المؤلفون: Berg, Cynthia, Munion, Ascher, Loyola, Maria, Mello, Daniel, Butner, Jonathan, Suchy, Yana, Marino, Jessica, Wiebe, Deborah

المصدر: Annals of Behavioral Medicine. 57(8)

مصطلحات موضوعية: Daily diary, Diabetes self-management, Emerging adulthood, Executive functioning, Self-regulation, Type 1 diabetes, Humans, Female, Adult, Male, Diabetes Mellitus, Type 1, Executive Function, Self Report, Self-Control

الوصف: BACKGROUND: Executive functioning (EF) predicts better Type 1 diabetes (T1D) management in the high-risk years after high school, but the daily self-regulation processes involved are unclear. PURPOSE: To examine whether EF is associated with daily self-regulation that minimizes ones exposure or buffers adverse reactions to daily diabetes problems, and to determine whether these patterns become stronger during the transition out of high school. METHODS: A measurement burst design with convenience sampling was used. Seniors in high school with T1D (N = 207; 66% female) completed self-report (i.e., Behavioral Rating Inventory of Executive Functioning) and performance measures of EF (i.e., Delis-Kaplan Executive Function System). A 14-day daily diary assessing self-regulation failures, diabetes problems, affect, and indicators of diabetes management was completed at baseline and 1 year later. RESULTS: Correlations and multilevel modeling were conducted. Lower self-reported EF problems were associated with lower average levels of daily self-regulation failures, and these variables were associated with fewer daily diabetes problems. In contrast, better EF performance was unrelated to average daily self-regulation failures, and was unexpectedly associated with more frequent diabetes problems in year 2. Equally across years, on days participants reported lower than their average levels of daily self-regulation failures, they had fewer diabetes problems, regardless of EF. On days with lower than average diabetes problems, participants reported better diabetes management indicators. EF generally did not buffer daily associations in either year. CONCLUSIONS: Regardless of EF, promoting daily self-regulation may prevent diabetes problems and promote T1D management in daily life at this high-risk transitional time.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/03f4h7d5Test

المؤلفون: Shi, Qinxin (ORCID 0000-0003-2157-0590), Butner, Jonathan E., Kilshaw, Robyn, Munion, Ascher, Deboeck, Pascal, Oh, Yoonkyung, Berg, Cynthia A.

المصدر: Grantee Submission. 2023 32:Dep47-Dep72.

تمت مراجعته من قبل الزملاء: Y

Page Count: 26

Sponsoring Agency: Institute of Education Sciences (ED)

الواصفات: Models, Longitudinal Studies, Developmental Psychology, Behavior Problems, Correlation, Goodness of Fit, Hierarchical Linear Modeling

مستخلص: Developmental researchers commonly utilize longitudinal data to decompose reciprocal and dynamic associations between repeatedly measured constructs to better understand the temporal precedence between constructs. Although the cross-lagged panel model (CLPM) is commonly used in developmental research, it has been criticized for its potential to produce biased estimates due to the fact of ignoring the trait-like, time-invariant nature of stability in constructs across people and aggregating the between and within-person effects together as a single estimate. Recently, a growing set of alternatives have emerged, but the estimates across CLPM and alternatives have rarely been compared in developmental research. The primary purpose of this article is to (a) provide a three-component framework to help developmental researchers to select and specify the most appropriate model, and (b) illustrate how models differ in estimates with an empirical example investigating the reciprocal associations between internalizing and externalizing problems in school-aged children. Methods: We specified CLPM, Random-Intercept Cross-lagged Panel Model (RI-CLPM), Latent Curve Model with Structured Residuals (LCM-SR), Latent Change Score (LCS), and a Random-Mean LCS using four waves of data from ECLS-K: 2011 (N = 8779). Results: The CLPM provided the most evidence of significant cross-lagged paths but the poorest fit to the data compared to other models. Alternative models had excellent fit and found either only negative temporal precedence from internalizing to externalizing problems or simply no evidence of prospective within-person relations between internalizing and externalizing problems.

Abstractor: As Provided

IES Funded: Yes

المؤلفون: Berg, Cynthia A., Mansfield, Jessica H., Boggess, Silas B., Martin, Julia V., Creer, Benjamin, Peck, Torri K., Wiebe, Deborah J., Butner, Jonathan E., Mayberry, Lindsay S.

المساهمون: National Institute of Diabetes and Digestive and Kidney Diseases

المصدر: Frontiers in Clinical Diabetes and Healthcare ; volume 5 ; ISSN 2673-6616

مصطلحات موضوعية: General Medicine

الوصف: Objective Interventions for emerging adults (EAs) with type 1 diabetes (T1D) focus on goal setting, but little is known about how goal achievement relates to intervention outcomes. We examined how goals change, how goal achievement relates to diabetes outcomes, and identified barriers and facilitators to goal achievement. Method EAs with T1D (N=29, M age=21.6 years, 57% female) were coached monthly to set a behavioral goal across a 3-month feasibility trial. Coaching notes were qualitatively coded regarding type, complexity, and changes in goals. Goal achievement was measured via daily responses to texts. HbA1c, self-efficacy, diabetes distress, and self-care were assessed pre- and post-intervention. Results EAs frequently set food goals (79%) in combination with other goals. EAs overwhelmingly changed their goals (90%), with most increasing goal complexity. Goal achievement was high (79% of days) and not affected by goal change or goal complexity. Goal achievement was associated with increases in self-efficacy and self-care across time. Qualitative themes revealed that aspects of self-regulation and social-regulation were important for goal achievement. Conclusion Meeting daily diabetes goals may enhance self-efficacy and self-care for diabetes. Practice Implications Assisting EAs to reduce self-regulation challenges and enhance social support for goals may lead to better diabetes outcomes.

الإتاحة: https://doi.org/10.3389/fcdhc.2024.1297422Test

المؤلفون: Bryan, Craig J., Butner, Jonathan E., Tabares, Jeffrey V., Brown, Lily A., Young-McCaughan, Stacey, Hale, Willie J., Litz, Brett T., Yarvis, Jeffrey S., Fina, Brooke A., Foa, Edna B., Resick, Patricia A., Peterson, Alan L.

المصدر: Journal of Affective Disorders ; volume 350, page 125-132 ; ISSN 0165-0327

مصطلحات موضوعية: Psychiatry and Mental health, Clinical Psychology

الإتاحة: https://doi.org/10.1016/j.jad.2024.01.107Test
https://api.elsevier.com/content/article/PII:S0165032724001162?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0165032724001162?httpAccept=text/plainTest

المؤلفون: Suchy, Yana, Butner, Jonathan, Wiebe, Deborah J, Campbell, MaryJane, Turner, Sara L, Berg, Cynthia A

المصدر: Journal of the International Neuropsychological Society. 26(4)

مصطلحات موضوعية: Biological Psychology, Clinical and Health Psychology, Psychology, Clinical Research, Mental Health, Basic Behavioral and Social Science, Neurosciences, Diabetes, Behavioral and Social Science, Metabolic and endocrine, Adolescent, Chronic Disease, Diabetes Mellitus, Type 1, Executive Function, Female, Glycated Hemoglobin, Humans, Intelligence, Male, Patient Compliance, Psychomotor Performance, Executive functioning, Cognition, Chronic illness, Adolescence, Adherence, Medical and Health Sciences, Psychology and Cognitive Sciences, Experimental Psychology, Biomedical and clinical sciences, Health sciences

الوصف: ObjectivesTo examine the contributions of two aspects of executive functioning (executive cognitive functions and behavioral control) to changes in diabetes management across emerging adulthood.MethodsTwo hundred and forty-seven high school seniors with type 1 diabetes were assessed at baseline and followed up for 3 years. The baseline assessment battery included performance-based measures of executive cognitive functions, behavioral control, IQ estimate (IQ-est), and psychomotor speed; self-report of adherence to diabetes regimen; and glycated hemoglobin (HbA1c) assay kits as a reflection of glycemic control.ResultsLinear and quadratic growth curve models were used to simultaneously examine baseline performance on four cognitive variables (executive cognitive functions, behavioral control, IQ, and psychomotor speed) as predictors of indices of diabetes management (HbA1c and adherence) across four time points. Additionally, general linear regressions examined relative contributions of each cognitive variable at individual time points. The results showed that higher behavioral control at baseline was related to lower (better) HbA1c levels across all four time points. In contrast, executive cognitive functions at baseline were related to HbA1c trajectories, accounting for increasingly more HbA1c variance over time with increasing transition to independence. IQ-est was not related to HbA1c levels or changes over time, but accounted instead for HbA1c variance at baseline (while teens were still living at home), above and beyond all other variables. Cognition was unrelated to adherence.ConclusionsDifferent aspects of cognition play a different role in diabetes management at different time points during emerging adulthood years.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/1n61x2nkTest

المؤلفون: Baker, Ashley C, Wiebe, Deborah J, Kelly, Caitlin S, Munion, Ascher, Butner, Jonathan E, Swinyard, Michael T, Murray, Mary, Berg, Cynthia A

المصدر: Journal of Behavioral Medicine. 42(5)

مصطلحات موضوعية: Social and Personality Psychology, Psychology, Behavioral and Social Science, Autoimmune Disease, Prevention, Clinical Research, Diabetes, Pediatric, 7.1 Individual care needs, Management of diseases and conditions, Metabolic and endocrine, Good Health and Well Being, Adolescent, Adult, Communication, Diabetes Mellitus, Type 1, Disease Management, Female, Glycated Hemoglobin, Humans, Male, Models, Structural, Mother-Child Relations, Patient-Centered Care, Self Care, Self Efficacy, Transition to Adult Care, Treatment Adherence and Compliance, Young Adult, Patient-centered communication, Type 1 diabetes, Transition to adult care, Early emerging adulthood, Self-efficacy, Diabetes management, Medical and Health Sciences, Psychology and Cognitive Sciences, Clinical Psychology, Public health, Social and personality psychology

الوصف: Early emerging adulthood (ages 18-25) is a time of risk for type 1 diabetes (T1D) when relationships with parents and providers are changing. We examined whether individuals' high-quality relationships with mothers are associated with greater perceptions of patient-centered communication (PCC) with their doctor and whether PCC is associated with better adherence and glycemic control through diabetes-related self-efficacy. Additionally, we tested whether associations of PCC with self-efficacy and diabetes outcomes are stronger among those who had transferred to adult care. One-year post-high school, 217 individuals with T1D (60% women, 53% in adult care) reported perceptions of maternal relationship quality, PCC, self-efficacy, and adherence. Glycemic control was measured via HbA1c assay kits. Structural equation modeling indicated good model fit and revealed indirect paths linking higher maternal relationship quality to better adherence through higher PCC, and higher PCC to better HbA1c through adherence. Transfer status moderated the link between PCC and self-efficacy, suggesting PCC may be especially important when emerging adults transfer to adult care.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/3z06f2dpTest

المؤلفون: Berg, Cynthia A, Wiebe, Deborah J, Lee Tracy, Eunjin, Kelly, Caitlin S, Mello, Daniel, Turner, Sara L, Butner, Jonathan E, Munion, Ascher K, Mansfield, Jessica H, White, Perrin C, Murray, Mary, Suchy, Yana

المصدر: Journal of Pediatric Psychology. 44(8)

مصطلحات موضوعية: Prevention, Diabetes, Metabolic and endocrine, Adolescent, Adult, Cognitive Dysfunction, Diabetes Mellitus, Type 1, Executive Function, Female, Follow-Up Studies, Humans, Male, Parenting, Parents, Patient Compliance, Young Adult, diabetes, family functioning, longitudinal research, neuropsychology, parents, Psychology, Developmental & Child Psychology

الوصف: ObjectiveTo examine (a) changes in parental involvement across early emerging adulthood, (b) whether yearly fluctuations in parental involvement were associated with adherence and glycated hemoglobin (HbA1c) over time, and (c) whether higher involvement was more beneficial for those with poorer executive function (EF).MethodsA total of 228 high school seniors (M age = 17.76) with type 1 diabetes reported on mothers' and fathers' acceptance, knowledge of diabetes activities, disclosure to mothers and fathers regarding diabetes, and adherence at four yearly time points. At baseline, participants completed performance-based measures of EF. HbA1c was collected from assay kits.ResultsGrowth curve models revealed significant declines in disclosure to fathers and mothers' and fathers' knowledge of diabetes activities; no changes were found in mothers' or fathers' acceptance nor disclosure to mothers. Multilevel models indicated significant between-person effects for nearly all aspects of parental involvement with more acceptance, knowledge, and disclosure associated with better HbA1c and adherence. Within-person effects for disclosure to fathers, and mothers' and fathers' knowledge indicated that in years when emerging adults perceived higher amounts of these types of involvement (compared with their own average), HbA1c was lower. Within-person effects were found for acceptance to mothers, disclosure to mothers and fathers, and mothers' diabetes knowledge for adherence. Disclosure to fathers and mothers' knowledge of diabetes activities were especially beneficial for HbA1c for those with poorer EF performance.ConclusionsParental involvement in diabetes management remains important during the high-risk time of emerging adulthood, especially for those with poorer EF.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/70k0j48tTest

المؤلفون: Berg, Cynthia A, Wiebe, Deborah J, Suchy, Yana, Turner, Sara L, Butner, Jonathan, Munion, Ascher, Lansing, Amy Hughes, White, Perrin C, Murray, Mary

المصدر: Diabetes care. 41(11)

مصطلحات موضوعية: Humans, Diabetes Mellitus, Type 1, Blood Glucose, Prognosis, Longitudinal Studies, Intelligence, Age Factors, Adolescent, Child, Child, Preschool, Patient Care Planning, Female, Male, Young Adult, Executive Function, Self Report, Transition to Adult Care, Pediatric, Clinical Research, Prevention, Diabetes, Medical and Health Sciences, Endocrinology & Metabolism

الوصف: OBJECTIVE:The objective of this study was to examine 1) whether teens' glycemic control and adherence to type 1 diabetes treatment regimen worsen during the transition from late adolescence to emerging adulthood, and 2) whether teens' executive function (EF), as measured by performance and self-reported problems with EF, is predictive of these changes (after controlling for general intelligence). RESEARCH DESIGN AND METHODS:High school seniors with type 1 diabetes (N = 236; mean age 17.74 years) were assessed at three yearly time points. At baseline, during the senior year of high school, participants completed a self-report measure of problems with EF and performance-based measures of EF and general intelligence (IQ). Glycemic control was determined on the basis of results collected from HbA1c assay kits, and teens reported their adherence at all three time points. RESULTS:HbA1c increased significantly across the three time points and adherence declined. EF performance was not associated with adherence or HbA1c at baseline, nor with changes in adherence over time. However, better EF performance predicted slower increases in HbA1c over time (i.e., slope) while controlling for IQ. Teens' self-reported problems with EF were associated with worse glycemic control and poorer adherence at baseline (i.e., intercept), but they did not predict changes in either HbA1c or adherence over time (i.e., slope). CONCLUSIONS:Abilities involved in performance on EF tests may be one resource for maintaining better glycemic control during the transition to emerging adulthood. Assessment of such EF abilities may allow for the identification of individuals who are most at risk for deterioration of glycemic control during this transition.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/1303t5cqTest

المؤلفون: Bryan, Craig J., Daruwala, Samantha E., Tabares, Jeffrey V., Butner, Jonathan E., Coccaro, Emil F., Gorka, Stephanie M.

المساهمون: National Institute of Mental Health, National Institutes of Health

المصدر: Journal of Anxiety Disorders ; volume 99, page 102764 ; ISSN 0887-6185

مصطلحات موضوعية: Psychiatry and Mental health, Clinical Psychology

الإتاحة: https://doi.org/10.1016/j.janxdis.2023.102764Test
https://api.elsevier.com/content/article/PII:S0887618523001020?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0887618523001020?httpAccept=text/plainTest

المؤلفون: Kaliush, Parisa R., Butner, Jonathan E., Williams, Paula G., Conradt, Elisabeth, Crowell, Sheila E.

المصدر: Psychosomatic Medicine; May2024, Vol. 86 Issue 4, p272-282, 11p