Resumo

ORTIZ, Manuel S.  e  WILLEY, Joshua F.. Psychological Distress Predicts HbA1c Trajectories among Type 1 Diabetic Adolescents. Univ. Psychol. [online]. 2018, vol.17, n.3, pp.120-127. ISSN 1657-9267.  https://doi.org/10.11144/javeriana.upsy17-3.pdpt.

Diabetic adolescents have poor metabolic control. We aimed to characterize the longitudinal association between the stress-related domains of emotional burden (EB), physician related-distress (PD), regimen-related distress (RD), diabetes-related interpersonal distress (ID), and hemoglobin glycosylated (HbA1c) trajectories among Type 1 diabetics Chilean adolescents. Thirty-two Type 1 diabetic adolescents (Mage=15.97; SD=3.45) were followed for one year. HbA1c was assessed at three time points, and a stress measure was obtained. Using a longitudinal growth curve modeling, a marginal overall negative linear trend was found in HbA1c (b = -0.23, p = 0.096). There was an interaction between time and PD (b = -0.33, p < 0.05), and a main effect of EB, RD, and ID on HbA1c. Psychological stress domains predict metabolic control trajectories. Monitoring diabetes specific stress may be a useful tool to identify adolescents at risk for poor control, and interventions that reduce such stress might lead to better management of diabetes in adolescents.

Palavras-chave : Adolescent Diabetes; Psychological Stress; Metabolic Control.

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