Faculty of Psychology and Educational Sciences, KU Leuven, Tiensestraat 102, box 3717, 3000, Leuven, Belgium.
Fonds Wetenschappelijk Onderzoek, Flanders, Belgium.
J Behav Med. 2021 Jun;44(3):402-411. doi: 10.1007/s10865-021-00211-3. Epub 2021 Mar 7.
Youth with type 1 diabetes (T1D) must adhere to a complex treatment regimen to prevent health complications. Friends may provide diabetes-specific support to help youth manage diabetes, but evidence on whether youth benefit from diabetes-specific friend support is inconclusive. The present study first investigated whether satisfaction with friend support was linked to psychological distress and diabetes management. Second, it was investigated whether self-esteem mediated these relations. To this end, 324 Dutch-speaking emerging adults (17-28 years) with T1D completed questionnaires on diabetes-specific friend support, self-esteem, diabetes-specific distress, depressive symptoms, and self-care. HbA1c values were obtained from patients' physicians. Receiving diabetes-specific support from friends was associated with more diabetes-specific distress, but not for youth who were satisfied with the received support. Diabetes-specific friend support was not associated with other outcomes. Self-esteem did not mediate these relations. These results suggest that associations between diabetes-specific friend support and diabetes management are limited and that support satisfaction should be taken into consideration when examining the role of friend support for youth with T1D.
患有 1 型糖尿病 (T1D) 的年轻人必须遵循复杂的治疗方案，以预防健康并发症。朋友可以提供特定于糖尿病的支持，以帮助年轻人管理糖尿病，但关于年轻人是否从特定于糖尿病的朋友支持中受益的证据尚无定论。本研究首先调查了对朋友支持的满意度是否与心理困扰和糖尿病管理有关。其次，研究了自尊是否在这些关系中起中介作用。为此，324 名讲荷兰语的患有 T1D 的年轻成年人（17-28 岁）完成了关于特定于糖尿病的朋友支持、自尊、特定于糖尿病的困扰、抑郁症状和自我护理的问卷。HbA1c 值从患者的医生处获得。从朋友那里获得特定于糖尿病的支持与更多的特定于糖尿病的困扰有关，但对于对所获得的支持感到满意的年轻人则没有这种关系。特定于糖尿病的朋友支持与其他结果无关。自尊并未在这些关系中起中介作用。这些结果表明，特定于糖尿病的朋友支持与糖尿病管理之间的关联是有限的，在检查朋友支持对患有 T1D 的年轻人的作用时，应考虑支持满意度。
