The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus
This is the first study to investigate the associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus (T1DM). A cross-sectional sample of 41 adolescents (aged 14–20) completed measures of self-care, illnes...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2016-01-01
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| Series: | Health Psychology and Behavioral Medicine |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21642850.2015.1115728 |
| _version_ | 1818202434566094848 |
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| author | Cherie Shu Yun Goh Amir Mohamed Yung Seng Lee Kah Yin Loke Hwee Lin Wee Eric Yin Hao Khoo Konstadina Griva |
| author_facet | Cherie Shu Yun Goh Amir Mohamed Yung Seng Lee Kah Yin Loke Hwee Lin Wee Eric Yin Hao Khoo Konstadina Griva |
| author_sort | Cherie Shu Yun Goh |
| collection | DOAJ |
| description | This is the first study to investigate the associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus (T1DM). A cross-sectional sample of 41 adolescents (aged 14–20) completed measures of self-care, illness perceptions and psychological distress. Demographic and medical information were also obtained. Glycated haemoglobin (HbA1c) levels were analysed both as continuous variable to explore dose–effect relationships and as a categorical variable to classify poor versus good metabolic control. A total of 65.9% (n = 27) of the adolescents had poor metabolic control (HbA1c <7.5%). Logistic regression modelling showed that poor metabolic control was associated with lower beliefs in treatment control (OR = 5.51), lower levels of foot care (OR = 3.81) and general diet (OR = 2.44) (total Nagelkerke R square = 78.6%). Similar associations for treatment control beliefs and diet have been noted when modelling HbA1c as a continuous variable. The results highlight the importance of the perceptions of treatment control and dietary self-care in diabetes outcomes for adolescents with T1DM. Future studies are warranted to replicate findings in larger samples and explore longitudinal associations. |
| first_indexed | 2024-12-12T03:09:23Z |
| format | Article |
| id | doaj.art-316c94343ee54223bd282a0a85b6259e |
| institution | Directory Open Access Journal |
| issn | 2164-2850 |
| language | English |
| last_indexed | 2024-12-12T03:09:23Z |
| publishDate | 2016-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Psychology and Behavioral Medicine |
| spelling | doaj.art-316c94343ee54223bd282a0a85b6259e2022-12-22T00:40:26ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502016-01-014111410.1080/21642850.2015.11157281115728The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes MellitusCherie Shu Yun Goh0Amir Mohamed1Yung Seng Lee2Kah Yin Loke3Hwee Lin Wee4Eric Yin Hao Khoo5Konstadina Griva6National University of SingaporeNational University of SingaporeNational University of Singapore, Yong Loo Lin School of MedicineNational University of Singapore, Yong Loo Lin School of MedicineNational University of SingaporeNational University of Singapore, Yong Loo Lin School of MedicineNational University of SingaporeThis is the first study to investigate the associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus (T1DM). A cross-sectional sample of 41 adolescents (aged 14–20) completed measures of self-care, illness perceptions and psychological distress. Demographic and medical information were also obtained. Glycated haemoglobin (HbA1c) levels were analysed both as continuous variable to explore dose–effect relationships and as a categorical variable to classify poor versus good metabolic control. A total of 65.9% (n = 27) of the adolescents had poor metabolic control (HbA1c <7.5%). Logistic regression modelling showed that poor metabolic control was associated with lower beliefs in treatment control (OR = 5.51), lower levels of foot care (OR = 3.81) and general diet (OR = 2.44) (total Nagelkerke R square = 78.6%). Similar associations for treatment control beliefs and diet have been noted when modelling HbA1c as a continuous variable. The results highlight the importance of the perceptions of treatment control and dietary self-care in diabetes outcomes for adolescents with T1DM. Future studies are warranted to replicate findings in larger samples and explore longitudinal associations.http://dx.doi.org/10.1080/21642850.2015.1115728self-careillness perceptionsdistressmetabolic controladolescents with Type 1 diabetes |
| spellingShingle | Cherie Shu Yun Goh Amir Mohamed Yung Seng Lee Kah Yin Loke Hwee Lin Wee Eric Yin Hao Khoo Konstadina Griva The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus Health Psychology and Behavioral Medicine self-care illness perceptions distress metabolic control adolescents with Type 1 diabetes |
| title | The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus |
| title_full | The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus |
| title_fullStr | The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus |
| title_full_unstemmed | The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus |
| title_short | The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus |
| title_sort | associations of self care illness perceptions and psychological distress with metabolic control in singaporean adolescents with type 1 diabetes mellitus |
| topic | self-care illness perceptions distress metabolic control adolescents with Type 1 diabetes |
| url | http://dx.doi.org/10.1080/21642850.2015.1115728 |
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