Delay discounting and symptoms of anxiety and depression in adolescents experiencing challenges with managing type 1 diabetes.

We examined if anxiety/depression, delay discounting (DD), and their interaction were associated with greater A1c levels and reduced medical adherence in adolescents with type 1 diabetes (T1D). Sixty-one adolescents with T1D completed a DD task and an A1c blood test. Adherence was assessed by self-m...

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Detalles Bibliográficos
Publicado en:Children's Health Care Vol. 54; no. 1; pp. 43 - 59
Autores principales: Anderson, Molly A. B., Stanger, Catherine
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan-Mar2025
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:We examined if anxiety/depression, delay discounting (DD), and their interaction were associated with greater A1c levels and reduced medical adherence in adolescents with type 1 diabetes (T1D). Sixty-one adolescents with T1D completed a DD task and an A1c blood test. Adherence was assessed by self-monitoring of blood glucose (SMBG) using glucometer data. Anxiety/depression was assessed using a parent-completed questionnaire. Greater DD was associated with higher A1c, but not SMBG. Anxiety/depression was not associated with A1c or SMBG. Greater anxiety/depression magnified the effect of DD on A1c. Anxious/depressed symptoms may be a target for youth with T1D to improve glycemic control.