Depressive symptoms and glycemic control in adolescents with type 1 diabetes
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Depressive symptoms and glycemic control in adolescents with type 1 diabetes
| Title: | Depressive symptoms and glycemic control in adolescents with type 1 diabetes |
| Author: |
McGrady, Meghan E.; Drotar, Dennis; Repaske, David; Hood, Korey K.; Laffel, Lori Michelle Burtz
Note: Order does not necessarily reflect citation order of authors. |
| Citation: | McGrady, Meghan E., Lori Laffel, Dennis Drotar, David Repaske, and Korey K. Hood. 2009. Depressive symptoms and glycemic control in adolescents with type 1 diabetes. Diabetes Care 32(5): 804-806. |
| Full Text & Related Files: |
2671131.pdf (60.88Kb; PDF) 
|
| Abstract: | OBJECTIVE—To determine whether the association between depressive symptoms and glycemic control is mediated by blood glucose monitoring (BGM). RESEARCH DESIGN AND METHODS—A total of 276 adolescents with type 1 diabetes (mean age ± SD, 15.6 ± 1.4 years) completed a measure of depressive symptoms. Sociodemographic and family characteristics were obtained from caregivers. BGM frequency and glycemic control were obtained at a clinic visit. RESULTS—Separate regression analyses revealed that depressive symptoms were associated with lower BGM frequency (B = −0.03; P = 0.04) and higher A1C (B = 0.03; P = 0.05) and that lower BGM frequency was associated with higher A1C (B = −0.39; P < 0.001). With depressive symptoms and BGM frequency included together, only BGM frequency was associated with A1C and depressive symptoms became nonsignificant (B = 0.02; P = 0.19). The Sobel test was significant (Z = 1.96; P < 0.05) and showed that 38% of the depression-A1C link can be explained by BGM. CONCLUSIONS—BGM is a mediator between depressive symptoms and glycemic control in adolescents with type 1 diabetes. |
| Published Version: | doi:10.2337/dc08-2111 |
| Other Sources: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2671131/pdf/ |
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| Citable link to this page: | http://nrs.harvard.edu/urn-3:HUL.InstRepos:4874780 |
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