Continuity and change in Glycemic Control Trajectories From Adolescence to Emerging Adulthood Relationships with family climate and self-concept in type 1 diabetes
Continuity and change in Glycemic Control Trajectories From Adolescence to Emerging Adulthood Relationships with family climate and self-concept in type 1 diabetes
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DOI：
10.2337/dc08-1990
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发表时间：
2009-05-01
期刊：
影响因子：
16.2
通讯作者：
Seiffge-Krenke, Inge
中科院分区：
文献类型：
--
作者：
Luyckx, Koen;Seiffge-Krenke, Inge
目的：确定青少年1型糖尿病患者在整个青春期和成年初期血糖控制的发育类别，并评估与一般家庭气候和自我概念的关系。研究设计和方法——在一项八波纵向研究中，72名个体（37名女性）完成了评估家庭氛围（1-4次）和自我概念（1-4次和6次）的问卷调查。Times 1-4涵盖青春期（平均年龄分别为14-17岁）；石灰5-8覆盖初成年期（平均年龄分别为21-25岁）。在每个时间点，患者拜访医生确定A1C值，并向医生发送问卷以获得这些值。潜在类别生长分析用于确定血糖控制的发育类别。结果：潜在分类增长分析倾向于三类解决方案，包括最优控制（n = 10）、中等控制（n = 51）和恶化控制（n = 11）。从第3次开始，特别是在成年初期，不同班级的平均A1C水平有很大差异。另外的方差分析表明，在次数1、2和4时，最优控制班级的特征是最优的家庭气氛，而在次数3、4和6时，恶化控制班级的特征是积极自我概念得分最低。结论：从青春期晚期开始，出现了多种血糖控制轨迹，并在成年初期变得更加多样化。青少年中后期的家庭氛围和自我概念是这些发展阶层的社会心理标志。
OBJECTIVE - To determine developmental classes of glycemic control in young people with type 1 diabetes throughout adolescence and emerging adulthood and assess relationships with general family Climate and self-concept.RESEARCH DESIGN AND METHODS - in an eight-wave longitudinal study, 72 individuals (37 females) completed questionnaires assessing family climate (at times 1-4) and self-concept (at times 1-4 and 6). Times 1-4 covered adolescence (mean ages were 14-17 years, respectively); Limes 5-8 covered emerging adulthood (mean ages were 21-25 years, respectively). At each time point, patients Visited their physicians to determine A1C values, and questionnaires were sent to the physicians to obtain these values. Latent class growth analysis was used to identify developmental classes of glycemic control.RESULTS - Latent class growth analysis favored a three-class solution, consisting of optimal control (n = 10), moderate control (n = 51), and deteriorating control (n = 11). From time 3 on and especially during emerging adulthood, mean A1C levels were substantially different among the classes. Additional ANOVAs indicated that at times 1, 2, and 4, the optimal control class was characterized by the most optimal family climate, whereas at times 3, 4, and 6, the deteriorating control class was characterized by the lowest score on positive self-concept.CONCLUSIONS - From late adolescence on, a multiformity of glycemic control trajectories emerged, which became more diversified throughout emerging adulthood. Family climate and self-concept in mid-to-late adolescence served as psychosocial markers of these developmental classes.