保持积极心态：积极情绪作为1型糖尿病青少年恢复力的预测指标
Staying Positive: Positive Affect as a Predictor of Resilience in Adolescents With Type 1 Diabetes.
作者信息
Lord Jadienne H, Rumburg Tamara M, Jaser Sarah S
机构信息
Vanderbilt University.
Vanderbilt University
出版信息
J Pediatr Psychol. 2015 Oct;40(9):968-77. doi: 10.1093/jpepsy/jsv042. Epub 2015 May 15.
Abstract
BACKGROUND
Adolescents with Type 1 Diabetes (T1D) are at increased risk for diminished quality of life, deteriorating glycemic control, and psychological symptoms, yet some adolescents are able to adapt to the challenges associated with having diabetes exceptionally well. We sought to examine positive affect as a protective process predicting resilience over time in youth with T1D.
METHOD
Adolescents and their mothers completed questionnaire data, and HbA1c was obtained from adolescents' medical records at baseline and after 6 months. Adolescents were coded for observed positive mood during a videotaped interaction with their mothers.
RESULTS
Positive mood, including both self-report and observed mood, was associated with glycemic control, psychological symptoms, and quality of life. In addition, positive mood predicted improvements in glycemic control and externalizing problems over 6 months.
CONCLUSIONS
Positive affect emerged as a protective process for resilient outcomes in adolescents with T1D, suggesting novel targets for intervention in this high-risk population.
摘要
背景
1型糖尿病（T1D）青少年的生活质量下降、血糖控制恶化和出现心理症状的风险增加，但一些青少年能够非常好地适应与患糖尿病相关的挑战。我们试图研究积极情绪作为一种保护过程，预测T1D青少年随时间推移的恢复力。
方法
青少年及其母亲完成问卷调查数据，并在基线和6个月后从青少年的病历中获取糖化血红蛋白（HbA1c）。在青少年与母亲的录像互动中，对青少年观察到的积极情绪进行编码。
结果
积极情绪，包括自我报告的情绪和观察到的情绪，与血糖控制、心理症状和生活质量相关。此外，积极情绪预测了6个月内血糖控制的改善和外化问题的减少。
结论
积极情绪成为T1D青少年恢复力良好结果的保护过程，为这一高危人群的干预提供了新的靶点。
相似文献
1
Staying Positive: Positive Affect as a Predictor of Resilience in Adolescents With Type 1 Diabetes.
J Pediatr Psychol. 2015 Oct;40(9):968-77. doi: 10.1093/jpepsy/jsv042. Epub 2015 May 15.
2
Associations of Coping Strategies With Glycemic and Psychosocial Outcomes Among Adolescents With Type 1 Diabetes Experiencing Diabetes Distress.
Ann Behav Med. 2024 Aug 7;58(9):628-633. doi: 10.1093/abm/kaae028.
3
Promoting Resilience in Stress Management for Adolescents With Type 1 Diabetes: A Randomized Clinical Trial.
JAMA Netw Open. 2024 Aug 1;7(8):e2428287. doi: 10.1001/jamanetworkopen.2024.28287.
4
Factors affecting health adaptation of Chinese adolescents with type 1 diabetes: A path model testing.
J Child Health Care. 2016 Mar;20(1):5-16. doi: 10.1177/1367493514540815. Epub 2014 Jul 9.
5
Health-related quality of life of adolescents with type 1 diabetes in the context of resilience.
Pediatr Diabetes. 2018 Dec;19(8):1481-1486. doi: 10.1111/pedi.12769. Epub 2018 Oct 15.
6
Stress and Coping Predicts Adjustment and Glycemic Control in Adolescents with Type 1 Diabetes.
Ann Behav Med. 2017 Feb;51(1):30-38. doi: 10.1007/s12160-016-9825-5.
7
Assessing strengths of children with type 1 diabetes: Validation of the Diabetes Strengths and Resilience (DSTAR) measure for ages 9 to 13.
Pediatr Diabetes. 2019 Nov;20(7):1007-1015. doi: 10.1111/pedi.12898. Epub 2019 Jul 29.
8
Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth-Australia.
Diabetes Care. 2017 Jul;40(7):849-855. doi: 10.2337/dc16-2688. Epub 2017 Apr 26.
9
Randomized Trial of a Positive Psychology Intervention for Adolescents With Type 1 Diabetes.
J Pediatr Psychol. 2019 Jun 1;44(5):620-629. doi: 10.1093/jpepsy/jsz006.
10
Social self-efficacy associated with HbA1c through physical activity and diabetes quality of life: A serial mediation study.
Pediatr Diabetes. 2021 Nov;22(7):1081-1091. doi: 10.1111/pedi.13261. Epub 2021 Sep 8.
引用本文的文献
1
Longitudinal Associations Between Resilience, Emotion Regulation and Mental Health in Adolescents.
Psychiatr Q. 2025 Jul 10. doi: 10.1007/s11126-025-10182-2.
2
Empowering Caregiver Well-Being With the Adhera Caring Digital Program for Family Caregivers of Children Living With Type 1 Diabetes: Mixed Methods Feasibility Study.
JMIR Pediatr Parent. 2025 Jul 9;8:e66914. doi: 10.2196/66914.
3
Cultural adaptation and validation of the Positive and Negative Affect Schedule for Children (PANAS-C) among Indonesian adolescents.
BMC Psychol. 2024 Nov 28;12(1):703. doi: 10.1186/s40359-024-02209-3.
4
Psychometric Properties of the Revised Self-Efficacy for Diabetes Self-Management Scale among Spanish Children and Adolescents with Type 1 Diabetes.
Children (Basel). 2024 May 29;11(6):662. doi: 10.3390/children11060662.
5
What Do Adolescents With Type 1 Diabetes Need to Thrive? Perspective of a 16-Year-Old With 4 Years of Experience Living With Type 1 Diabetes.
Diabetes Spectr. 2024 Winter;37(1):109-112. doi: 10.2337/ds23-0024. Epub 2023 Nov 17.
6
Psychometric properties of an Arabic translation of the 10-item Connor-Davidson resilience scale (CD-RISC-10), the 8- and 10-item post-traumatic growth inventory-short form (PTGI-SF) scales.
PLoS One. 2024 Jan 2;19(1):e0293079. doi: 10.1371/journal.pone.0293079. eCollection 2024.
7
Influence of Family Social Support and Diabetes Self-Efficacy on the Emotional Wellbeing of Children and Adolescents with Type 1 Diabetes: A Longitudinal Study.
Children (Basel). 2023 Jul 10;10(7):1196. doi: 10.3390/children10071196.
8
Resilience among racially diverse adolescent patients with chronic orthopedic conditions.
Curr Psychol. 2023 Apr 25:1-18. doi: 10.1007/s12144-023-04543-y.
9
Links of positive affect and stress to HbA1c: a prospective longitudinal study.
J Behav Med. 2023 Oct;46(5):849-859. doi: 10.1007/s10865-023-00408-8. Epub 2023 Apr 18.
10
The relationship between well-being and HbA1c in adults with type 1 diabetes: A systematic review.
J Diabetes. 2023 Feb;15(2):152-164. doi: 10.1111/1753-0407.13357.
本文引用的文献
1
Risks of psychiatric disorders and suicide attempts in children and adolescents with type 1 diabetes: a population-based cohort study.
Diabetes Care. 2015 Mar;38(3):453-9. doi: 10.2337/dc14-0262. Epub 2015 Feb 3.
2
Check it! A randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes.
Diabetes Educ. 2014 Sep-Oct;40(5):659-67. doi: 10.1177/0145721714535990. Epub 2014 May 27.
3
Psychosocial burden and glycemic control during the first 6 years of diabetes: results from the SEARCH for Diabetes in Youth study.
J Adolesc Health. 2014 Oct;55(4):498-504. doi: 10.1016/j.jadohealth.2014.03.011. Epub 2014 May 10.
4
Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease: the impact of positive affect and self-affirmation.
Transl Behav Med. 2014 Mar;4(1):7-17. doi: 10.1007/s13142-013-0241-0.
5
Standards of medical care in diabetes--2014.
Diabetes Care. 2014 Jan;37 Suppl 1:S14-80. doi: 10.2337/dc14-S014.
6
Most youth with type 1 diabetes in the T1D Exchange Clinic Registry do not meet American Diabetes Association or International Society for Pediatric and Adolescent Diabetes clinical guidelines.
Diabetes Care. 2013 Jul;36(7):2035-7. doi: 10.2337/dc12-1959. Epub 2013 Jan 22.
7
Diabetes resilience: a model of risk and protection in type 1 diabetes.
Curr Diab Rep. 2012 Dec;12(6):739-48. doi: 10.1007/s11892-012-0314-3.
8
Resilience as a dynamic concept.
Dev Psychopathol. 2012 May;24(2):335-44. doi: 10.1017/S0954579412000028.
9
Individual and family strengths: an examination of the relation to disease management and metabolic control in youth with type 1 diabetes.
Fam Syst Health. 2011 Dec;29(4):314-26. doi: 10.1037/a0026589.
10
A positive affect intervention for people experiencing health-related stress: development and non-randomized pilot test.
J Health Psychol. 2012 Jul;17(5):676-92. doi: 10.1177/1359105311425275. Epub 2011 Oct 21.
Zotero 插件