The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: Variable- and person-focused approaches

Yi‐Frazier, Joyce P.; Yaptangco, Mona; Semana, Sharla; Buscaino, Emil; Thompson, Valeria; Cochrane, Katie; Tabile, Marissa; Alving, Erin; Rosenberg, Abby R.

doi:10.1177/1359105313509846

Cited by 99 publications

(93 citation statements)

References 66 publications

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“…The cognitive adaptation index predicted lower levels of bulimic symptoms, lower levels of friend conflict, lower rates of romantic relationship breakup, and lower levels of alcohol use only for those with type 1 diabetes. These findings are consistent with a recent study of adolescents with type 1 diabetes that linked similar cognitive adaptation indicators to less distress, higher quality of life, and better glycemic control (45). Interestingly, the instances in which the cognitive adaptation index interacted with group and revealed links to benefits for those with diabetes only appeared at the Time 3 assessment.…”

Section: Discussionsupporting

confidence: 92%

“…That is, their beliefs about personal control in the context of high self-esteem and an optimistic outlook might lead to increased persistence and a promotion-focused mentality. Research in the area of diabetes has show that resilience, operationalized in a way parallel to our cognitive adaptation index (i.e.,defined by self-esteem, optimism, and self-efficacy), was related to lower levels of maladaptive coping (e.g., withdrawal, self-criticism, denial, disengagment) and higher levels of adaptive coping (e.g., cognitive restructuring, problem solving, acceptance) in adolescents (45) and adults (58). In terms of our relationship outcomes, persons who are characterized by CAT indicators are likely to be viewed as more attractive to others.…”

Section: Discussionmentioning

confidence: 98%

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Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes

Helgeson

Reynolds

Siminerio

et al. 2014

Journal of Psychosomatic Research

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Objective: The purpose of the study was to determine whether resilience, defined by cognitive adaptation theory, predicted emerging adulthood outcomes among youth with and without type 1 diabetes. Methods: Youth with (n = 118) and without type 1 diabetes (n = 122), who were part of a previous longitudinal study during adolescence, completed on-line questionnaires during their senior year of high school and one and two years later. They were average age 18, 53% female, and 93% white. Questionnaires assessed cognitive adaptation theory (CAT) indicators (self-esteem, mastery, optimism) and psychological, relationship, behavioral, vocational, and, for those with diabetes, diabetes outcomes. Results: The CAT index at baseline predicted reduced psychological distress, enhanced psychological well-being, increased friend support, reduced friend conflict, the presence of romantic relationships, reduced likelihood of romantic breakups, higher GPA, higher work satisfaction, and lower work stress during the transition to emerging adulthood. Among those with diabetes, the CAT index predicted better self-care behavior and revealed a marginal relation to better glycemic control. Analyses controlled for baseline levels when appropriate. Findings were stronger one year than two years post high school graduation, and findings were stronger for those with than without diabetes. Youth with diabetes also scored lower on the CAT index than youth without diabetes. Conclusions: These findings suggest that the implications of CAT include not only psychological health but also relationship, vocational, and diabetes outcomes. Those who score lower on CAT indicators should be identified as children so that interventions designed to enhance resilience can be implemented.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes

Helgeson

Reynolds

Siminerio

et al. 2014

Journal of Psychosomatic Research

View full text Add to dashboard Cite

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“…4–6,16,31,32,37,38 Indeed, patient-reported outcomes have been encouraged in psychosocial oncology research because they allow better understanding of patients’ values, thereby informing clinical decision-making and providing patient-centered care. 39,40 While few studies explicitly describe patient-reported resilience amongst patients with cancer, 5,29,32,41 our data are consistent with others’ which suggest that personal perceptions of resilience play important roles in health and psychosocial outcomes.…”

Section: Discussionmentioning

confidence: 99%

Resilience, health, and quality of life among long‐term survivors of hematopoietic cell transplantation

Rosenberg

Syrjala

Martin

et al. 2015

Cancer

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Background Low patient-reported resilience is associated with ongoing risk of poor health and psychosocial outcomes. Using a large cross-sectional sample of survivors of Hematopoietic Cell Transplantation (HCT), we explored associations between patient-reported resilience, psychological distress, post-traumatic growth, and health-related quality of life Methods Between July 1, 2013 and June 30, 2014, the annual Fred Hutchinson Cancer Research Center (FHCRC) post-transplant survivorship survey queried patient-reported health and functional status, and included instruments assessing psychosocial outcomes: the 10-item Connor-Davidson Resilience Scale, the Post-Traumatic Growth Inventory, the Cancer and Treatment Distress measure, and the Medical Outcomes Study Short-Form 12 quality of life scale. Multivariate linear and logistic regression models included demographic and health covariates extracted from the FHCRC research database Results 1,823 (39%) of 4,643 adult survivors of HCT responded after a single mailing and subsequent reminder letter. Participants’ median age was 59 years (IQR 50–66); 52.3% were male, most were non-Hispanic, white. The median time since HCT was 9 years (IQR 3–18). Lower patient-reported resilience was associated with higher severity chronic graft-versus-host disease, lower performance scores, missing work due to health, and permanent disability (all p<0.0001). After adjustment for demographic and health characteristics, patients reporting low resilience scores had higher odds of psychological distress (OR 3.0, 95% CI 2.1–4.3) and being in the lowest quartile of mental health-related quality of life (OR 5.9, 95% CI 4.4–8.0). Conclusions Patient-reported resilience is independently associated with health and psychosocial outcomes. Future studies must determine whether interventions can bolster resilience and improve survivorship outcomes.

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“…Resilience, sometimes defined as the combination of self‐efficacy, optimism and self‐esteem but also intact social, emotional and behavioural functioning, is linked to lower distress levels and high quality of life . Resilience has also been found to moderate the association between childhood neglect and later psychiatric symptoms .…”

Section: Protective Factorsmentioning

confidence: 99%

A new model of the role of psychological and emotional distress in promoting obesity: conceptual review with implications for treatment and prevention

2014

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The lack of significant treatment and prevention progress highlights the need for a more expanded strategy. Given the robust association between socioeconomic factors and obesity, combined with new insights into how socioeconomic disadvantage affects both behaviour and biology, a new causal model is proposed. The model posits that psychological and emotional distress is a fundamental link between socioeconomic disadvantage and weight gain. At particular risk are children growing up in a disharmonious family environment, mainly caused by parental socioeconomic disadvantage, where they are exposed to parental frustrations, relationship discord, a lack of support and cohesion, negative belief systems, unmet emotional needs and general insecurity. Without adequate resilience, such experiences increase the risk of psychological and emotional distress, including low self-esteem and self-worth, negative emotions, negative self-belief, powerlessness, depression, anxiety, insecurity and a heightened sensitivity to stress. These inner disturbances eventually cause a psycho-emotional overload, triggering a cascade of weight gain-inducing effects including maladaptive coping strategies such as eating to suppress negative emotions, chronic stress, appetite up-regulation, low-grade inflammation and possibly reduced basal metabolism. Over time, this causes obesity, circular causality and further weight gain. Tackling these proposed root causes of weight gain could potentially improve both treatment and prevention outcomes.

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The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: Variable- and person-focused approaches

Cited by 99 publications

References 66 publications

Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes

Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes

Resilience, health, and quality of life among long‐term survivors of hematopoietic cell transplantation

A new model of the role of psychological and emotional distress in promoting obesity: conceptual review with implications for treatment and prevention

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