Detangling Associations Between Maternal Depressive Symptoms and Diabetes Relationship Distress With Adolescents' HbA1c.
Detangling Associations Between Maternal Depressive Symptoms and Diabetes Relationship Distress With Adolescents' HbA1c.
复制标题
解开母亲抑郁症状和糖尿病关系困扰与青少年 HbA1c 之间的关联。
DOI：
10.1093/jpepsy/jsad070
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发表时间：
2024
影响因子：
3.6
通讯作者：
Jaser,SarahS
中科院分区：
文献类型：
--
作者：
Abadula,Fayo;Garretson,Sydney;Okonkwo,Nkemjika;LeStourgeon,LaurenM;Jaser,SarahS
目的先前在1型糖尿病儿童家庭中的研究表明，母亲抑郁症状是糖尿病预后不良的已知危险因素。我们试图检验母亲糖尿病、关系困扰或母亲抑郁症状与青春期血糖结果的相关性更强。方法使用同意筛查行为干预的母亲的数据进行分析。筛查者包括患者健康问卷、父母糖尿病苦恼量表、父母/青少年关系苦恼子量表。结果我们的样本包括390名11-17岁的1型糖尿病青少年的母亲照顾者。筛查数据显示，35%的母亲报告了与青少年关系相关的临床显著糖尿病痛苦，14%的母亲报告了临床显著的抑郁症状。有糖尿病关系困扰的母亲的青少年糖化血红蛋白平均水平(9.7 ± 2.2%)显著高于无糖尿病母亲的青少年(8.2 ± 1.8%，d=0.72)。同样，母亲有明显抑郁症状的青少年的平均糖化血红蛋白水平(9.6 ± 2.4%)高于母亲没有抑郁的青少年(8.6 ± 2.0%，d=0.48)。在调整了临床和人口统计学因素后，母亲对糖尿病关系困扰的报告与青少年的HbA1c的相关性比母亲抑郁症状更强。结论我们的研究结果表明，筛查母亲痛苦--特别是与照顾者-青少年关系有关的痛苦--可以将家庭与心理社会支持或其他资源相匹配，以改善心理社会和血糖水平。
ObjectivePrevious research in families of children with type 1 diabetes demonstrates that maternal depressive symptoms are a known risk factor for poor diabetes outcomes. We sought to examine whether maternal diabetes relationship distress or maternal depressive symptoms were more strongly associated with adolescent glycemic outcomes.MethodsAnalyses were conducted using data from mothers who consented to screen for a behavioral intervention. The screener included the Patient Health Questionnaire and the Parent Diabetes Distress Scale, Parent/Teen Relationship Distress subscale. Hemoglobin A1c (HbA1c) was extracted from adolescents’ medical records.ResultsOur sample consisted of 390 maternal caregivers of adolescents with type 1 diabetes aged 11–17. Screening data revealed that 35% of mothers reported clinically significant diabetes distress related to their relationship with their adolescents, and 14% of mothers reported clinically significant depressive symptoms. The adolescents of mothers who reported diabetes relationship distress had significantly higher mean HbA1c levels (9.7 ± 2.2%) compared to those whose mothers were not distressed (8.2 ± 1.8%,d= .72). Similarly, adolescents whose mothers reported clinically significant depressive symptoms had higher mean HbA1c levels (9.6 ± 2.4%) than those whose mothers were not depressed (8.6 ± 2.0%,d= .48). After adjusting for clinical and demographic factors, mothers’ reports of diabetes relationship distress were more strongly associated with adolescents’ HbA1c than maternal depressive symptoms.ConclusionsOur findings suggest that screening for maternal distress—particularly distress related to the caregiver–adolescent relationship—could match families with psychosocial support or other resources to improve both psychosocial and glycemic outcomes.