Executive Function in Adolescents With Type 1 Diabetes: Relationship to Adherence, Glycemic Control, and Psychosocial Outcomes

被引:57
作者
Perez, Katia M. [1 ]
Patel, Niral J. [1 ]
Lord, Jadienne H. [1 ]
Savin, Kimberly L. [1 ]
Monzon, Alexandra D. [1 ]
Whittemore, Robin [2 ]
Jaser, Sarah S. [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Nashville, TN USA
[2] Yale Sch Nursing, Orange, CT USA
关键词
adolescents; adherence; diabetes; psychosocial functioning; quality of life; QUALITY-OF-LIFE; SELF-CARE; DEPRESSIVE SYMPTOMS; CHILDREN; YOUTH; ASSOCIATION; PERFORMANCE; VALIDITY; STRESS; SCALE;
D O I
10.1093/jpepsy/jsw093
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
ObjectiveaEuro integral Impairments in executive function (EF) skills have been observed in youth with type 1 diabetes (T1D), and these skills are critical for following the complex treatment regimen. This study examines parent reports of EF in relation to measures of adherence, glycemic control (A1c), and psychosocial outcomes (depression and quality of life) in adolescents with T1D. MethodsaEuro integral A total of 120 adolescents (aged 13-17 years, 52.5% female, 87.5% White) with T1D and their parents completed questionnaires. Glucometers were downloaded and A1c was obtained during clinical visits at the time of enrollment. ResultsaEuro integral The prevalence of clinically significant elevated scores on specific EF skills ranged from 11 to 18.6%. In multivariate analyses, parent-reported EF deficits were associated with poorer adherence and lower quality of life, explaining 13 and 12% of the variance, respectively. ConclusionsaEuro integral Adolescents with T1D exhibit specific EF deficits that may negatively impact their quality of life and their ability to engage in self-management activities.
引用
收藏
页码:636 / 646
页数:11
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