dc.contributor.author | McGrady, Meghan E. | |
dc.contributor.author | Laffel, Lori Michelle Burtz | |
dc.contributor.author | Drotar, Dennis | |
dc.contributor.author | Repaske, David | |
dc.contributor.author | Hood, Korey K. | |
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 |
dc.identifier.doi | 10.2337/dc08-2111 | * |
dash.contributor.affiliated | Laffel, Lori | |