6. Mood Symptoms and Disordered Eating Behaviors in Adolescents with Type 1 Diabetes

Bernstein, Carrie M.; Soren, Karen; Stockwell, Melissa S.; Rosenthal, Susan L.; Gallagher, Mary

doi:10.1016/j.jadohealth.2010.11.050

Cited by 3 publications

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“…International Journal of Adolescence and Youth 7 Therefore, youth living with a CC seems to be at higher risk for psychological wellbeing. These data support the suggested hypothesis in this study and reported in the literature, indicating that adolescents living with a CC can have increased vulnerability for an emotional and psychological healthy development (Bernstein et al, 2011;Verhoof et al, 2012), presenting more internalised symptoms, such as depression (Miyazaki et al, 2006;Vanhalst et al, 2013) and anxiety (Lavigne & Faier-Routman, 1992), and this can continue as a risk factor for later in adulthood (Verhoof et al, 2013).…”

Section: Discussionsupporting

confidence: 91%

“…Therefore, adolescents living with a CC can be at higher risk for an healthy emotional and behavioural psychological development (Bernstein, Soren, Stockwell, Rosenthal, & Gallagher, 2011;Verhoof, Maurice-Stam, Heymans, & Grootenhuis, 2012) and can experience more adjustment difficulties (Geist, 2003;Oeseburg, Jansen, Groothoff, Dijkstra, & Reijneveld, 2010), as well as internalising symptoms, such as depression (Miyazaki, Amaral, & Grecca, 2006;Vanhalst et al, 2013), anxiety and social withdrawal, and externalising others related to behaviours (Lavigne & Faier-Routman, 1992).…”

Section: Introductionmentioning

confidence: 99%

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Psychological well-being and chronic condition in Portuguese adolescents

Santos

Matos

Simões

et al. 2015

International Journal of Adolescence and Youth

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Objective: To examine the differences in the psychological well-being of Portuguese adolescents' (1) living with a chronic condition (CC) and (2) living with a CC and feeling it affects/not affects school participation. Methods: There were 5050 Portuguese adolescents as participants of the Health Behaviour in School-aged Children/WHO. Results: Adolescents without CC often feel rarely or never 'sad/ depressed', 'irritated/bad humour', 'nervous', 'fearful' or 'so sad that it seems I can't take it', compared with their healthy peers. Young people living with CC and feeling that it does not affect participation in school, often feel rarely or never 'sad/depressed', 'fearful' or 'so sad that it seems I can't take it', comparing with the ones with CC and feeling it affects school. All of these symptoms were higher in adolescents living with a CC. Conclusions: Adolescents living with a CC and feeling that it affects participation in school can be at a higher risk for a healthy psychological well-being. Future early interventions based on a 'health assets' approach should be implemented.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Psychological well-being and chronic condition in Portuguese adolescents

Santos

Matos

Simões

et al. 2015

International Journal of Adolescence and Youth

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“…The effects of a chronic condition extend beyond risky behaviours per se and can also compromise a healthy psychological development, cognitive skills, relationship with family/school/peers and health-related behaviours ( Michaud et al, 2007 ). This way, adolescents living with a chronic condition can be at higher risk for a healthy emotional, behavioural and psychological development (Verhoof, Maurice-Stam, Heymans & Grootenhuis, 2012; Bernstein, Sore, Stockwell, Rosenthal, & Gallagher, 2011 ). They can also experience more adjustment problems ( Oeseburg, Jansen, Groothoff, Dijkstra, & Reijneveld, 2010 ; Geist, 2003 ), as well as internalize symptoms such as depression ( Vanhalst et al, 2013 ; Miyazaki, Amaral & Grecca, 2006 ), anxiety and social withdrawal, and externalize others through specific behaviors ( Lavigue & Fier-Routman, 1992 ).…”

Section: Introductionmentioning

confidence: 99%

Chronic Condition and Risk Behaviours in Portuguese Adolescents

Santos¹,

Ferreira²,

Simões³

et al. 2014

GJHS

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Living with a chronic condition (CC) in adolescence has been historically considered protective for risk behaviours. However, research from the last decade suggest that when compared with healthy peers, adolescents living with a chronic condition can engage in risky behaviours in a similar if not higher rate than their counterparts living with out a CC. This study aims to characterize and evaluate the impact of 1) living with a chronic condition (CC), and 2) how the perception of living with a CC affects school participation, and its association with risk/protective behaviours (drunkenness, physical fight, sadness and self-harm). For this purpose 4 groups were identified: adolescents with mostly healthy behaviours, adolescents with mostly risk behaviours, adolescents with mostly risk-internalizing behaviours and adolescents with mostly risk-externalizing behaviours.A large sample was included in this study, composed by 3494 Portuguese adolescents with an average age of 15 years, who participated in the Portuguese Survey of Health Behaviour in School-aged Children/WHO (HBSC).Main results show that adolescents living with a CC have more risk-internalizing behaviours when compared to adolescents without CC, who present more healthy behaviors. Furthermore, adolescents that report that having a CC affects school participation show more risky behaviours than those not affected by a CC who present more healthy behaviours. Boys with a CC show more healthy behaviours, and those who feel that the CC affects school participation present more risky behaviours. On the other hand, girls with a CC have more risk-internalizing behaviours and less healthy behavioursIt is important to point out that dolescents living with a CC represent a vulnerable group, and may engage in experimental/risky behaviours as likely as their non CC peers. Thus, potential benefits can arise from reinforcing interventions within protective contexts (family/peers/school setting). Health/education professionals, more than considering risk behaviours as dangerous in themselves, should offer adolescents with a CC an opportunity to reflect on their own decisions. Educational programs would benefit from looking at risk behaviors more from an experimentation perspective, focusing on constructive ways to help adolescents with CC to proceed into adulthood in a more appropriate developmental way.

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“…fected in their general development [5] and faced numerous challenges, including more limitations in everyday life participation [6], more difficulties achieving cognitive skills, family/school/peers relationships, health-related behaviors, health perception [7], developmental milestones, and adhering to daily treatments and transitioning to adult care. So, adolescents with a chronic condition can be at higher risk for a healthy emotional and behavioural psychological development [8,9], and can experience more adjustment difficulties [10,11], as well as internalizing symptoms, such as depression [12,13], anxiety and social withdrawal, and externalizing others related to behaviors [14]. These adolescents are therefore doubly disadvantaged and may engage in risky behaviours in a similar rate as healthy peers, and be more vulnerable to adverse health outcomes [15,16].…”

Section: Introductionmentioning

confidence: 99%

Individual factors related to chronic condition in Portuguese adolescents: Highlights from the HBSC/WHO study

Santos¹,

Matos²,

Simões³

et al. 2013

Health

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Background: Adolescence includes a period (10 to 19 years) of profound biopsychosocial changes, constituting potentially difficult challenges, which may become more pronounced in the presence of a chronic condition and its limitations. Responses are not homogeneous and can be quite variable, depending on various specific individual factors. Research comparing adolescents with or without chronic illness, or comparing across different conditions, has been contradictory, not confirming a direct relationship between the degree of suffering and the chronic condition. Objective: To characterize and assess the impact of 1) having a chronic condition (CC) and 2) how CC affects school participation; and its association with life satisfaction and perception of wellness, controlling for demographic factors: age, gender and family socioeconomic status (SES). Methods: 5050 Portuguese adolescents with an average age of 14 years participated in the Health Behaviour in School-aged Children/WHO (HBSC). Results: The majority of the adolescents with CC reported that their conditions did not affect school participation. Adolescents with CC who indicated that CC affected school participation felt more frequently unwell and presented lower life satisfaction. Being a boy, younger and having high family socio economic status (SES) were identified as predictors of higher life satisfaction; on the other hand, being a girl, older, having lower SES, living with CC and feeling that CC affects school participation are predictors for feeling more frequently unwell. Conclusions: These adolescents showed an increased vulnerability, presenting internalized symptoms and lower life satisfaction. Furthermore, when there was simultaneous occurrence of living with CC and that CC affected school participation, the impact was even higher. Thus, it is crucial that future interventions should include the identified predictors, combined with "listen to the voice" of adolescents, throughout the adaptation process.

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6. Mood Symptoms and Disordered Eating Behaviors in Adolescents with Type 1 Diabetes

Cited by 3 publications

References 0 publications

Psychological well-being and chronic condition in Portuguese adolescents

Psychological well-being and chronic condition in Portuguese adolescents

Chronic Condition and Risk Behaviours in Portuguese Adolescents

Individual factors related to chronic condition in Portuguese adolescents: Highlights from the HBSC/WHO study

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