General and diabetes-specific stress in adolescents with type 1 diabetes.
General and diabetes-specific stress in adolescents with type 1 diabetes.
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DOI：
10.1016/j.diabres.2017.05.003
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发表时间：
2017-08
影响因子：
5.1
通讯作者：
Grey M
中科院分区：
文献类型：
--
作者：
Rechenberg K;Whittemore R;Holland M;Grey M
1 型糖尿病 (T1D) 是美国青少年最常见的慢性健康状况之一。据报道，遵守推荐的治疗方案是青少年的压力来源。本研究的目的是探讨 1 型糖尿病青少年的一般压力和糖尿病特异性压力与血糖控制 (HbA1c)、自我管理和糖尿病特异性生活质量 (QOL) 之间的关联。对随机对照试验的基线数据（N = 320）进行了二次分析。青少年完成了一般和糖尿病特定压力、自我管理和糖尿病特定生活质量的有效测量。 HbA1c 水平从医疗记录中获得。超过 50% 的样本得分达到或高于一般和糖尿病特异性高压力标准。较高的一般压力和糖尿病特异性压力与较高的 HbA1c、较差的自我管理活动和较低的糖尿病特异性生活质量显着相关。糖尿病特异性压力在 HbA1c 变异中占很大比例，而一般压力则不然。一般压力和糖尿病特异性压力占糖尿病特异性 QOL 差异的 40%。一般压力和糖尿病特异性压力在 1 型糖尿病青少年中很常见。医疗保健提供者必须注意患有 T1D 的青少年每天面临的压力来源。应区分一般压力和糖尿病特异性压力，并可能需要不同的干预措施来改善应对和结果。
Type 1 diabetes (T1D) is one of the most common chronic health conditions in adolescents in the United States. Adherence to the recommended treatment regimen has been reported as a source of stress for adolescents. The purpose of this study was to examine the associations among general and diabetes-specific stress and glycemic control (HbA1c), self-management, and diabetes-specific quality of life (QOL) in adolescents with T1D. A secondary analysis of baseline data (N = 320) from a randomized controlled trial was conducted. Adolescents completed validated measures of general and diabetes-specific stress, self-management, and diabetes-specific QOL. HbA1c levels were obtained from medical records. Over 50% of the sample scored at or above criteria for high general and diabetes-specific stress. Higher general and diabetes-specific stress was significantly associated with higher HbA1c, poorer self-management activities, and lower diabetes-specific QOL. Diabetes-specific stress accounted for a significant proportion of the variance in HbA1c, while general stress did not. General and diabetes-specific stress accounted for 40% of the variance in diabetes-specific QOL. General and diabetes-specific stress are common in adolescents with T1D. Healthcare providers must be mindful of the sources of stress that adolescents with T1D face on a daily basis. General stress and diabetes-specific stress should be differentiated and may require different interventions to improve coping and outcomes.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
16.2
作者：
Grey, Margaret;Whittemore, Robin;Delamater, Alan
通讯作者：
Delamater, Alan
影响因子：
2
作者：
Grey, Margaret;Whittemore, Robin;Dziura, James
通讯作者：
Dziura, James
影响因子：
5.4
作者：
Monroe, SM;Harkness, KL
通讯作者：
Harkness, KL
影响因子：
1.3
作者：
Whittemore, Robin;Grey, Margaret;Jaser, Sarah
通讯作者：
Jaser, Sarah