Diabetes-Specific Risk-Taking in Young Adulthood: A Closer Look

Wasserman, Rachel M.; Houck, Christopher D.; Gordon, Lauren; Gurnurkar, Shilpa

doi:10.2337/dsi21-0008

Cited by 2 publications

(2 citation statements)

References 30 publications

(30 reference statements)

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“…To prevent being seen as different by their peers, qualitative studies suggest that youth with T1D engage in potentially harmful coping strategies, such as avoidance of T1D self-management, resulting in diabetes-specific risk-taking behaviours such as non-adherence to treatment. [9][10][11] Brazeau et al described a higher prevalence of stigma among emerging adults compared to adolescents with T1D, which occurs concurrently with the transition to adult care. 5 Moreover, adolescents and emerging adults living with T1D report decreased quality of life (QOL) compared to peers without T1D.…”

Section: Introductionmentioning

confidence: 99%

“…The construct of diabetes‐related perceived stigma may be particularly important for adolescents or emerging adults, given the heightened peer influence and risk‐taking behaviours characteristic of this age group. To prevent being seen as different by their peers, qualitative studies suggest that youth with T1D engage in potentially harmful coping strategies, such as avoidance of T1D self‐management, resulting in diabetes‐specific risk‐taking behaviours such as non‐adherence to treatment 9–11 . Brazeau et al described a higher prevalence of stigma among emerging adults compared to adolescents with T1D, which occurs concurrently with the transition to adult care 5 .…”

Section: Introductionmentioning

confidence: 99%

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Association of stigma, diabetes distress and self‐efficacy with quality of life in adolescents with type 1 diabetes preparing to transition to adult care

Soufi,

Mok,

Henderson

et al. 2023

Diabet Med

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AimsIn type 1 diabetes (T1D), psychosocial factors may impact quality of life (QOL) and clinical outcomes, but remain understudied, particularly during late adolescence. Our aim was to determine whether stigma, diabetes distress and self‐efficacy are associated with QOL in adolescents with T1D as they are preparing to transition to adult care.MethodsWe conducted a cross‐sectional study of adolescents (ages 16–17 years) with T1D participating in the Group Education Trial to Improve Transition (GET‐IT) in Montreal, Canada. Participants completed validated questionnaires on stigma using the Barriers to Diabetes Adherence (BDA) stigma subscale, self‐efficacy (Self‐Efficacy for Diabetes Self‐Management Measure [SEDM], score 1–10), diabetes distress (Diabetes Distress Scale for Adults with type 1 diabetes) and QOL (Pediatric Quality of Life Inventory [PedsQL] 4.0 Generic Core Scale and PedsQL 3.2 Diabetes Module). We examined associations of stigma, diabetes distress and self‐efficacy with QOL using multivariate linear regression models adjusted for sex, diabetes duration, socioeconomic status and HbA1c.ResultsOf 128 adolescents with T1D, 76 (59%) self‐reported having the diabetes‐related stigma and 29 (22.7%) reported experiencing diabetes distress. Those with stigma had lower diabetes‐specific and general QOL scores compared with those without stigma, and stigma and diabetes distress were both associated with lower diabetes‐specific QOL and lower general QOL. Self‐efficacy was associated with higher diabetes‐specific and general QOL.ConclusionsStigma and diabetes distress are associated with lower QOL, whereas self‐efficacy is associated with higher QOL in adolescents with T1D preparing to transfer to adult care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association of stigma, diabetes distress and self‐efficacy with quality of life in adolescents with type 1 diabetes preparing to transition to adult care

Soufi,

Mok,

Henderson

et al. 2023

Diabet Med

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14-Year Longitudinal Trajectories of Depressive Symptoms Among Youth With and Without Type 1 Diabetes

Helgeson

Wright

Vaughn

et al. 2022

Journal of Pediatric Psychology

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Objective There is evidence that youth with type 1 diabetes are at risk for depression, and depression is a significant risk factor for subsequent psychological and physical health problems. However, it is not clear if/when this depression risk emerges. The goal of this study was to determine if there are differences in levels of depressive symptoms between youth with and without type 1 diabetes that develop over the course of emerging adulthood. We also examined whether adolescent psychosocial variables predicted depressive symptoms during emerging adulthood. Methods Youth with (n = 132) and without (n = 131) type 1 diabetes were enrolled in the study at average age 12 and followed for 14 years. Depressive symptoms were measured throughout the study. Psychosocial variables of interest were measured during adolescence. Results Group differences in depressive symptoms emerged by study end at average age 26. Depressive symptoms appeared to decline over time for youth without diabetes and to increase over time for youth with diabetes. Parent relationship difficulties increased over adolescence as did peer conflict for the entire cohort. Supportive relationships with parent and peers predicted fewer end of study depressive symptoms (controlling for baseline depressive symptoms)—equally so for both groups. Conclusions This study provides evidence that those with type 1 diabetes may be at risk for depressive symptoms many years after diagnosis and after adolescence. Although relational difficulties with parents and peers increase during adolescence, supportive relationships over the course of adolescence may help to mitigate depressive symptoms during young adulthood.

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Diabetes-Specific Risk-Taking in Young Adulthood: A Closer Look

Cited by 2 publications

References 30 publications

Association of stigma, diabetes distress and self‐efficacy with quality of life in adolescents with type 1 diabetes preparing to transition to adult care

Association of stigma, diabetes distress and self‐efficacy with quality of life in adolescents with type 1 diabetes preparing to transition to adult care

14-Year Longitudinal Trajectories of Depressive Symptoms Among Youth With and Without Type 1 Diabetes

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