1型糖尿病管理面临挑战的青少年的延迟折扣以及焦虑和抑郁症状
Delay discounting and symptoms of anxiety and depression in adolescents experiencing challenges with managing type 1 diabetes.
作者信息
Anderson Molly A B, Stanger Catherine
机构信息
Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, NH, USA.
出版信息
Child Health Care. 2025;54(1):43-58. doi: 10.1080/02739615.2023.2226393. Epub 2023 Jun 20.
Abstract
We examined if anxiety/depression, delay discounting (DD), and their interaction were associated with greater A1c levels and reduced medical adherence in adolescents with type 1 diabetes (T1D). Sixty-one adolescents with T1D completed a DD task and an A1c blood test. Adherence was assessed by self-monitoring of blood glucose (SMBG) using glucometer data. Anxiety/depression was assessed using a parent-completed questionnaire. Greater DD was associated with higher A1c, but not SMBG. Anxiety/depression was not associated with A1c or SMBG. Greater anxiety/depression magnified the effect of DD on A1c. Anxious/depressed symptoms may be a target for youth with T1D to improve glycemic control.
摘要
我们研究了焦虑/抑郁、延迟折扣（DD）及其相互作用是否与1型糖尿病（T1D）青少年更高的糖化血红蛋白（A1c）水平和更低的医疗依从性相关。61名患有T1D的青少年完成了一项DD任务和一次A1c血液检测。通过使用血糖仪数据进行自我血糖监测（SMBG）来评估依从性。焦虑/抑郁通过家长填写的问卷进行评估。更高的DD与更高的A1c相关，但与SMBG无关。焦虑/抑郁与A1c或SMBG无关。更高的焦虑/抑郁放大了DD对A1c的影响。焦虑/抑郁症状可能是T1D青少年改善血糖控制的一个目标。
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