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

Detalhes bibliográficos
Autor(a) principal: Santos, Fabio R. Munhoz [UNIFESP]
Data de Publicação: 2013
Outros Autores: Bernardo, Viviane [UNIFESP], Gabbay, Monica Andrade Lima [UNIFESP], Dib, Sergio Atala [UNIFESP], Sigulem, Daniel [UNIFESP]
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%).
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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
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