The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes
Autor(a) principal: | |
---|---|
Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1186/1758-5996-5-55 http://repositorio.unifesp.br/handle/11600/36765 |
Resumo: | Background: the purpose of this study is to evaluate the relationship between glycemic control and the factors of knowledge about diabetes, resilience, depression and anxiety among Brazilian adolescents and young adults with type 1 diabetes.Methods: This cross-sectional study included 85 adolescents and young adults with type 1 diabetes, aged between 11-22 years, with an average age of 17.7 +/- 3.72 years. Glycemic control degree was evaluated through HbA1c. To assess psychosocial factors, the following questionnaires were used: resilience (Resilience Scale, RS) and anxiety and depression (Hospital Anxiety and Depression Scale, HADS). the Diabetes Knowledge Assessment Scale (DKNA) was used to assess knowledge about diabetes.Results: Significant correlations were found between HbA1c and resilience, anxiety and depression. Multiple linear regression analysis revealed that the only variable which presented significant association with the value of HbA1c was depression.Conclusions: Depression has a significant association with higher HbA1c levels, as demonstrated in a regression analysis. the results suggest that depression, anxiety and resilience should be considered in the design of a multidisciplinary approach to type 1 diabetes, as these factors were significantly correlated with glycemic control. Glycemic control was not correlated with knowledge of diabetes, suggesting that theoretical or practical understanding of this disease is not by itself significantly associated with appropriate glycemic control (HbA1c <= 7.5%). |
id |
UFSP_3f11b30b2f260118c37d27c3cfd00acd |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br/:11600/36765 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
spelling |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetesGlycemic controlType 1 diabetesPsychosocial factorsDepressionResilienceBackground: the purpose of this study is to evaluate the relationship between glycemic control and the factors of knowledge about diabetes, resilience, depression and anxiety among Brazilian adolescents and young adults with type 1 diabetes.Methods: This cross-sectional study included 85 adolescents and young adults with type 1 diabetes, aged between 11-22 years, with an average age of 17.7 +/- 3.72 years. Glycemic control degree was evaluated through HbA1c. To assess psychosocial factors, the following questionnaires were used: resilience (Resilience Scale, RS) and anxiety and depression (Hospital Anxiety and Depression Scale, HADS). the Diabetes Knowledge Assessment Scale (DKNA) was used to assess knowledge about diabetes.Results: Significant correlations were found between HbA1c and resilience, anxiety and depression. Multiple linear regression analysis revealed that the only variable which presented significant association with the value of HbA1c was depression.Conclusions: Depression has a significant association with higher HbA1c levels, as demonstrated in a regression analysis. the results suggest that depression, anxiety and resilience should be considered in the design of a multidisciplinary approach to type 1 diabetes, as these factors were significantly correlated with glycemic control. Glycemic control was not correlated with knowledge of diabetes, suggesting that theoretical or practical understanding of this disease is not by itself significantly associated with appropriate glycemic control (HbA1c <= 7.5%).Universidade Federal de São Paulo, Dept Hlth Informat, BR-04023062 São Paulo, BrazilUniversidade Federal de São Paulo, Div Endocrinol, Dept Med, BR-04023062 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Hlth Informat, BR-04023062 São Paulo, BrazilUniversidade Federal de São Paulo, Div Endocrinol, Dept Med, BR-04023062 São Paulo, BrazilWeb of ScienceFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Diabetes Center, Universidade Federal de São PauloBiomed Central LtdUniversidade Federal de São Paulo (UNIFESP)Santos, Fabio R. Munhoz [UNIFESP]Bernardo, Viviane [UNIFESP]Gabbay, Monica Andrade Lima [UNIFESP]Dib, Sergio Atala [UNIFESP]Sigulem, Daniel [UNIFESP]2016-01-24T14:34:26Z2016-01-24T14:34:26Z2013-09-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion5application/pdfhttp://dx.doi.org/10.1186/1758-5996-5-55Diabetology & Metabolic Syndrome. London: Biomed Central Ltd, v. 5, 5 p., 2013.10.1186/1758-5996-5-55WOS000325379400001.pdf1758-5996http://repositorio.unifesp.br/handle/11600/36765WOS:000325379400001engDiabetology & Metabolic Syndromeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-08T02:04:42Zoai:repositorio.unifesp.br/:11600/36765Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-08T02:04:42Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
title |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
spellingShingle |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes Santos, Fabio R. Munhoz [UNIFESP] Glycemic control Type 1 diabetes Psychosocial factors Depression Resilience |
title_short |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
title_full |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
title_fullStr |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
title_full_unstemmed |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
title_sort |
The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes |
author |
Santos, Fabio R. Munhoz [UNIFESP] |
author_facet |
Santos, Fabio R. Munhoz [UNIFESP] Bernardo, Viviane [UNIFESP] Gabbay, Monica Andrade Lima [UNIFESP] Dib, Sergio Atala [UNIFESP] Sigulem, Daniel [UNIFESP] |
author_role |
author |
author2 |
Bernardo, Viviane [UNIFESP] Gabbay, Monica Andrade Lima [UNIFESP] Dib, Sergio Atala [UNIFESP] Sigulem, Daniel [UNIFESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Santos, Fabio R. Munhoz [UNIFESP] Bernardo, Viviane [UNIFESP] Gabbay, Monica Andrade Lima [UNIFESP] Dib, Sergio Atala [UNIFESP] Sigulem, Daniel [UNIFESP] |
dc.subject.por.fl_str_mv |
Glycemic control Type 1 diabetes Psychosocial factors Depression Resilience |
topic |
Glycemic control Type 1 diabetes Psychosocial factors Depression Resilience |
description |
Background: the purpose of this study is to evaluate the relationship between glycemic control and the factors of knowledge about diabetes, resilience, depression and anxiety among Brazilian adolescents and young adults with type 1 diabetes.Methods: This cross-sectional study included 85 adolescents and young adults with type 1 diabetes, aged between 11-22 years, with an average age of 17.7 +/- 3.72 years. Glycemic control degree was evaluated through HbA1c. To assess psychosocial factors, the following questionnaires were used: resilience (Resilience Scale, RS) and anxiety and depression (Hospital Anxiety and Depression Scale, HADS). the Diabetes Knowledge Assessment Scale (DKNA) was used to assess knowledge about diabetes.Results: Significant correlations were found between HbA1c and resilience, anxiety and depression. Multiple linear regression analysis revealed that the only variable which presented significant association with the value of HbA1c was depression.Conclusions: Depression has a significant association with higher HbA1c levels, as demonstrated in a regression analysis. the results suggest that depression, anxiety and resilience should be considered in the design of a multidisciplinary approach to type 1 diabetes, as these factors were significantly correlated with glycemic control. Glycemic control was not correlated with knowledge of diabetes, suggesting that theoretical or practical understanding of this disease is not by itself significantly associated with appropriate glycemic control (HbA1c <= 7.5%). |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-09-28 2016-01-24T14:34:26Z 2016-01-24T14:34:26Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1758-5996-5-55 Diabetology & Metabolic Syndrome. London: Biomed Central Ltd, v. 5, 5 p., 2013. 10.1186/1758-5996-5-55 WOS000325379400001.pdf 1758-5996 http://repositorio.unifesp.br/handle/11600/36765 WOS:000325379400001 |
url |
http://dx.doi.org/10.1186/1758-5996-5-55 http://repositorio.unifesp.br/handle/11600/36765 |
identifier_str_mv |
Diabetology & Metabolic Syndrome. London: Biomed Central Ltd, v. 5, 5 p., 2013. 10.1186/1758-5996-5-55 WOS000325379400001.pdf 1758-5996 WOS:000325379400001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Diabetology & Metabolic Syndrome |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
5 application/pdf |
dc.publisher.none.fl_str_mv |
Biomed Central Ltd |
publisher.none.fl_str_mv |
Biomed Central Ltd |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1824718237874520064 |