Resilience, emotion processing and emotion expression among youth with type 1 diabetes

Huston, Sally A.; Blount, Ronald L.; Heidesch, Troy; Southwood, Robin

doi:10.1111/pedi.12347

Cited by 20 publications

(27 citation statements)

References 30 publications

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“…Here we are interested in the elastic property of the system to return the organism to homeostasis, and in this regard choose to describe that property as a form of ‘resilience’. There are many ways to consider resilience in the context of pain or the threat of pain, including the cognitive [205], emotional [89] [133], genetic [91], and epigenetic [72].…”

Section: Introductionmentioning

confidence: 99%

When pain gets stuck: the evolution of pain chronification and treatment resistance

Borsook

Youssef

Simons

et al. 2018

Pain

165

150

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It is well recognized that, despite similar pain characteristics, some people with chronic pain recover, whereas others do not. In this review, we discuss possible contributions and interactions of biological, social, and psychological perturbations that underlie the evolution of treatment-resistant chronic pain. Behavior and brain are intimately implicated in the production and maintenance of perception. Our understandings of potential mechanisms that produce or exacerbate persistent pain remain relatively unclear. We provide an overview of these interactions and how differences in relative contribution of dimensions such as stress, age, genetics, environment, and immune responsivity may produce different risk profiles for disease development, pain severity and chronicity. We propose the concept of ‘stickiness’ as a soubriquet for capturing the multiple influences on the persistence of pain and pain behavior, and their stubborn resistance to therapeutic intervention. We then focus on the neurobiology of reward and aversion to address how alterations in synaptic complexity, neural networks and systems (e.g., opioidergic and dopaminergic) may contribute to pain stickiness. Finally, we propose an integration of the neurobiological with what is known about environmental and social demands on pain behavior and explore treatment approaches based on the nature of the individual’s vulnerability to or protection from allostatic load.

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Section: Introductionmentioning

confidence: 99%

When pain gets stuck: the evolution of pain chronification and treatment resistance

Borsook

Youssef

Simons

et al. 2018

Pain

165

150

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show abstract

“…It is acknowledged that when children with diabetes become adolescents, their diabetes disease also becomes psychologically more difficult to control . Adolescents experience changes in their lives in general as well as changes in the demands of the disease …”

Section: Introductionmentioning

confidence: 99%

Adolescent life with diabetes-Gender matters for level of distress. Experiences from the national TODS study

Forsander

Bøgelund²,

Haas

et al. 2016

Pediatr Diabetes

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Diabetes-related distress is a great burden for adolescents living with diabetes. Actively involved family and friends may reduce diabetes distress, but female adolescents appear to be particularly vulnerable and may need extra focus and support. Our findings indicate that pediatric diabetes teams working with teenagers must intensify the care during this vulnerable period of life in order to reduce the risk of both psychological and vascular complications in young adults.

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“…Adolescence has been recognized as a particularly difficult period to engage in diabetes management as many teens demonstrate declining adherence and deteriorating glycemic control. In addition to the natural, physiological insulin resistance during puberty, typical adolescent emotional lability may affect motivation to perform self‐care, particularly when diabetes management is viewed as interfering with peer acceptance or independence from parents . At this developmental stage of increased cognitive demands, chronic illnesses, such as type 1 diabetes, can cause significant stress, as well as be impacted by other major life stressors …”

Section: Introductionmentioning

confidence: 99%

Associations between major life events and adherence, glycemic control, and psychosocial characteristics in teens with type 1 diabetes

et al. 2017

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Aims: This cross-sectional study assessed the type of major life events occurring in a contemporary sample of teens with type 1 diabetes and the association between event frequency and demographic, diabetes management, and psychosocial characteristics.Methods: Parents of 178 teens completed the Life Events Checklist to report major events teens had experienced in the last year: 42% experienced 0 to 1 event (n = 75), 32% experienced 2 to 3 events (n = 57), and 26% experienced 4+ events (n = 46). Teens and parents completed validated measures of treatment adherence, diabetes-specific self-efficacy, quality of life, and diabetes-specific family conflict. Parent-youth interview and chart review provided demographics and diabetes management data.Results: Mean number of events/teen was 2.6 AE 2.7 (range = 0-15). The most common events were "Hospitalization of a family member" (24%), "Getting a bad report card" (20%), "Serious arguments between parents" (19%), and "Serious illness/injury in a family member" (19%). Compared with teens experiencing 0 to 1 event, teens experiencing 4+ events were less likely to have married parents (P = .01) and a parent with a college degree (P = .006). Teens with 4+ events had significantly poorer adherence (P = .002 teen, P = .02 parent), lower self-efficacy (P = .03 teen, P < .0001 parent), poorer quality of life (P < .0001 teen, P < .0001 parent), and more conflict (P = .006 teen, P = .02 parent) than teens with fewer events. In a multivariate model (R 2 = 0.21, P < .0001) controlling for demographic and diabetes management characteristics, fewer events was associated with lower A1c (P = .0009).Conclusions: Occurrence of more major life events was associated with poorer diabetes careand A1c and more negative psychosocial qualities in teens with type 1 diabetes.

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Resilience, emotion processing and emotion expression among youth with type 1 diabetes

Abstract: Resilience factors appear to influence CA either directly or indirectly.

Cited by 20 publications

References 30 publications

When pain gets stuck: the evolution of pain chronification and treatment resistance

When pain gets stuck: the evolution of pain chronification and treatment resistance

Adolescent life with diabetes-Gender matters for level of distress. Experiences from the national TODS study

Associations between major life events and adherence, glycemic control, and psychosocial characteristics in teens with type 1 diabetes

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