Diabetes distress is more strongly associated with HbA1c than depressive symptoms in adolescents with type 1 diabetes: Results from Diabetes MILES Youth-Australia

Abstract

Consistent with evidence from studies among adults, diabetes distress mediated the relationship between depressive symptoms and HbA1c among adolescents with type 1 diabetes. These findings suggest that clinicians need to be aware of diabetes distress.

Diabetes distress in young adults with early‐onset Type 1 diabetes and its prospective relationship with HbA1cand health status

“…In addition, close associations between depressive symptoms and diabetes distress have been reported previously and discussed intensively. Previous studies suggest that diabetes distress and depressive symptoms partly overlap, but glycaemic control is more strongly associated with diabetes distress than with depressive symptoms . Our study complements previous results and confirms these findings in a previously non‐investigated group.…”

Characterizing Hotspots and Frontier Landscapes of Diabetes-Specific Distress from 2000 to 2018: A Bibliometric Study

“…Based on the published works of the literature, we have described the landscapes of diabetes-specific distress on glycemic [19]. For example, a study from Australia suggested that diabetes-specific distress was more closely associated with HbA1c level than depressive comorbidity in adolescents with type 1 diabetes [22]. Moreover, Tsujii et al found that diabetes-specific distress, but not depressive symptoms, was associated with glycemic control among Japanese patients with type 2 diabetes [21].…”

“…Interestingly, many studies have shown that diabetes-specific distress and depression comorbidity do not work alone but influence each other and interweave each other, which explain in a certain extent the reasons why the effect of diabetes-specific distress was left out [19,20]. However, diabetes-specific distress is more common and widespread than depression in patients with diabetes mellitus [21,22]. In view of this, the American Diabetes Association (ADA) proposes regular evaluations for patients with diabetes-specific distress for the management and prevention of severe diabetic complications [23].…”

Codesigned Shared Decision-Making Diabetes Management Plan Tool for Adolescents With Type 1 Diabetes Mellitus and Their Parents: Prototype Development and Pilot Test

“…These were stress, fear and worry, mealtime struggles, assumptions and judgments, feeling abnormal, and conflict. These indicators of diabetes distress relate both directly and indirectly to the ability to perform diabetes self-care and achieve glycemic control [ 4 , 37 - 39 ]. For example, individuals can be knowledgeable and capable but not follow through due to prioritization of issues of greater importance to them at the present time (eg, fitting in with peers).…”