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J Health Psychol. 2015 Sep;20(9):1196-206. doi: 10.1177/1359105313509846. Epub 2013 Nov 21.

The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: variable- and person-focused approaches.

Author information

1
University of Washington School of Medicine, USA Seattle Children's Research Institute, USA joyce.yi-frazier@seattlechildrens.org.
2
University of Utah, USA.
3
Seattle Children's Research Institute, USA.
4
University of Washington School of Medicine, USA Seattle Children's Research Institute, USA.

Abstract

This study explored the association between personal resilience and distress, coping, and diabetes outcomes in 50 adolescents with type 1 diabetes. Resilience was defined by a factor score derived from validated instruments measuring self-efficacy, optimism, and self-esteem. Variable- and person-focused methodologies were used to explore these associations. Low resilience was associated with higher distress, poor quality of life, and poor glycemic control. Participants with low resilience used more maladaptive coping strategies and were at greatest risk of poor outcomes. Findings suggest that resilience is a promising candidate for interventions designed to reduce distress and improve outcomes for adolescents with type 1 diabetes.

KEYWORDS:

adolescence; chronic illness; coping; diabetes; distress; outcomes; resilience

PMID:
24271691
PMCID:
PMC5106185
DOI:
10.1177/1359105313509846
[Indexed for MEDLINE]
Free PMC Article

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