Diabetes self‐management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes

Guo, RN Jia; Whittemore, RN Robin; Jeon, Sangchoon; Grey, RN Margaret; Zhou, Zhiguang; He, Guoping; Luo, Ziqiang

doi:10.1111/jocn.12698

Cited by 26 publications

(38 citation statements)

References 34 publications

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“…Another study showed that the HbA1c level increased in the presence of a psychiatric disorder . The present study found that young people with poor metabolic control had low levels of quality of life and high depression levels, and this result is consistent with the results of another published study . Diabetic children and adolescents present depressive symptoms and low quality of life .…”

Section: Discussionsupporting

confidence: 92%

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The relationship between the quality of life and depression levels of young people with type I diabetes

Yayan

Zengin

Karabulut

et al. 2019

Perspect Psychiatr Care

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Purpose The aim of this study is to examine the relationship between the quality of life and depression levels of the youth with type I diabetes. Design and Methods The study was a cross‐sectional descriptive study. Findings It was found that there is a negative correlation between participants’ HbA1c levels and quality of life, and a positive correlation between HbA1c levels and depression. It was determined that quality of life and depression are significant predictors of HbA1c (R 2 = 0.72, P < 0.01). Practice Implications The depression levels of the young people with increased and their metabolic control was affected negatively as the quality of life levels decreased. Depression measurements should be made during the routine control of youth with diabetes who have difficulty in maintaining metabolic control.

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Section: Discussionsupporting

confidence: 92%

“…Some cross‐sectional studies report that depressive symptoms are correlated to high HbA1c levels, and have a negative effect on the quality of life . Abolfotouh et al reported that young people with type I diabetes that had a low quality of life presented high levels of depression.…”

mentioning

confidence: 99%

The relationship between the quality of life and depression levels of young people with type I diabetes

Yayan

Zengin

Karabulut

et al. 2019

Perspect Psychiatr Care

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“…Subscales have demonstrated acceptable reliability (Cronbach alpha 0.67–0.84; test‐retest at 2 weeks 0.77–0.85) and validity. (Guo et al ). In this study, the Cronbach alpha of the five subscales were 0.78, 0.72, 0.85, 0.82, and 0.81, respectively.…”

Section: The Studymentioning

confidence: 99%

Perceived stress and self‐efficacy are associated with diabetes self‐management among adolescents with type 1 diabetes: A moderated mediation analysis

Guo

Yang

Wiley

et al. 2019

Journal of Advanced Nursing

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Aims The aims of this study were to: (a) determine if self‐efficacy mediates the relationship between perceived stress and diabetes self‐management in adolescents with type 1 diabetes (T1D); and (b) explore whether perceived stress moderated the self‐efficacy and diabetes self‐management relationship. Design Non‐experimental, descriptive correlational design, conducted from January–December 2016. Methods Guided by the Adaptation to Diabetes framework, data on demographic and clinical characteristics, perceived stress, self‐efficacy and diabetes self‐management were collected. Descriptive analyses and regression analyses were generated by SPSS Version 22. Structural equation modelling was implemented with the MPlus program. Results There was no direct effect of perceived stress on diabetes self‐management; however, self‐efficacy mediated the relationship between perceived stress and diabetes self‐management. Adolescents who had high self‐efficacy and low perceived stress demonstrated better diabetes care activities and diabetes communication than would be predicted from the main effects of self‐efficacy and perceived stress alone. Conclusions Decreasing perceived stress and improving self‐efficacy are important strategies to improve diabetes self‐management in adolescents with T1D. Impact Adolescents with T1D experience considerable stress with daily self‐management demands. This study highlights the mediating role of self‐efficacy on perceived stress and diabetes self‐management. Assessment of perceived stress and self‐efficacy in self‐management tasks in adolescents with T1D may help nurses individualize self‐management education and support. Incorporating strategies to promote stress management and self‐efficacy in diabetes education may also improve diabetes self‐management.

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“…Daily self‐management of type 1 diabetes is necessary to reach targets of metabolic control and improve quality of life . In Chinese youth, better diabetes self‐management has been associated with better metabolic control and quality of life . Self‐management of type 1 diabetes in children and adolescents consists of youth and their parents sharing responsibility for decisions related to the control of the disease, and maintaining health and well‐being.…”

Section: Introductionmentioning

confidence: 99%

School‐aged children with type 1 diabetes benefit more from a coping skills training program than adolescents in China: 12‐month outcomes of a randomized clinical trial

et al. 2020

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Background: Managing type 1 diabetes can be challenging, especially for youth, so there is a need for effective interventions to help youth live with diabetes.Objective: To determine the efficacy of a coping skills training (CST) program for Chinese youth with type 1 diabetes and to explore whether the efficacy of the program was different for school-aged children than for adolescents with type 1 diabetes.Methods: A total of 100 youth with type 1 diabetes aged 8 to 20 years were randomly placed in either an intervention group (CST + standard care [SC]) or a control group (SC). Data were collected at baseline, 6-month, and 12-month follow-ups on primary outcomes of perceived stress, coping, and self-efficacy and secondary outcomes of diabetes self-management, quality of life, and glycated hemoglobin A1c (HbA1c). A generalized estimating equation analysis for repeated measures was used to determine the program effects and differential effects by age group.Results: The CST program had no significant effect on primary or secondary outcomes over 12 months. However, there was a significant increase in positive coping (P < .001), self-efficacy (P = .017), diabetes problem-solving and goals of diabetes self-management (P = .007, P = .001), and quality of life (P = .016) of school-aged children in the intervention group compared with the control group. There were no significant differences in primary or secondary outcomes between the intervention group and the control group (P > .05). Conclusions:The CST program was effective for school-aged children, improving psychosocial and diabetes self-management outcomes. Further research is needed to develop programs that improve outcomes in adolescents with type 1 diabetes.

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Diabetes self‐management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes

Cited by 26 publications

References 34 publications

The relationship between the quality of life and depression levels of young people with type I diabetes

The relationship between the quality of life and depression levels of young people with type I diabetes

Perceived stress and self‐efficacy are associated with diabetes self‐management among adolescents with type 1 diabetes: A moderated mediation analysis

School‐aged children with type 1 diabetes benefit more from a coping skills training program than adolescents in China: 12‐month outcomes of a randomized clinical trial

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