Keywords
Psychological Stress
Metabolic Control.
How to Cite
Abstract
Diabetic adolescents have poor metabolic control. We aimed to characterize the longitudinal association between the stress-related domains of emotional burden (EB), physician related-distress (PD), regimen-related distress (RD), diabetes-related interpersonal distress (ID), and hemoglobin glycosylated (HbA1c) trajectories among Type 1 diabetics Chilean adolescents.
Thirty-two Type 1 diabetic adolescents (Mage=15.97; SD=3.45) were followed for one year. HbA1c was assessed at three time points, and a stress measure was obtained. Using a longitudinal growth curve modeling, a marginal overall negative linear trend was found in HbA1c (b = -0.23, p = 0.096). There was an interaction between time and PD (b = -0.33, p < 0.05), and a main effect of EB, RD, and ID on HbA1c. Psychological stress domains predict metabolic control trajectories. Monitoring diabetes specific stress may be a useful tool to identify adolescents at risk for poor control, and interventions that reduce such stress might lead to better management of diabetes in adolescents.
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.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights. Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.