Rassart Jessica, Luyckx Koen, Berg Cynthia A, Oris Leen, Wiebe Deborah J
Faculty of Psychology and Educational Sciences, KU Leuven.
Department of Psychology, University of Utah.
Health Psychol. 2017 Oct;36(10):977-986. doi: 10.1037/hea0000513. Epub 2017 Jul 20.
Benefit finding, which refers to perceiving positive life changes resulting from adversity, has been associated with better psychosocial well-being in different chronic illnesses. However, little research to date has examined how benefit finding develops in the context of Type 1 diabetes (T1D). The present study aimed to identify trajectories of benefit finding across adolescence and to investigate prospective associations with depressive symptoms, self-care, and metabolic control.
Adolescents with T1D aged 10 to 14 (Mage = 12.49 years, 54% girls) participated in a 4-wave longitudinal study spanning 1.5 years (N = 252 at Time 1). Adolescents filled out questionnaires on benefit finding, self-care, depressive symptoms, and illness perceptions. HbA1c values were obtained through point of care assays. We used latent growth curve modeling (LGCM) and latent class growth analysis (LCGA) to examine the development of benefit finding. Cross-lagged path analysis and multi-group LGCM were used to examine prospective associations among the study variables.
Adolescents reported moderate levels of benefit finding which decreased over time. Three benefit finding trajectory classes were identified: low and decreasing, moderate and decreasing, and high and stable. These trajectory classes differed in terms of self-care, perceived personal and treatment control, and perceptions of illness cyclicality. Higher levels of benefit finding predicted relative increases in self-care 6 months later. Benefit finding was not prospectively related to depressive symptoms and metabolic control.
Benefit finding may serve as a protective factor for adolescents with Type 1 diabetes and may motivate these adolescents to more closely follow their treatment regimen. (PsycINFO Database Record
益处发现是指察觉到逆境所带来的积极生活变化，在不同的慢性疾病中，它都与更好的心理社会幸福感相关。然而，迄今为止，很少有研究探讨在1型糖尿病（T1D）背景下益处发现是如何发展的。本研究旨在确定青少年时期益处发现的轨迹，并调查其与抑郁症状、自我护理和代谢控制之间的前瞻性关联。
10至14岁的T1D青少年（平均年龄=12.49岁，54%为女孩）参与了一项为期1.5年的4波纵向研究（第1阶段N=252）。青少年填写了关于益处发现、自我护理、抑郁症状和疾病认知的问卷。通过即时检验获得糖化血红蛋白（HbA1c）值。我们使用潜在增长曲线模型（LGCM）和潜在类别增长分析（LCGA）来研究益处发现的发展。交叉滞后路径分析和多组LGCM用于检验研究变量之间的前瞻性关联。
青少年报告的益处发现水平中等，且随时间下降。确定了三种益处发现轨迹类别：低且下降、中等且下降、高且稳定。这些轨迹类别在自我护理、感知到的个人和治疗控制以及疾病周期性认知方面存在差异。较高水平的益处发现预示着6个月后自我护理会相对增加。益处发现与抑郁症状和代谢控制没有前瞻性关联。
益处发现可能是1型糖尿病青少年的一个保护因素，并可能促使这些青少年更严格地遵循他们的治疗方案。（PsycINFO数据库记录）
