Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213, USA.
J Pediatr Psychol. 2010 Nov;35(10):1161-7. doi: 10.1093/jpepsy/jsq011. Epub 2010 Feb 26.
To identify distinct patterns of glycemic control over early to middle adolescence, and to determine whether psychosocial variables predicted those patterns.
We used trajectory analysis to examine glycemic control over 5 years among adolescents with type 1 diabetes who were of age 12 on average at study start (n = 132). Well-being, relationships, and self-care behavior were assessed with in-person interviews. Blood glucose testing was determined from blood glucose meters, and missed clinic appointments and glycosolated hemoglobin were obtained from medical records.
We identified two distinct clusters of individuals, a stable good glycemic control group and a poorer deteriorating glycemic control group. Individuals in the deteriorating control group were characterized by higher peer conflict, more negative diabetes emotions, fewer blood glucose tests, and more missed clinic appointments.
Psychosocial variables and behavioral markers of self-care may predict the course of glycemic control over early to middle adolescence.
确定青少年早期至中期血糖控制的不同模式，并确定心理社会变量是否可预测这些模式。
我们使用轨迹分析，研究了在研究开始时平均年龄为 12 岁的 1 型糖尿病青少年 5 年内的血糖控制情况（n = 132）。通过面对面访谈评估幸福感、人际关系和自我护理行为。血糖测试是通过血糖仪确定的，而错过的诊所预约和糖化血红蛋白则是从病历中获得的。
我们确定了两个不同的个体群，一个稳定的良好血糖控制组和一个血糖控制较差的恶化组。控制恶化组的个体特征为同伴冲突更多、糖尿病情绪更消极、血糖检测次数更少、错过诊所预约更多。
心理社会变量和自我护理的行为标志物可能预测青少年早期至中期血糖控制的过程。
