Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c
Introduction. Previous studies indicated an association between behavior problems (internalizing, externalizing) and glycemic control (HbA1c) in youth with type 1 diabetes (T1D). The aim of this study is to examine if this association is mediated by self-confidence and mismanagement of diabetes. Met...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/3159103 |
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| _version_ | 1832548910236696576 |
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| author | Minke M. A. Eilander Maartje de Wit Joost Rotteveel Frank J. Snoek |
| author_facet | Minke M. A. Eilander Maartje de Wit Joost Rotteveel Frank J. Snoek |
| author_sort | Minke M. A. Eilander |
| collection | DOAJ |
| description | Introduction. Previous studies indicated an association between behavior problems (internalizing, externalizing) and glycemic control (HbA1c) in youth with type 1 diabetes (T1D). The aim of this study is to examine if this association is mediated by self-confidence and mismanagement of diabetes. Methods. Problem behavior was assessed with the Strengths and Difficulties Questionnaire. Mediating variables were assessed using the Confidence in Diabetes Self-Care-Youth and Diabetes Mismanagement Questionnaire. HbA1c was derived from hospital charts. Bootstrap mediation analysis for multiple mediation was utilized. Results. 88 youths with T1D, age 11–15 y, participated. The relation between both overall problem behavior and externalizing behavior problems and HbA1c was mediated through confidence in diabetes self-care and mismanagement (a1b1+a2b2 path; point estimate = 0.50 BCa CI 95% 0.25–0.85; a1b1+a2b2 path; point estimate = 0.73 BCa CI 95% 0.36–1.25). Conclusions. Increased problem behavior in youth with T1D is associated with elevated HbA1c and mediated by low self-confidence and diabetes mismanagement. Screening for problem behavior and mismanagement and assisting young patients in building confidence seem indicated to optimize glycemic control. |
| format | Article |
| id | doaj-art-b27e35e485f04989b389b23dcd05931e |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-b27e35e485f04989b389b23dcd05931e2025-02-03T06:12:41ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/31591033159103Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1cMinke M. A. Eilander0Maartje de Wit1Joost Rotteveel2Frank J. Snoek3Department of Medical Psychology, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, NetherlandsDepartment of Medical Psychology, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, NetherlandsEMGO+ Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, NetherlandsDepartment of Medical Psychology, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, NetherlandsIntroduction. Previous studies indicated an association between behavior problems (internalizing, externalizing) and glycemic control (HbA1c) in youth with type 1 diabetes (T1D). The aim of this study is to examine if this association is mediated by self-confidence and mismanagement of diabetes. Methods. Problem behavior was assessed with the Strengths and Difficulties Questionnaire. Mediating variables were assessed using the Confidence in Diabetes Self-Care-Youth and Diabetes Mismanagement Questionnaire. HbA1c was derived from hospital charts. Bootstrap mediation analysis for multiple mediation was utilized. Results. 88 youths with T1D, age 11–15 y, participated. The relation between both overall problem behavior and externalizing behavior problems and HbA1c was mediated through confidence in diabetes self-care and mismanagement (a1b1+a2b2 path; point estimate = 0.50 BCa CI 95% 0.25–0.85; a1b1+a2b2 path; point estimate = 0.73 BCa CI 95% 0.36–1.25). Conclusions. Increased problem behavior in youth with T1D is associated with elevated HbA1c and mediated by low self-confidence and diabetes mismanagement. Screening for problem behavior and mismanagement and assisting young patients in building confidence seem indicated to optimize glycemic control.http://dx.doi.org/10.1155/2016/3159103 |
| spellingShingle | Minke M. A. Eilander Maartje de Wit Joost Rotteveel Frank J. Snoek Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c Journal of Diabetes Research |
| title | Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c |
| title_full | Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c |
| title_fullStr | Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c |
| title_full_unstemmed | Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c |
| title_short | Low Self-Confidence and Diabetes Mismanagement in Youth with Type 1 Diabetes Mediate the Relationship between Behavioral Problems and Elevated HbA1c |
| title_sort | low self confidence and diabetes mismanagement in youth with type 1 diabetes mediate the relationship between behavioral problems and elevated hba1c |
| url | http://dx.doi.org/10.1155/2016/3159103 |
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