4.5 Article

Relation of Stressful Life Events to Metabolic Control Among Adolescents With Diabetes: 5-Year Longitudinal Study

期刊

HEALTH PSYCHOLOGY
卷 29, 期 2, 页码 153-159

出版社

AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/a0018163

关键词

Type 1 diabetes; metabolic control; adolescence; stressful life events

资金

  1. National Institutes of Health [R01 DK60586, 5M01 RR00084]
  2. NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES [UL1TR000005] Funding Source: NIH RePORTER
  3. NATIONAL CENTER FOR RESEARCH RESOURCES [M01RR000084] Funding Source: NIH RePORTER
  4. NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [R01DK060586] Funding Source: NIH RePORTER

向作者/读者索取更多资源

Objective: To determine the relation of stressful life events to metabolic control. Design: We interviewed adolescents with Type I diabetes (n = 132; average age at enrollment = 12 years) annually for 5 years. Measures: Each year we administered measures of stressful life events, psychological distress, and self-care behavior. We downloaded data from blood glucose meters, and obtained measures of metabolic control (hemoglobin Ale) from medical records. Results: Using longitudinal growth curve modeling, stressful life events predicted greater psychological distress, poorer self-care behavior, and worse metabolic control in both cross-sectional and longitudinal (lagged) analyses. Cross-sectionally, many of these relations were stronger among older than younger adolescents. Self-care behavior partly mediated this association. Conclusion: Stressful life events are related to poor metabolic control especially for older adolescents. A primary mechanism appears to be a lack of good self care.

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