Lord Jadienne H, Rumburg Tamara M, Jaser Sarah S
Vanderbilt University.
Vanderbilt University
J Pediatr Psychol. 2015 Oct;40(9):968-77. doi: 10.1093/jpepsy/jsv042. Epub 2015 May 15.
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.
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.
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.
Positive affect emerged as a protective process for resilient outcomes in adolescents with T1D, suggesting novel targets for intervention in this high-risk population.
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。
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。
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。
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。
