المؤلفون: Pihlaskari, Andrea K, Wiebe, Deborah J, Troxel, Natalie R, Stewart, Sunita M, Berg, Cynthia A

المصدر: Health Psychology. 37(11)

مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Diabetes, Pediatric, Prevention, Metabolic and endocrine, Adolescent, Blood Glucose, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Insulin, Male, Peer Group, Surveys and Questionnaires, Young Adult, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health, Health sciences

الوصف: ObjectivesThe objective of the study was to examine longitudinal associations of perceived diabetes-specific peer support with adherence and glycemic control among late adolescents with type 1 diabetes as they transition out of high school and into early emerging adulthood.MethodAs part of a larger study, 211 high school seniors with type 1 diabetes completed confidential online surveys and were reassessed 1 year later. Perceived diabetes-specific peer support and adherence were assessed in each survey. Glycemic control was measured with HbA1c assay kits.ResultsPerceived diabetes-specific peer support in high school predicted better adherence across the subsequent year while controlling for initial levels of adherence. Perceived peer support during early emerging adulthood was also associated with better adherence across time, after controlling for initial levels of both adherence and peer support.ConclusionsPerceived diabetes-specific peer support may be a protective factor as late adolescents with type 1 diabetes transition out of high school. Building strong peer support during the transition into early emerging adulthood may facilitate better diabetes management during this high-risk time of development. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/3xx267njTest

المؤلفون: Baucom, Katherine JW, Turner, Sara L, Tracy, Eunjin L, Berg, Cynthia A, Wiebe, Deborah J

المصدر: Health Psychology. 37(8)

مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Depression, Diabetes, Autoimmune Disease, Pediatric, Behavioral and Social Science, Prevention, Mental Health, Management of diseases and conditions, 7.1 Individual care needs, Metabolic and endocrine, Adolescent, Adult, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Longitudinal Studies, Male, Young Adult, diabetes, depression, adherence, glycemic control, adolescents, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health, Health sciences

الوصف: ObjectiveTo examine changes in depressive symptoms as well as between- and within-person associations between depressive symptoms and Type 1 diabetes (T1D) management across the transition from late adolescence to emerging adulthood.MethodBeginning in the senior year of high school, 197 late adolescents with T1D (Mage = 17.77) reported on their student status and living situation, and completed self-report measures of depressive symptoms and adherence to the diabetes regimen, annually at 3 time points. Glycemic control was gathered from hemoglobin A1c (HbA1c) assay kits at the same time points.ResultsResults of multilevel models demonstrated high depressive symptoms at baseline, with significant increases in depressive symptoms across time when participants were not living in their parental home, but no change when living with parents. Participants with higher mean levels of depressive symptoms relative to peers (between-person association) had poorer adherence and glycemic control (i.e., higher HbA1c) on average. Within-person fluctuations in depressive symptoms were significantly associated with adherence: greater increases in depressive symptoms (relative to adolescents' own average) were associated with greater deteriorations in adherence. There was not a significant within-person effect of depressive symptoms on glycemic control.ConclusionsThe transition from late adolescence to emerging adulthood is particularly challenging for those with T1D. The findings that individuals with greater depressive symptoms have poorer adherence and glycemic control relative to those with lower depressive symptoms, and that increases in depressive symptoms are associated with declines in adherence, highlight the importance of screening and monitoring depressive symptoms during this life transition. (PsycINFO Database Record

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/3mk5z04dTest

المؤلفون: Wiebe, Deborah J, Baker, Ashley C, Suchy, Yana, Stump, Tammy K, Berg, Cynthia A

المصدر: Health Psychology. 37(7)

مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Diabetes, Pediatric, Autoimmune Disease, Clinical Research, Metabolic and endocrine, Good Health and Well Being, Adolescent, Diabetes Mellitus, Type 1, Female, Goals, Humans, Longitudinal Studies, Male, Surveys and Questionnaires, diabetes, adherence, goal striving, executive function, daily diary, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health, Health sciences

الوصف: ObjectiveTo examine whether individual differences and day-to-day fluctuations in diabetes goal planning are associated with Type 1 diabetes (T1D) management during late adolescence, and whether lapses in daily diabetes goal planning are more disruptive to diabetes management among those with poorer executive functioning (EF).MethodLate adolescents with T1D (N = 236, Mage = 17.77 years) completed survey measures assessing individual differences in levels of diabetes goal planning and adherence, as well as survey and performance-based measures of EF; glycemic control was assessed through glycated hemoglobin (HbA1c) assays. Participants then completed a 2-week daily diary, rating items measuring daily diabetes goal planning, goal effort, and adherence, and recording blood-glucose tests from their glucometer at the end of each day.ResultsAnalyses of survey measures indicated that higher individual differences in diabetes goal planning were associated with better adherence and glycemic control. Analyses of daily data using hierarchical linear modeling indicated that adolescents displayed higher daily adherence and lower blood-glucose levels on days when they had higher-than-their-average levels of daily goal planning and daily goal effort. EF moderated the association between daily goal planning and daily adherence, indicating that lapses in daily goal planning were more disruptive for adolescents with poorer EF.ConclusionBoth individual differences and day-to-day fluctuations in diabetes goal planning are associated with diabetes management, highlighting the challenges of managing T1D in daily life. Youth in late adolescence with poorer EF may especially benefit from planning to attain diabetes goals on a daily basis. (PsycINFO Database Record

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/2f3916c0Test

المؤلفون: Butner, Jonathan E, Berg, Cynthia A, Munion, AK, Turner, Sara L, Hughes-Lansing, Amy, Winnick, Joel B, Wiebe, Deborah J

المصدر: Annals of Behavioral Medicine. 52(1)

مصطلحات موضوعية: Behavioral and Social Science, Pediatric, Diabetes, Metabolic and endocrine, Adolescent, Adolescent Behavior, Affect, Diabetes Mellitus, Type 1, Disclosure, Fathers, Female, Humans, Male, Mothers, Parenting, Patient Compliance, Self-Control, Self-Management, Type 1 diabetes, Self-regulation, Parental-regulation, Adherence, Dynamical systems, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health

الوصف: BackgroundType 1 diabetes management involves self- and social-regulation, with past research examining components through individual differences unable to capture daily processes.PurposeDynamical systems modeling was used to examine the coordinative structure of self- and social-regulation (operationalized as parental-regulation) related to daily diabetes management during late adolescence.MethodsTwo hundred and thirty-six late adolescents with type 1 diabetes (M age = 17.77 years, SD = .39) completed a 14-day diary reporting aspects of self- (e.g., adherence behaviors, cognitive self-regulation failures, and positive and negative affect) and parental-regulation (disclosure to parents, knowledge parents have, and help parents provide).ResultsSelf-regulation functioned as one coordinative structure that was separate from parental-regulation, where mothers and fathers were coordinated separately from each other. Mothers' perceived helpfulness served as a driver of returning adolescents back to homeostasis.ConclusionsThe results illustrate a dynamic process whereby numerous facets of self- and social-regulation are coordinated in order to return diabetes management to a stable state.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/5b6414tzTest

المؤلفون: Winnick, Joel B, Berg, Cynthia A, Wiebe, Deborah J, Schaefer, Barbara A, Lei, Pui-Wa, Butner, Jonathan E

المصدر: School Psychology. 32(1)

مصطلحات موضوعية: Social and Personality Psychology, Psychology, Diabetes, Pediatric, Prevention, Obesity, Metabolic and endocrine, Academic Success, Adolescent, Child, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Male, academic performance, adolescence, diabetes, HbA1c, metabolic control, Specialist Studies in Education, Education, Education systems, Specialist studies in education, Cognitive and computational psychology

الوصف: The relation between metabolic control (HbA1c) and achievement (grade point average [GPA]) was examined over a period of 2.5 years (every 6 months) employing a dynamical systems approach that allowed for the examination of whether HbA1c was associated with change in subsequent GPA and vice versa. Metabolic control tends to deteriorate (i.e., with higher HbA1c reflecting poorer metabolic control) during adolescence. It was hypothesized that these higher levels of HbA1c would limit subsequent increases in GPA. The sample included 252 adolescents (Mbaseline age = 12.49 years, SD = 1.53; 53.6% female) with Type 1 diabetes. Mothers' report and school records provided information on relevant demographics and GPA; medical records provided values of HbA1c. Two simultaneous coupled change equations (i.e., examining current values in 1 variable associated with changes in the other) controlling relevant risk indicators (i.e., age, sex, disease duration, insulin delivery method, IQ) revealed higher levels of HbA1c limited increases in GPA. Higher levels of GPA, however, were not associated with change in HbA1c except for 2 instances where moderation existed by disease duration and IQ. Higher GPA was associated with slower increases in HbA1c over time for youth with shorter disease duration and lower IQ. These results affirm the importance of maintaining good metabolic control to facilitate adequate school performance across the adolescent years. Further, the results suggest that factors related to school achievement may protect adolescents who are newly diagnosed or who have low cognitive ability from subsequent deterioration in metabolic control. (PsycINFO Database Record

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/2ts4q4s7Test

المؤلفون: Suchy, Yana, Turner, Sara L, Queen, Tara L, Durracio, Kara, Wiebe, Deborah J, Butner, Jonathan, Franchow, Emilie I, White, Perrin C, Murray, Mary A, Swinyard, Michael, Berg, Cynthia A

المصدر: Health Psychology. 35(7)

مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Diabetes, Behavioral and Social Science, Pediatric, Clinical Research, Prevention, Mental health, executive functioning, Type 1 diabetes, adolescents, self-regulation, adherence, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health, Health sciences

الوصف: Successfully managing Type 1 diabetes 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 (Behavior Rating Inventory of Executive Functioning-Self-Report). Adolescents also completed performance-based tests of EF (Delis-Kaplan Executive Function System) and intellectual functioning (Wechsler Adult Intelligence Scale, 4th ed., 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. (PsycINFO Database Record

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/56z8r3f3Test

المؤلفون: Lansing, Amy Hughes, Berg, Cynthia A, Butner, Jonathan, Wiebe, Deborah J

المصدر: Health Psychology. 35(7)

مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Pediatric, Autoimmune Disease, Diabetes, Metabolic and endocrine, Type 1 diabetes, adolescence, self-regulation, daily processes, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health, Health sciences

الوصف: For adolescents with Type 1 diabetes, maintaining optimal daily blood glucose control is a complex self-regulatory process that likely requires self-control. This study examined whether higher self-control was associated with lower daily negative affect about diabetes and, in turn, better daily blood glucose control, that is, lower mean daily blood glucose (MBG) and smaller standard deviations of daily blood glucose (SDBG), through 2 paths: (1) self-control maintaining lower mean level of negative affect and (2) self-control buffering the association of the number of daily diabetes problems with daily negative affect. Adolescents (M age = 12.87 years) with Type 1 diabetes (n = 180) completed an initial survey containing a self-report measure of self-control. Nightly electronic diaries were completed for 14 days during which adolescents reported daily problems with and negative affect about diabetes and used a study-provided blood glucose meter. Hypotheses were examined through multilevel modeling. Lower mean levels of daily negative affect partially mediated the relation between higher adolescent self-control and lower MBG. Adolescent self-control also buffered the association of the number of daily problems with daily negative affect, and smaller fluctuations in daily negative affect were associated with lower SDBG. Adolescent self-control is associated with daily affect regulatory processes that may influence MBG. However, fluctuations in daily negative affect about diabetes may represent a unique within-subject daily process associated with SDBG. These findings suggest that studies examining daily disease processes and interventions targeting daily affect regulation may be important to improving health in adolescents with Type 1 diabetes. (PsycINFO Database Record

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/1094s5qfTest

المؤلفون: Baucom, Katherine JW, Queen, Tara L, Wiebe, Deborah J, Turner, Sara L, Wolfe, Kristin L, Godbey, Elida I, Fortenberry, Katherine T, Mansfield, Jessica H, Berg, Cynthia A

المصدر: Health Psychology. 34(5)

مصطلحات موضوعية: Diabetes, Pediatric, Depression, Mental Health, Autoimmune Disease, Behavioral and Social Science, Metabolic and endocrine, Adolescent, Blood Glucose, Blood Glucose Self-Monitoring, Diabetes Mellitus, Type 1, Female, Humans, Hypoglycemic Agents, Insulin, Male, Patient Compliance, Stress, Psychological, depression, stress, diabetes, adolescents, diary methods, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health

الوصف: ObjectiveTo examine whether depressive symptoms are associated with greater perceived daily stress and moderate the link between stress severity and poorer daily adherence in late adolescents with Type 1 diabetes (T1D).Method175 late adolescents with T1D completed measures of depressive symptoms and glycemic control during a baseline laboratory assessment. This assessment was followed by a 14-day daily diary during which adolescents rated the severity of general (GS) and diabetes-specific (DSS) stressful events, as well as adherence to their diabetes regimen.ResultsMultilevel modeling revealed that adolescents with more depressive symptoms reported more severe daily stress and poorer daily adherence on average, and had poorer glycemic control. On days with more severe DSS, but not GS, adolescents reported poorer adherence. This association was moderated by an interaction between depressive symptoms and the mean level of DSS severity experienced across the 2-week diary. In adolescents with low levels of depressive symptoms, poorer adherence was reported on days with more severe DSS across all levels of mean DSS severity. In adolescents with average or high levels of depressive symptoms, poorer adherence was reported on days with more severe DSS only when mean DSS severity was average or high.ConclusionsDepressive symptoms are associated with poorer daily adherence and greater stress severity, and interact with mean DSS severity to moderate the link between daily stress and adherence. The results point to the importance of depressive symptoms for understanding associations between stress and adherence during late adolescence.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/0v4136xnTest