) and contextual (e.g., clinical site) characteristics was evaluated using logistic regression.ResultsOf 363 eligible participants, 267 (74%) participated. Health psychology use was reported by only 8.2% (n = 22) of participants and was significantly associated with evaluated need factor of mental health diagnosis (OR 5.8; p < 0.001) and perceived need factor of parent-reported self-management barriers. Use was not associated with other individual or contextual factors.ConclusionsThough infrequent, health psychology use was positively associated with mental health diagnoses and self-management barriers.