Abstract
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.
Highlights
IntroductionWe 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
The following study aimed to test the longitudinal association between diabetesdistress and metabolic control, using the Polonsky, Fisher, Earles, & Dudl (2005) Diabetes Distress Scale (DDS), a specific measure developed for a diabetic population
Our study tested the longitudinal association between psychological stress and HbA1c trajectories in a unique sample of Type 1 diabetic Chilean patients
Summary
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. The diagnosis of a chronic disease such as Type 1 diabetes during adolescence in addition to the treatment demands may lead to increased stress levels in this population. The following study aimed to test the longitudinal association between diabetesdistress and metabolic control, using the Polonsky, Fisher, Earles, & Dudl (2005) Diabetes Distress Scale (DDS), a specific measure developed for a diabetic population. Because Type 1 diabetes treatment permeates all the adolescents’ domains, including school and social relationships, it can be expected that there will be high diabetes-related interpersonal distress in adolescents living with Type 1 diabetes
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