Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
J Pediatr Psychol. 2010 May;35(4):415-25. doi: 10.1093/jpepsy/jsp063. Epub 2009 Aug 14.
To examine the prevalence of anxiety symptoms and their association with blood glucose monitoring (BGM) and glycemic control in adolescents with type 1 diabetes.
276 adolescents and their caregivers completed measures of anxiety symptoms. Adolescents completed a measure of depressive symptoms. Demographic and family characteristics were obtained from caregiver report. Diabetes duration, regimen type, BGM frequency, and glycemic control were also collected.
Trait anxiety symptoms that suggest further clinical assessment is needed were present in 17% of adolescents; the rate was 13% for state anxiety symptoms. Higher levels of state anxiety symptoms were associated with less frequent BGM F(14, 261) = 6.35, p < .0001, R(2) = .25, and suboptimal glycemic control, F(15, 260) = 7.97, p < .0001, R(2) = .32. State anxiety symptoms were correlates of BGM frequency and glycemic control independent of depressive symptoms.
State anxiety symptoms are associated with less frequent BGM and suboptimal glycemic control in adolescents with type 1 diabetes.
研究焦虑症状的患病率及其与 1 型糖尿病青少年血糖监测（BGM）和血糖控制的关系。
276 名青少年及其照顾者完成了焦虑症状的测量。青少年完成了抑郁症状的测量。从照顾者报告中获得了人口统计学和家庭特征。还收集了糖尿病病程、治疗方案类型、BGM 频率和血糖控制情况。
17%的青少年存在需要进一步临床评估的特质焦虑症状；状态焦虑症状的发生率为 13%。较高的状态焦虑症状与 BGM 频率较低（F(14, 261) = 6.35，p <.0001，R(2) =.25）和血糖控制不佳（F(15, 260) = 7.97，p <.0001，R(2) =.32）相关。状态焦虑症状是与 BGM 频率和血糖控制相关的独立于抑郁症状的因素。
1 型糖尿病青少年的状态焦虑症状与 BGM 频率较低和血糖控制不佳有关。
