Department of Psychology, University of Denver, USA.
Palliative Care and Resilience Lab, Center for Clinical and Translational Research, Seattle Children's Research Institute, USA.
J Pediatr Psychol. 2022 Oct 19;47(10):1125-1134. doi: 10.1093/jpepsy/jsac046.
Youth and adolescents with type 1 diabetes (T1D) are at risk for poor health outcomes. Understanding if psychological factors shortly following diagnosis, such as diabetes distress and resilience, predict glycated hemoglobin (A1C) trajectories may help inform both optimal timing and content of psychosocial interventions for youth with T1D.
Youth and adolescents (N = 34) with newly diagnosed T1D completed distress and resilience measures at baseline and 3 months following diagnosis. Using multilevel modeling, we predicted A1C trajectories up to 3 years following diagnosis.
We found that in separate models, higher 3-month diabetes distress and lower 3-month resilience predicted larger increases in A1C years 1-3 following diagnosis.
Our findings suggest that targeting resilience and diabetes distress within 3 months following diagnosis has implications for the yearly rate of A1C increase up to 3 years later.
患有 1 型糖尿病（T1D）的青年和青少年面临不良健康结果的风险。了解诊断后不久的心理因素（如糖尿病困扰和适应力）是否可以预测糖化血红蛋白（A1C）轨迹，这可能有助于为 T1D 青年提供最佳的心理社会干预时机和内容。
新诊断为 T1D 的青年和青少年（N=34）在基线和诊断后 3 个月完成困扰和适应力测量。我们使用多层次模型预测诊断后 3 年内的 A1C 轨迹。
我们发现，在单独的模型中，3 个月时更高的糖尿病困扰和更低的 3 个月适应力预测了诊断后 1-3 年内 A1C 的更大增长。
我们的研究结果表明，在诊断后 3 个月内针对适应力和糖尿病困扰进行治疗，可能会对 3 年后 A1C 的年增长率产生影响。
