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Nurs Outlook. 2017 Jan - Feb;65(1):68-76. doi: 10.1016/j.outlook.2016.07.015. Epub 2016 Aug 19.

Pathways of emotional autonomy, self-care behaviors, and depressive symptoms on health adaptation in adolescents with type 1 diabetes.

Author information

1
Administration Center of Research and Education, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City, Taiwan; College of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan.
2
Division of Endocrinology, Department of Pediatrics, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
3
Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
4
Department of Nursing, Mackay Memorial Hospital, Taipei, Taiwan.
5
Department of Nursing, Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.
6
College of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan. Electronic address: wrhsia@kmu.edu.tw.

Abstract

BACKGROUND:

Adolescents with type 1 diabetes mellitus (T1DM) need to adapt physically and psychologically to the impact of diabetes.

PURPOSE:

The purpose of this study was to examine the pathways of emotional autonomy, depressive symptoms, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels and quality of life (QoL) in adolescents with T1DM.

METHODS:

Cross-sectional design was used in this study. Self-reported questionnaires and medical records were used to collect data from 265 adolescents with T1DM by convenience sampling in Taiwan.

DISCUSSION:

Structural equation modeling indicated that self-care behaviors directly positively influenced life satisfaction QoL but negatively influenced HbA1c levels. Depressive symptoms directly negatively influenced self-care behaviors and life satisfaction QoL. Emotional autonomy directly negatively influenced self-care behaviors and life-satisfaction QoL but directly positively influenced depressive symptoms.

CONCLUSION:

Emotional autonomy seems to be a risk factor contributing to poor health adaptation. Health care providers need to help adolescents with T1DM to balance the pursuit of emotional autonomy and health adaptation.

KEYWORDS:

Adolescents; Depressive symptoms; Emotional autonomy; Glycemic control; Quality of life; Self-care behaviors; Type 1 diabetes

PMID:
27640101
DOI:
10.1016/j.outlook.2016.07.015
[Indexed for MEDLINE]

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