Depressive symptoms and glycemic control in adolescents with type 1 diabetes

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

dc.contributor.author	McGrady, Meghan E.
dc.contributor.author	Drotar, Dennis
dc.contributor.author	Repaske, David
dc.contributor.author	Hood, Korey K.
dc.contributor.author	Laffel, Lori Michelle Burtz
dc.date.accessioned	2011-04-23T03:59:44Z
dc.date.issued	2009
dc.identifier.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.	en_US
dc.identifier.issn	0149-5992	en_US
dc.identifier.uri	http://nrs.harvard.edu/urn-3:HUL.InstRepos:4874780
dc.description.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.	en_US
dc.language.iso	en_US	en_US
dc.publisher	American Diabetes Association	en_US
dc.relation.isversionof	doi:10.2337/dc08-2111	en_US
dc.relation.hasversion	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2671131/pdf/	en_US
dash.license	LAA
dc.subject	clinical care	en_US
dc.subject	education	en_US
dc.subject	nutrition	en_US
dc.subject	psychosocial research	en_US
dc.title	Depressive symptoms and glycemic control in adolescents with type 1 diabetes	en_US
dc.type	Journal Article	en_US
dc.description.version	Version of Record	en_US
dc.relation.journal	Diabetes Care	en_US
dash.depositing.author	Laffel, Lori Michelle Burtz
dc.date.available	2011-04-23T03:59:44Z
dash.affiliation.other	HMS^Pediatrics-Children's Hospital	en_US