El estrés psicológico predice las trayectorias de HbA1c en adolescentes diabéticos tipo 1
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jul 6, 2018
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Manuel S. Ortiz
http://orcid.org/0000-0002-7749-0699
Joshua F. Wiley
http://orcid.org/0000-0002-0271-6702
http://orcid.org/0000-0002-7749-0699
Joshua F. Wiley
http://orcid.org/0000-0002-0271-6702
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Resumen
Los adolescentes diabéticos tienen un pobre control metabólico. El propósito de este estudio fue caracterizar la asociación longitudinal entre el estrés emocional (EB), estrés con el médico (PD), estrés con el tratamiento (RD) y estrés interpersonal (ID), con trayectorias de hemoglobinas glicosiladas (HbA1c) en adolescentes diabéticos tipo 1 (DM1). Treinta y dos adolescentes DM1 (Medad = 15.97, DE = 3.45) fueron seguidos un año. Se obtuvo la HbA1c tres veces en el año, más un auto-reporte de estrés. Análisis de curvas de crecimiento predijeron una tendencia lineal negativa en la trayectoria de HbA1c (b = -0.23, p = 0.096). Hubo una interacción entre el tiempo y PD (b = -0.33, p ≤ 0.05) y los efectos principales de EB, RD, e ID en HbA1c. Se concluye que el estrés psicológico predice trayectorias de HbA1c. Monitorear dominios específicos de estrés podría ser útil para identificar adolescentes con riesgo de tener pobre HbA1c, e intervenciones que reduzcan el estrés podrían ayudar a manejar la diabetes en adolescentes.
Keywords
Adolescent Diabetes, Psychological Stress, Metabolic Control.diabetes adolescente, estrés psicológico, control metabólico
References
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Beverly, E., Worley, M., Court, A., Prokopakis, K., & Ivanov, N. (2016). Patientphysician communication and diabetes self-care. Journal of Clinical Outcomes Management, 23(11), 509–518. Retrieved from http://www.turner-white.com/pdf/jcom_nov16_diabetes.pdf
Borus, J., & Laffel, L. (2010) Adherence challenges in the management of Type 1 diabetes in adolescents: prevention and intervention. Current Opinion in Pediatrics, 22(4), 405 – 411. https://doi.org/10.1097/MOP.0b013e32833a46a7
Bundesmann, R., & Kaplowitz, S. (2011). Provider communication and patient participation in diabetes self-care. Patient Education Counseling, 85(2), 143 – 147. https://doi.org/ 10.1016/j.pec.2010.09.025
Faulenbach, M., Uthoff, H., Schwegler, K., Spinas, G., Schmid, C., & Wiesli, P. (2012). Effect of psychological stress on glucose control in patients with type 2 diabetes. Diabetic Medicine, 29(1), 128 – 131. https://doi.org/10.1111/j.1464-5491.2011.03431.x.
Gonzalez, J., Fisher, L., & Polonsky, W. (2011). Depression in diabetes: Have we been missing something important? Diabetes Care, 34(1), 236 – 239. https://doi.org/10.2337/dc10-1970
Helgeson, V., Escobar, O., Siminerio, L., & Becker, D. (2010). Relation of Stressful Life Events to Metabolic Control Among Adolescents With Diabetes: 5-Year Longitudinal Study. Health Psychology, 29(2), 153–159. http://doi.org/10.1037/a0018163
Helgeson, V., Honcharuk, E., Becker, D., Escobar, O., & Siminerio, L. (2011). A focus on blood glucose monitoring: relation to glycemic control and determinants of frequency. Pediatric Diabetes, 12, 25 – 30.
Holmbeck, G., Friedman, D., Abad, M., & Jandasek, B. (2006). Development and psychopathology in adolescence. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents: Nature, assessment, and treatment (pp. 21–55). New York: The Guilford Press.
Jones, A., Gladstone, B., Lübeck, M., Lindekilde, N., Upton, D., & Vach, W. (2014). Motivational interventions in the management of HbA1c levels: a systematic review and meta-analysis. Primary Care Diabetes, 8(2), 91 – 100. https://10.1016/j.pcd.2014.01.009
Li, L., Zhou, J., Chen, H., Song, Y., & Xue, Y. (2012). Effect of HbA1c combined FPG on screening diabetes in health check-up. Asian Pacific Journal of Tropical Medicine, 5(6), 472 – 475. Retrieved from: https://ac.els-cdn.com/S1995764512600819/1-s2.0-S1995764512600819-main.pdf?_tid=50bedfa2-97e6-4e7b-aae0-23119ccb8835&acdnat=1522202756_107e09ac23cb255bd56d7cda38f28a31
McGrady, E., & Hood, K. (2010). Depressive symptoms in adolescents with Type 1 diabetes: Associations with longitudinal outcomes. Diabetes Research and Clinical Practice, 88(3), e35 –e37. https://doi.org/10.1016/j.diabres.2010.03.025
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Moström, P., Ahlén, E., Imberg, H., Hansson, P., & Lind, M. (2017). Adherence of self-monitoring of blood glucose in persons with type 1 diabetes in Sweden. BMJ Open Diabetes Research & Care, 5(1), e000342. https://doi.org/10.1136/bmjdrc-2016-000342
Ortiz, M. & Myers, H. (2014). Control metabólico en pacientes diabéticos tipo 1chilenos: rol del estrés psicológico. Revista Médica de Chile, 142, 451 – 457. Retrieved from https://pdfs.semanticscholar.org/f9f3/ca2b11834100cc4a6433714f7e036938b890.pdf
Ortiz, M., Ortiz, E., Gatica, A., & Gómez, D., (2011). Factores Psicosociales Asociados a la Adherencia al Tratamiento de la Diabetes Mellitus Tipo 2. Terapia Psicológica, 29(1), 5 – 11. https:// doi.org/10.4067/S0718-48082011000100001
Ortiz, M., Wiley, J., & Chiang, J. (2014). How stress gets under the skin o como el estrés psicológico se introduce bajo la piel. Revista Médica de Chile, 142(6), 767 – 774. https://doi.org/10.4067/S0034-98872014000600011
Patton, S. (2011). Adherence to Diet in Youth with Type 1 Diabetes. Journal of the American Dietetic Association, 111, 550 – 555.
Polonsky, W., Fisher, L., Earles, J., & Dudl, R. (2005). Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care, 28(3), 626 - 631. https://doi.org/10.2337/diacare.28.3.626
Polonsky, W., Fisher, L., Schikman, C., Hinnen, D., Parkin, C., Jelsovsky ... Wagner, R. S. (2011). Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care, 34(2), 262 – 267. https://doi.org/10.2337/dc10-1732
Pouwer, F., Wijnhoven, H. A. H., Ujcic-Voortman, J. K., de Wit, M., Schram, M. T., Baan, C. A., &
Snoek, F. J. (2013). Ethnic aspects of emotional distress in patients with diabetes - the Amsterdam Health Monitor Study. Diabetic Medicine, 30(1), E25-E31. https://doi.org/10.1111/dme.12031
Pyatak, E., Sequeira, P., Peters, A., Montoya, L., & Weigensberg, M. (2013). Disclosure of psychosocial stressors affecting diabetes care among uninsured young adults with Type 1 diabetes. Diabetic Medicine, 30(9), 1140 – 1144. https://doi.org/10.1111/dme.12248
Romeo, R.D. (2013). The teenage brain: The stress response and the adolescent brain. Current Direction in Psychological Science, 22(2), 140 – 145.
Singer, J.D., & Willett, J.B. (2003). Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence. New York: Oxford Univ. Press.
Baucom, K. J. W., Queen, T. L., Wiebe, D. J., Turner, S. L., Wolfe, K. L., Godbey, E. I., … Berg, C. A. (2015). Depressive Symptoms, Daily Stress, and Adherence in Late Adolescents with Type 1 Diabetes. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 34(5), 522–530. https://doi.org/10.1037/hea0000219Beverly, E., Worley, M., Court, A., Prokopakis, K., & Ivanov, N. (2016). Patient-physician communication and diabetes self-care. Journal of Clinical Outcomes Management, 23(11), 509 – 518. Retrieved from http://www.turner-white.com/pdf/jcom_nov16_diabetes.pdf
Beverly, E., Worley, M., Court, A., Prokopakis, K., & Ivanov, N. (2016). Patientphysician communication and diabetes self-care. Journal of Clinical Outcomes Management, 23(11), 509–518. Retrieved from http://www.turner-white.com/pdf/jcom_nov16_diabetes.pdf
Borus, J., & Laffel, L. (2010) Adherence challenges in the management of Type 1 diabetes in adolescents: prevention and intervention. Current Opinion in Pediatrics, 22(4), 405 – 411. https://doi.org/10.1097/MOP.0b013e32833a46a7
Bundesmann, R., & Kaplowitz, S. (2011). Provider communication and patient participation in diabetes self-care. Patient Education Counseling, 85(2), 143 – 147. https://doi.org/ 10.1016/j.pec.2010.09.025
Faulenbach, M., Uthoff, H., Schwegler, K., Spinas, G., Schmid, C., & Wiesli, P. (2012). Effect of psychological stress on glucose control in patients with type 2 diabetes. Diabetic Medicine, 29(1), 128 – 131. https://doi.org/10.1111/j.1464-5491.2011.03431.x.
Gonzalez, J., Fisher, L., & Polonsky, W. (2011). Depression in diabetes: Have we been missing something important? Diabetes Care, 34(1), 236 – 239. https://doi.org/10.2337/dc10-1970
Helgeson, V., Escobar, O., Siminerio, L., & Becker, D. (2010). Relation of Stressful Life Events to Metabolic Control Among Adolescents With Diabetes: 5-Year Longitudinal Study. Health Psychology, 29(2), 153–159. http://doi.org/10.1037/a0018163
Helgeson, V., Honcharuk, E., Becker, D., Escobar, O., & Siminerio, L. (2011). A focus on blood glucose monitoring: relation to glycemic control and determinants of frequency. Pediatric Diabetes, 12, 25 – 30.
Holmbeck, G., Friedman, D., Abad, M., & Jandasek, B. (2006). Development and psychopathology in adolescence. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents: Nature, assessment, and treatment (pp. 21–55). New York: The Guilford Press.
Jones, A., Gladstone, B., Lübeck, M., Lindekilde, N., Upton, D., & Vach, W. (2014). Motivational interventions in the management of HbA1c levels: a systematic review and meta-analysis. Primary Care Diabetes, 8(2), 91 – 100. https://10.1016/j.pcd.2014.01.009
Li, L., Zhou, J., Chen, H., Song, Y., & Xue, Y. (2012). Effect of HbA1c combined FPG on screening diabetes in health check-up. Asian Pacific Journal of Tropical Medicine, 5(6), 472 – 475. Retrieved from: https://ac.els-cdn.com/S1995764512600819/1-s2.0-S1995764512600819-main.pdf?_tid=50bedfa2-97e6-4e7b-aae0-23119ccb8835&acdnat=1522202756_107e09ac23cb255bd56d7cda38f28a31
McGrady, E., & Hood, K. (2010). Depressive symptoms in adolescents with Type 1 diabetes: Associations with longitudinal outcomes. Diabetes Research and Clinical Practice, 88(3), e35 –e37. https://doi.org/10.1016/j.diabres.2010.03.025
Monaghan, M., Helgeson, V., & Wiebe, D. (2015). Type 1 diabetes in young adulthood. Current Diabetes Reviews, 11(4), 239-250. https://doi.org/10.2174/1573399811666150421114957
Moström, P., Ahlén, E., Imberg, H., Hansson, P., & Lind, M. (2017). Adherence of self-monitoring of blood glucose in persons with type 1 diabetes in Sweden. BMJ Open Diabetes Research & Care, 5(1), e000342. https://doi.org/10.1136/bmjdrc-2016-000342
Ortiz, M. & Myers, H. (2014). Control metabólico en pacientes diabéticos tipo 1chilenos: rol del estrés psicológico. Revista Médica de Chile, 142, 451 – 457. Retrieved from https://pdfs.semanticscholar.org/f9f3/ca2b11834100cc4a6433714f7e036938b890.pdf
Ortiz, M., Ortiz, E., Gatica, A., & Gómez, D., (2011). Factores Psicosociales Asociados a la Adherencia al Tratamiento de la Diabetes Mellitus Tipo 2. Terapia Psicológica, 29(1), 5 – 11. https:// doi.org/10.4067/S0718-48082011000100001
Ortiz, M., Wiley, J., & Chiang, J. (2014). How stress gets under the skin o como el estrés psicológico se introduce bajo la piel. Revista Médica de Chile, 142(6), 767 – 774. https://doi.org/10.4067/S0034-98872014000600011
Patton, S. (2011). Adherence to Diet in Youth with Type 1 Diabetes. Journal of the American Dietetic Association, 111, 550 – 555.
Polonsky, W., Fisher, L., Earles, J., & Dudl, R. (2005). Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care, 28(3), 626 - 631. https://doi.org/10.2337/diacare.28.3.626
Polonsky, W., Fisher, L., Schikman, C., Hinnen, D., Parkin, C., Jelsovsky ... Wagner, R. S. (2011). Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care, 34(2), 262 – 267. https://doi.org/10.2337/dc10-1732
Pouwer, F., Wijnhoven, H. A. H., Ujcic-Voortman, J. K., de Wit, M., Schram, M. T., Baan, C. A., &
Snoek, F. J. (2013). Ethnic aspects of emotional distress in patients with diabetes - the Amsterdam Health Monitor Study. Diabetic Medicine, 30(1), E25-E31. https://doi.org/10.1111/dme.12031
Pyatak, E., Sequeira, P., Peters, A., Montoya, L., & Weigensberg, M. (2013). Disclosure of psychosocial stressors affecting diabetes care among uninsured young adults with Type 1 diabetes. Diabetic Medicine, 30(9), 1140 – 1144. https://doi.org/10.1111/dme.12248
Romeo, R.D. (2013). The teenage brain: The stress response and the adolescent brain. Current Direction in Psychological Science, 22(2), 140 – 145.
Singer, J.D., & Willett, J.B. (2003). Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence. New York: Oxford Univ. Press.
Cómo citar
Ortiz, M. S., & Wiley, J. F. (2018). El estrés psicológico predice las trayectorias de HbA1c en adolescentes diabéticos tipo 1. Universitas Psychologica, 17(3), 1–8. https://doi.org/10.11144/Javeriana.upsy17-3.pdpt
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