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

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 Autor UNIFESP Google Scholar
Bernardo, Viviane Autor UNIFESP Google Scholar
Gabbay, Monica Andrade Lima Autor UNIFESP Google Scholar
Dib, Sergio Atala Autor UNIFESP Google Scholar
Sigulem, Daniel Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract 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%).
Keywords Glycemic control
Type 1 diabetes
Psychosocial factors
Depression
Resilience
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Diabetes Center, Universidade Federal de São Paulo
Date 2013-09-28
Published in Diabetology & Metabolic Syndrome. London: Biomed Central Ltd, v. 5, 5 p., 2013.
ISSN 1758-5996 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 5
Origin http://dx.doi.org/10.1186/1758-5996-5-55
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000325379400001
URI http://repositorio.unifesp.br/handle/11600/36765

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