Adolescent Emotional Control Moderates Benefits of a Multicomponent Intervention to Improve Type 1 Diabetes Adherence: A Pilot Randomized Controlled Trial

Lansing, Amy Hughes; Stoianova, Maria; Stanger, Catherine

doi:10.1093/jpepsy/jsy071

Cited by 7 publications

(5 citation statements)

References 32 publications

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“…Of note, some seemingly disorderspecific mechanisms may be in fact transdiagnostic but are as yet untested (e.g., shame) or tested against a different measurement of adversity. From a lifespan perspective, the current findings are consistent with similar research in early adversity and psychopathology in adolescence, where the mediating role of processes identified in the current review, including emotion regulation, social support, cognitive appraisals and self-concept, has also been identified (Dhondt et al, 2019;John et al, 2017;Lansing et al, 2019;Negriff et al, 2019;Paredes & Calvete, 2014).…”

Section: Summary Of Findingssupporting

confidence: 88%

Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences

Panagou

MacBeth

2022

Clin Psychology and Psychoth

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Adverse childhood experiences (ACEs) are identified with increased risk of adult mental health difficulties and negative impacts on well‐being. However, there is a need to go beyond simple associations and identify candidate mechanisms underpinning the ACEs–mental health relationship. Further methodological heterogeneity points to issues around the operationalization of ACEs and the importance of modelling data using robust research designs. The aim of the current review was to synthesize studies that utilized formal mediation and/or moderation analyses to explore psychological and social variables on the pathway between clearly defined ACEs (as measured by the ACE questionnaire and Childhood Trauma Questionnaire [CTQ]) and common mental health outcomes (depressive, anxiety and post‐traumatic stress disorder [PTSD] symptoms) across community samples aged over 18. A total of 31 papers were retrieved for critical appraisal. The majority of the studies explored factors mediating/moderating the link between child adversity and depression and less on anxiety and trauma. Most mechanisms were tested in only single studies, limiting the consistency of evidence. Evidence indicated that the mechanisms underlying associations between ACEs and adult mental health are likely to reflect multiple intervening variables. Further, there are substantial methodological limitations in the extant literature including the proliferation of causal inferences from cross‐sectional designs and both measurement and conceptual issues in operationalizing adversity. Consistent transdiagnostic mechanisms relevant to common mental health problems were identified, including perceived social support, emotion regulation and negative cognitive appraisals/beliefs. Further research using longitudinal design is required to delineate the potential contribution of the identified mechanisms.

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Section: Summary Of Findingssupporting

confidence: 88%

Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences

Panagou

MacBeth

2022

Clin Psychology and Psychoth

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“…255 Also more complex interventions, such as an multicomponent motivational and cognitive intervention targeting youth with suboptimal glycemic management and emotional regulation difficulties, can be delivered via the Internet as it resulted in increased frequency of blood glucose monitoring, improved working memory, and improved glycemic management 256 ; youth with more emotional control problems benefited the most from this approach. 257 Digital health interventions (i.e., programs or tools which use digital technology to encourage or foster behavior change, such as websites, mobile applications [apps], text messaging, or online games) for youth with diabetes have some impact on their mental health such as self-efficacy, but few consistent effects for other psychological, behavioral, or health outcomes; results also indicated studies showed high risk of bias and more research was needed using theory-based approaches with stronger methodologies. 258…”

Section: Internet-based and Digital Interventionsmentioning

confidence: 99%

“…Further, adolescents respond well to behavioral intervention using Skype, 228 tele‐health, 253 text messaging, 227,254 and can receive social support via chat rooms 255 . Also more complex interventions, such as an multicomponent motivational and cognitive intervention targeting youth with suboptimal glycemic management and emotional regulation difficulties, can be delivered via the Internet as it resulted in increased frequency of blood glucose monitoring, improved working memory, and improved glycemic management 256 ; youth with more emotional control problems benefited the most from this approach 257 …”

Section: Psychosocial and Behavioral Interventionsmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents and young adults with diabetes

et al. 2022

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Psychological care of youth with type 1 diabetes (T1D) as well as type 2 diabetes (T2D) is covered. • Additional sections on the psychological assessment, communication, the health care team and psychological impact of technology are added 2 | EXECUTIVE SUMMARY AND RECOMMENDATIONS 2.1 | Collaborative care • Psychosocial care should be integrated with collaborative, personcentered medical care and provided to all youth with diabetes and their families. A • Professionals with expertise in the mental health of children and adolescents are essential members of interdisciplinary diabetes health care team. B • Mental health professionals should be available to interact with youth and their families, and also to support the diabetes team in the recognition and management of mental health and behavior problems. C • It is preferable that mental health specialists who interact with children with diabetes have training in diabetes and its management. E 2.2 | Integrating psychosocial assessments in routine diabetes care • Age-appropriate and validated assessment tools should be routinely implemented in clinical practice to monitor and discuss

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“…Behavioral treatment modalities such as working memory training have been used in adolescents with type 1 diabetes and show some benefits, especially when combined with other psychological treatments. 32…”

Section: Eating Disordersmentioning

confidence: 99%

Effective Interdisciplinary Medicine: Psychiatric Care in Children and Adolescents With Type 1 Diabetes

Meadows,

Jayaratna,

Vorholt

et al. 2020

JAACAP Connect

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Diabetes mellitus type 1 (T1D) is one of the most common chronic illnesses in pediatrics. Child and adolescent psychiatrists (CAPs) may encounter pediatric patients with T1D whose emotional disruption increases the risk for poor glycemic control or diabetes complications. CAPs can assist pediatric providers and patients with T1D by providing collaborative care, including patient and family education, monitoring for common emotional and behavioral concerns, and treatment. We will briefly review common presentations of anxiety, depression, disordered eating, attention-deficit/hyperactivity disorder (ADHD) and family conflict in T1D. Mental health is an essential component of an integrated approach to pediatric diabetes care.

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Adolescent Emotional Control Moderates Benefits of a Multicomponent Intervention to Improve Type 1 Diabetes Adherence: A Pilot Randomized Controlled Trial

Abstract: This multicomponent, web-delivered intervention provided unique benefits for improving SMBG and lowering HbA1c in teens with higher problems in emotional control.

Cited by 7 publications

References 32 publications

Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences

Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of adverse childhood experiences

ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents and young adults with diabetes

Effective Interdisciplinary Medicine: Psychiatric Care in Children and Adolescents With Type 1 Diabetes

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