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J Pediatr Psychol. 2010 May;35(4):415-25. doi: 10.1093/jpepsy/jsp063. Epub 2009 Aug 14.

Anxiety symptoms in adolescents with type 1 diabetes: association with blood glucose monitoring and glycemic control.

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1
Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.

Abstract

OBJECTIVE:

To examine the prevalence of anxiety symptoms and their association with blood glucose monitoring (BGM) and glycemic control in adolescents with type 1 diabetes.

METHODS:

276 adolescents and their caregivers completed measures of anxiety symptoms. Adolescents completed a measure of depressive symptoms. Demographic and family characteristics were obtained from caregiver report. Diabetes duration, regimen type, BGM frequency, and glycemic control were also collected.

RESULTS:

Trait anxiety symptoms that suggest further clinical assessment is needed were present in 17% of adolescents; the rate was 13% for state anxiety symptoms. Higher levels of state anxiety symptoms were associated with less frequent BGM F(14, 261) = 6.35, p < .0001, R(2) = .25, and suboptimal glycemic control, F(15, 260) = 7.97, p < .0001, R(2) = .32. State anxiety symptoms were correlates of BGM frequency and glycemic control independent of depressive symptoms.

CONCLUSIONS:

State anxiety symptoms are associated with less frequent BGM and suboptimal glycemic control in adolescents with type 1 diabetes.

PMID:
19684117
PMCID:
PMC2858435
DOI:
10.1093/jpepsy/jsp063
[Indexed for MEDLINE]
Free PMC Article
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