The Relation of Questionnaire and Performance-Based Measures of Executive Functioning With Type 1 Diabetes Outcomes Among Late Adolescents.
The Relation of Questionnaire and Performance-Based Measures of Executive Functioning With Type 1 Diabetes Outcomes Among Late Adolescents.
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DOI：
10.1037/hea0000326
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发表时间：
2016-05-12
期刊：
影响因子：
--
通讯作者：
Berg CA
中科院分区：
文献类型：
--
作者：
Suchy Y;Turner SL;Queen TL;Durracio K;Wiebe DJ;Butner J;Franchow EI;White PC;Murray MA;Swinyard M;Berg CA
成功管理1型糖尿病需要坚持一套复杂的日常医疗方案，这需要依靠被称为执行功能（EF）的神经认知过程所支撑的自我调节技能。执行功能能力评估较差的青少年，其糖尿病治疗效果也较差。本研究旨在在控制智商和一般问卷作答风格后，探究执行功能问卷及表现测评与治疗依从性和血糖控制之间的关系。
1型糖尿病青少年（平均年龄17.74岁，标准差0.38岁）及其母亲（共196对）完成了一份自我/母亲报告式问卷，该问卷用于评估青少年的执行功能能力（行为评定执行功能量表，BRIEF）。青少年还完成了基于表现的执行功能测试（Delis - Kaplan执行功能系统，D - KEFS）以及智力功能测试（韦氏成人智力量表第四版词汇测试，WAIS - IV Vocabulary）。治疗依从性通过两份自我报告量表以及每日血糖检测次数来衡量，血糖控制情况则通过检测试剂盒测得的糖化血红蛋白（HbA1c）来评估。
执行功能能力的自我/母亲报告与自我/母亲报告的治疗依从性相关。执行功能的问卷测评和基于表现的测评均与血糖控制相关。然而，一旦将智商纳入考量，基于表现的执行功能测评就不再与血糖控制相关，智商则独立地与血糖控制存在共同变异。
我们的研究结果表明，执行功能的自我报告可能有助于识别那些在日常生活中管理糖尿病需要帮助的青少年晚期人群。基于表现的执行功能测评与血糖控制之间的关系并非独立于潜在智力水平这一发现，引发了关于执行功能在糖尿病治疗效果中具体作用的疑问。
Successfully managing type 1diabetes involves adherence to a complex daily medical regimen, requiring self-regulatory skills that rely on neurocognitive processes known as executive functioning (EF). Adolescents with poorer rated EF abilities display poorer diabetes outcomes. The purpose of this study was to examine the relationship of EF questionnaire and performance measures with adherence and glycemic control, after controlling for IQ and general questionnaire response style. Adolescents with type 1 diabetes (M age=17.74, SD=.38 years) and their mothers (N = 196) completed a self/mother-report questionnaire assessing adolescents’ ratings of EF abilities (BRIEF). Adolescents also completed performance-based tests of EF (D-KEFS) and and intellectual functioning (WAIS-IV Vocabulary). Adherence was indexed via 2 self-report inventories and the number of daily blood glucose checks, and glycemic control via HbA1c obtained from assay kits. Self/mother-reports of EF ability were associated with self/mother-reported adherence. Both questionnaire and performance-based measures of EF were associated with glycemic control. However, once IQ was taken into consideration, performance-based EF was no longer associated with glycemic control, IQ independently shared variance with glycemic control. Our findings suggest that self-reports of EF may be useful in identifying late adolescents who need assistance in managing diabetes in daily life. The finding that performance-based EF measures were not related to glycemic control independent of underlying intellectual capacity raises questions about the specific role of EF in diabetes outcomes.
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影响因子：
2.2
作者：
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作者：
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DOI：
10.1111/j.0963-7214.2004.01301001.x
发表时间：
2004-02-01
影响因子：
7.2
作者：
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通讯作者：
Deary, IJ