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dc.contributor.authorMcGrady, Meghan E.
dc.contributor.authorLaffel, Lori Michelle Burtz
dc.contributor.authorDrotar, Dennis
dc.contributor.authorRepaske, David
dc.contributor.authorHood, Korey K.
dc.date.accessioned2011-04-23T03:59:44Z
dc.date.issued2009
dc.identifier.citationMcGrady, 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.en_US
dc.identifier.issn0149-5992en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:4874780
dc.description.abstractOBJECTIVE—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.en_US
dc.language.isoen_USen_US
dc.publisherAmerican Diabetes Associationen_US
dc.relation.isversionofdoi:10.2337/dc08-2111en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2671131/pdf/en_US
dash.licenseLAA
dc.subjectclinical careen_US
dc.subjecteducationen_US
dc.subjectnutritionen_US
dc.subjectpsychosocial researchen_US
dc.titleDepressive symptoms and glycemic control in adolescents with type 1 diabetesen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalDiabetes Careen_US
dash.depositing.authorLaffel, Lori Michelle Burtz
dc.date.available2011-04-23T03:59:44Z
dash.affiliation.otherHMS^Pediatrics-Children's Hospitalen_US
dc.identifier.doi10.2337/dc08-2111*
dash.contributor.affiliatedLaffel, Lori


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