Erratum to: Perceived Diabetes Task Competence Mediates the Relationship of Both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes

Department of Psychology, University of Utah, Salt Lake City, UT, USA.
Annals of Behavioral Medicine (Impact Factor: 4.2). 03/2009; 37(1):1-9. DOI: 10.1007/s12160-009-9086-7
Source: PubMed


Adolescents dealing with type 1 diabetes experience disruptions in affect and diabetes management that may influence their blood glucose.
A daily diary format examined whether daily fluctuations in both negative and positive affect were associated with adolescents' perceived diabetes task competence (DTC) and blood glucose, and whether perceived DTC mediated the relationship between daily affect and blood glucose.
Sixty-two adolescents with type 1 diabetes completed a 2-week daily diary, which included daily measures of affect and perceived DTC, then recorded their blood glucose readings at the end of the day. We utilized hierarchical linear modeling to examine whether daily perceived DTC mediated the relationship between daily emotion and blood glucose.
Daily perceived DTC mediated the relationship of both negative and positive affect with daily blood glucose.
This study suggests that within the ongoing process of self-regulation, daily affect may be associated with blood glucose by influencing adolescents' perception of competence on daily diabetes tasks.

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Available from: Deborah J Wiebe, Apr 05, 2015
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    • "Relevant to control of cognition, self-efficacy for diabetes management (i.e., belief in one's ability to manage diabetes) has consistently been related to better metabolic control (Berg et al., 2011; Iannotti et al., 2006). With respect to control of emotion, diabetesspecific negative affect (i.e., negative emotion experienced in relation to diabetes; Moss-Morris et al., 2002) is related to decreased adherence, daily blood glucose testing, and worse metabolic control (Fortenberry et al., 2009). Finally, adherence involves the ability to complete behaviors and tasks required for type 1 diabetes management (La Greca et al., 1995) and is consistently associated with better metabolic control (Hood, Peterson, Rohan, & Drotar, 2009). "
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    ABSTRACT: This study examined whether emotional processing (understanding emotions), self-control (regulation of thoughts, emotions, and behavior), and their interaction predicted HbA1c for adolescents with type 1 diabetes over and above diabetes-specific constructs. Self-report measures of self-control, emotional processing, self-efficacy for diabetes management, diabetes-specific negative affect, and adherence, and HbA1c from medical records were obtained from 137 adolescents with type 1 diabetes (M age = 13.48 years). Emotional processing interacted with self-control to predict HbA1c, such that when adolescents had both low emotional processing and low self-control, HbA1c was poorest. Also, both high emotional processing and self-control buffered negative effects of low capacity in the other in relation to HbA1c. The interaction of emotional processing × self-control predicted HbA1c over diabetes-specific self-efficacy, negative affect, and adherence. These findings suggest the importance of emotional processing and self-control for health outcomes in adolescents with diabetes.
    Full-text · Article · Apr 2012 · Journal of Pediatric Psychology
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    • "Discussion As anticipated from previous work (Fortenberry et al., 2009), negative affect was associated with more self-reported diabetes-related problems on a daily basis. This finding is consistent with previous literature suggesting an association between negative affect and poorer diabetes management in adolescents (Kovacs et al., 1992; Stewart et al., 2003). "
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    ABSTRACT: Perceived control over diabetes may serve to buffer the relationship between adolescents' experience of daily negative affect and daily problems with diabetes. In a daily diary study including 209 adolescents (ages 10.5-15.5) with type 1 diabetes, we examined how daily affect related to daily fluctuations in experience of diabetes problems, and whether perceptions of control moderated these daily associations. Using hierarchical linear modelling, we found that day-to-day experiences of negative affect were associated with more frequent daily diabetes problems. Perceptions of treatment control moderated associations between negative affect and number of problems; negative affect was more strongly associated with number of problems among teens perceiving lower versus higher treatment control over their illness. The same pattern of association was not apparent for personal control. Results suggest that perceived treatment control may help to buffer detrimental associations between negative affect and adolescents' ability to successfully manage their diabetes.
    Full-text · Article · Jan 2011 · Psychology & Health

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