TY - JOUR
T1 - Diabetes Distress Among Adolescents with Type 1 Diabetes
T2 - a Systematic Review
AU - Hagger, Virginia
AU - Hendrieckx, Christel
AU - Sturt, Jackie
AU - Skinner, Timothy C.
AU - Speight, Jane
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Diabetes distress (DD) refers to the negative emotions arising from living with diabetes and the burden of self-management. Among adults, the prevalence and significance of DD are well established, but this is not the case among adolescents. This systematic review investigated among adolescents with type 1 diabetes: the prevalence of DD; demographic, clinical, behavioral and psychosocial correlates of DD and interventions that reduce DD. Consistent with adult studies, around one third of adolescents experience elevated DD and this is frequently associated with suboptimal glycemic control, low self-efficacy and reduced self-care. Three measures of DD have been developed specifically for adolescents, as those designed for adults may not be sufficiently sensitive to adolescent concerns. Interventions reducing DD in the short term include strategies such as cognitive restructuring, goal setting and problem solving. Further work is needed to investigate sustainability of effect. Rigorous research is needed to progress this field among adolescents.
AB - Diabetes distress (DD) refers to the negative emotions arising from living with diabetes and the burden of self-management. Among adults, the prevalence and significance of DD are well established, but this is not the case among adolescents. This systematic review investigated among adolescents with type 1 diabetes: the prevalence of DD; demographic, clinical, behavioral and psychosocial correlates of DD and interventions that reduce DD. Consistent with adult studies, around one third of adolescents experience elevated DD and this is frequently associated with suboptimal glycemic control, low self-efficacy and reduced self-care. Three measures of DD have been developed specifically for adolescents, as those designed for adults may not be sufficiently sensitive to adolescent concerns. Interventions reducing DD in the short term include strategies such as cognitive restructuring, goal setting and problem solving. Further work is needed to investigate sustainability of effect. Rigorous research is needed to progress this field among adolescents.
KW - Adolescent
KW - Distress
KW - Emotions
KW - Psychological stress
KW - Review
KW - Type 1 diabetes
UR - http://www.scopus.com/inward/record.url?scp=84973408694&partnerID=8YFLogxK
U2 - 10.1007/s11892-015-0694-2
DO - 10.1007/s11892-015-0694-2
M3 - Review
C2 - 26748793
SN - 1534-4827
VL - 16
JO - Current Diabetes Reports
JF - Current Diabetes Reports
IS - 1
ER -