Highlights
- •Adolescents with type 1 diabetes mellitus (T1DM) reported moderate to significant diabetes distress.
- •Adolescents with T1DM have increased emotional burden related to diabetes management.
- •Adolescents with T1DM are at increased risk for long-term complications and worsening health outcomes.
- •Adolescent females with T1DM reported increased difficulty with interpersonal relationships.
- •An online diabetes distress scale may be an effective tool for identifying diabetes distress among adolescents with T1DM.
Abstract
Adolescents with type 1 diabetes mellitus (T1DM) are at increased risk for diabetes
distress. This cross-sectional study used the Diabetes Distress Scale (DDS) to determine
diabetes distress among adolescents with T1DM in a pediatric endocrinology clinic.
Sixty-one percent of respondents reported moderate to significant diabetes distress
levels, with overall diabetes distress of M = 2.409 (SD = 0.853). Emotional burden subcategory had the highest distress (M = 3.214, SD = 1.449). Minimal distress levels were reported in the physician burden
subcategory (M = 1.133, SD = 0.276). Results support the need for routine diabetes
distress screening.
Keywords
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References
- Avoidant coping and diabetes-related distress: pathways to adolescents’ type 1 diabetes outcomes.Health Psychol. 2017; 36: 236-244https://doi.org/10.1037/hea0000445
- Diabetes distress or major depressive disorder? A practical approach to diagnosing and treating psychological comorbidities of diabetes.Diabetes Ther. 2017; 8: 1-7https://doi.org/10.1007/s13300-017-0231-1
- Addressing diabetes distress in clinical care: a practical guide.Diabet Med. 2019; 36: 803-812https://doi.org/10.1111/dme.13967
- Targeting diabetes distress: the missing piece of the successful type 1 diabetes management puzzle.Diabetes Spectr. 2014; 27: 143-149https://doi.org/10.2337/diaspect.27.2.143
- Diabetes distress among adolescents with type 1 diabetes: a systematic review.Curr Diabetes Rep. 2016; 16: 1-14https://doi.org/10.1007/s11892-015-0694-2
- Assessing psychosocial distress in diabetes: development of the Diabetes Distress Scale.Diabetes Care. 2005; 28: 626-631https://doi.org/10.2337/diacare.28.3.626
- Children and adolescents: standards in medical care in diabetes.Diabetes Care. 2022; 45: s208-s231https://doi.org/10.2337/dc22-S014
- Research Electronic Data Capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support.J Biomed Inform. 2009; 42: 377-381
- REDCap Consortium. The REDCap consortium: building an international community of software partners.J Biomed Inform. 2019; 95103208https://doi.org/10.1016/j.jbi.2019.103208
- Diabetes and depression.Curr Diabetes Rep. 2014; 14: 1-17https://doi.org/10.1007/s11892-014-0491-3
- Diabetes distress is more strongly associated with HbA1C than depressive symptoms in adolescents with type 1 diabetes: results from Diabetes MILES Youth Australia.Pediatr Diabetes. 2017; 19: 840-847https://doi.org/10.1111/pedi.12641
- Diabetes distress in males and females with type 1 diabetes in adolescence and early adulthood.J Diabetes Complic. 2016; 30: 1500-1505https://doi.org/10.1016/j.jdiacomp.2016.08.013
- Adolescent life with diabetes—gender matters for level of distress. Experiences from the national TODS study.Pediatr Diabetes. 2016; 18: 651-659https://doi.org/10.1111/pedi.12478
- Diabetes distress in adolescents and young adults living with type 1 diabetes.Can J Diabetes. 2020; 44: P537-P540https://doi.org/10.1016/j.jcjd.2020.03.001
- Diabetes distress scale (DDS).https://diabetesdistress.org/dds-introDate: 2017
Biography
Vanessa L. Hedge, DNP, CPNP-AC, CNEn, is an assistant professor at Radford University School of Nursing, Radford, VA, and can be contacted at [email protected]
Biography
Wendy R. Downey, DNP, MSEd, RN, CNE, is an associate professor and the Interim Dean at Radford University School of Nursing, Radford, VA.
Biography
Kimberly F. Carter, PhD, RN, at the time of this work was senior director of nursing research, EBP, and Excellence (now retired).
Biography
Hunter Sharp is a biostatistician, Health Analytics Research Team, Carilion Clinic, Roanoke, VA.
Article info
Publication history
Published online: July 21, 2022
Publication stage
In Press Corrected ProofFootnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
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