دورية أكاديمية

Depressive Symptoms, Daily Stress, and Adherence in Late Adolescents With Type 1 Diabetes

التفاصيل البيبلوغرافية
العنوان: Depressive Symptoms, Daily Stress, and Adherence in Late Adolescents With Type 1 Diabetes
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, vol 34, iss 5
بيانات النشر: eScholarship, University of California
سنة النشر: 2015
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, adolescents, diary methods, Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health, psy, socio
جغرافية الموضوع: 522 - 530
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.
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
العلاقة: https://escholarship.org/uc/item/0v4136xnTest
الإتاحة: https://escholarship.org/uc/item/0v4136xnTest
حقوق: undefined
رقم الانضمام: edsbas.C1ADF577
قاعدة البيانات: BASE