Diabetes Distress in Adolescents and Young Adults Living With Type 1 Diabetes

Morrissey, Eimear; Casey, Bláthín; Dinneen, Seán F.; Lowry, Michelle; Byrne, Molly

doi:10.1016/j.jcjd.2020.03.001

Cited by 11 publications

(9 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Notably, increased psychological distress is the mechanism found to link the diagnosis of IBD with impaired functioning and quality of life (Naliboff et al., 2012). This is consistent with research in other pediatric health populations, for example, youth with type I diabetes (Morrissey et al., 2020; Quittner et al., 2014), which indicate that living with and managing a chronic or complex medical condition can increase distress, which, in turn, may have downstream effects on overall functioning.…”

supporting

confidence: 88%

Disease-Related Distress in Pediatric IBD: Development and Validation of the Crohn’s and Colitis Distress Scale

Stellway¹,

Cummings²,

Paternostro³

et al. 2023

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

Objective: Inflammatory bowel disease (IBD) is characterized by inflammation in the gastrointestinal tract with painful and distressing symptoms periods of exacerbations and remissions. Youth with IBD are at increased risk of experiencing challenges across psychosocial functioning. Mental health concerns (i.e., anxiety, depression) are commonly assessed in youth with IBD, but measures used to assess psychopathology may not fully capture emotional distress unique to living with IBD. There remains no well-validated measure of IBD-specific distress in pediatrics. Method: The Crohn's and Colitis Distress Scale (CCDS), a newly developed measure of pediatric IBDdistress, was completed by 120 youth with IBD during routine care. The psychometric properties of the measure were examined. Results: The Cronbach's alpha for the full scale was .94 and subscale internal consistency ranged from .66 to .90. Longer time since diagnosis and longer time since last flare was associated with lower IBDdistress. Further, greater IBD-distress was reported in girls with a diagnosis of ulcerative colitis, currently symptomatic, or currently flaring respective to their counterparts. Though moderately to largely correlated (.30 , r , .73), IBD-distress was found to be a distinct construct from global anxiety and depression. Conclusions: Data support the use of an instrument specific to IBD-distress, such as the CCDS, to allow for more accurate detection of risk for emotional distress in IBD. Further assessment of the reliability and validity of the measure within larger, more diverse samples is warranted. Such investigation should include assessment of the associations between IBD-distress and treatment engagement and health outcomes. Implications for Impact StatementMental health concerns (e.g., anxiety, depression) are commonly assessed in youth with Inflammatory Bowel Disease (IBD), but the measures used do not fully Jacklyn E. Stellway https://orcid.

show abstract

supporting

confidence: 88%

Disease-Related Distress in Pediatric IBD: Development and Validation of the Crohn’s and Colitis Distress Scale

Stellway¹,

Cummings²,

Paternostro³

et al. 2023

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

show abstract

“…females often communicate about their symptoms of distress; males are more unwilling to admit such feelings and tend to cope through private actions) (Lašaitė et al, 2016). This finding is TA B L E 3 Multivariate linear regression analysis of correlates of four domains of DDS in participants with type 1 diabetes in line with a study that provides an overview of diabetes distress sources in adolescents with type 1 diabetes (Morrissey et al, 2020).…”

Section: Discussionmentioning

confidence: 53%

Factors associated with diabetes distress among adolescents with type 1 diabetes

Luo

Wang

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims: To describe the specific domains of diabetes distress and factors associated with these domains.Background: Diabetes distress is a common problem but not well recognised in adolescents by healthcare providers or adolescents themselves. There is insufficient evidence on how specific domains of diabetes distress exist in adolescents, making it challenging to select precise components to alleviate diabetes stress.Design: A quantitative, descriptive and cross-sectional study.Methods: Data were collected on socio-demographic and clinical characteristics, diabetes distress, perceived stress, self-efficacy and diabetes self-management using established questionnaires. Multivariate linear regression was conducted to examine the associations between specific factors and four domains in diabetes distress. STROBE checklist was used as the guideline for this study.Results: A total of 100 adolescents with type 1 diabetes aged 12 to 18 years participated in this study. Adolescents experienced the highest levels of distress in the regimen-related distress [2.41 (SD =0.82)] and physician-related distress [2.40 (SD =0.80)] domains. Older age, female gender, more diabetes problem-solving and higher levels of perceived stress were associated with higher regimen-related distress (β = 0.21 ~ 0.45, p < 0.05). Older age, female gender, a lower degree of endorsement of relevant diabetes-related goals and higher levels of perceived stress were associated with higher physician-related distress (β = −0.29 ~ 0.34, p < 0.05). Conclusions:Diabetes distress was reported more on regimen-related and physician-related domains among adolescents with type 1 diabetes in China, associating with older age, female, increased perceived stress and poor diabetes-related problem-solving.Relevance to clinical practice: Nurses need to screen the specific domains of diabetes distress among adolescents with type 1 diabetes, especially for the older adolescents and girls. This study highlighted the importance of incorporating diabetes-related problem-solving support and stress management strategies into diabetes management for adolescents with type 1 diabetes, which could help relieve diabetes distress.

show abstract

“…This may be explained by the T1D-related challenges in puberty, such as changes in hormone and insulin activity, 28 and psychosocial upheavals, especially elevated levels of diabetes distress during adolescence. 29 These physical and psychological aspects can contribute to their existed susceptibility to less optimal glycaemic control, 30 such as persistent hyperglycaemia, frequent hypoglycaemia or recurrent ketoacidosis, which can considerably influence their school life. Nevertheless, the negative effect of T1D seems not to persist into undergraduate, which could owe to individuals' gradually habituated self-management and the more flexible study styles at the higher level of education.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, more noticeable educational impairments appeared during the adolescent period, providing their lower odds of being eligible to and finishing upper secondary school at the expected age. This may be explained by the T1D‐related challenges in puberty, such as changes in hormone and insulin activity, 28 and psychosocial upheavals, especially elevated levels of diabetes distress during adolescence 29 . These physical and psychological aspects can contribute to their existed susceptibility to less optimal glycaemic control, 30 such as persistent hyperglycaemia, frequent hypoglycaemia or recurrent ketoacidosis, which can considerably influence their school life.…”

Section: Discussionmentioning

confidence: 99%

Childhood‐onset type 1 diabetes and attention‐deficit/hyperactivity disorder with educational attainment: A population‐based sibling‐comparison study

et al. 2022

View full text Add to dashboard Cite

Aim To examine the association of childhood‐onset type 1 diabetes (T1D) and attention‐deficit/hyperactivity disorder (ADHD) with educational outcomes from compulsory school to university. Methods Using multiple Swedish nationwide registers, we followed up on 1,474,941 individuals born in Sweden from 1981–1995 to December 31, 2013. Associations of T1D and ADHD with achieving educational milestones (from compulsory school to university) and school performances were estimated using logistic and linear regression models and sibling comparison models. Results Compared to their peers, children with both T1D and ADHD were less likely to achieve any of the educational attainments, including completing compulsory school (adjusted OR [aOR] [95% CI]: 0.43 [0.26, 0.72]), be eligible to and finishing upper secondary school (0.26 [0.19, 0.36], 0.24 [0.17, 0.35], respectively), and starting university (0.38 [0.17, 0.90]). The odds of achieving these educational milestones were substantially lower in children with ADHD alone (aORs: 0.14–0.44), but were slightly worse or no differences in children with T1D alone (aORs: 0.86–1.08). All associations above remained similar in the sibling comparison models. Conclusion Children and adolescents with both T1D and ADHD had long‐term educational underachievement, with ADHD being the major contributor. Our findings suggest the importance of assessing ADHD in children with T1D and targeted support for minimising the education gap between the affected children and their peers.

show abstract

Diabetes Distress in Adolescents and Young Adults Living With Type 1 Diabetes

Cited by 11 publications

References 29 publications

Disease-Related Distress in Pediatric IBD: Development and Validation of the Crohn’s and Colitis Distress Scale

Disease-Related Distress in Pediatric IBD: Development and Validation of the Crohn’s and Colitis Distress Scale

Factors associated with diabetes distress among adolescents with type 1 diabetes

Childhood‐onset type 1 diabetes and attention‐deficit/hyperactivity disorder with educational attainment: A population‐based sibling‐comparison study

Contact Info

Product

Resources

About