The impact of knowledge about diabetes, resilience and depression on glycemic control: a cross-sectional study among adolescents and young adults with type 1 diabetes

Diabetology & Metabolic Syndrome

Daniel Sigulem¹  Sergio A Dib²  Monica A L Gabbay²  Viviane Bernardo¹  Fabio R Munhoz Santos¹ 

[1] Department of Health Informatics, Universidade Federal de São Paulo, Rua Botucatu, 862, São Paulo CEP:04023-062, SP, Brazil;Endocrinology Division, Departament of Medicine, Universidade Federal de São Paulo, São Paulo, Brazil

关键词: Resilience;    Depression;    Psychosocial factors;    Type 1 diabetes;    Glycemic control;   

Others  :  821530
DOI  :  10.1186/1758-5996-5-55

 received in 2013-03-06, accepted in 2013-09-21,  发布年份 2013

【 摘 要 】

Background

The purpose of this study is to evaluate the relationship between glycemic control and the factors of knowledge about diabetes, resilience, depression and anxiety among Brazilian adolescents and young adults with type 1 diabetes.

Methods

This cross-sectional study included 85 adolescents and young adults with type 1 diabetes, aged between 11–22 years, with an average age of 17.7 ± 3.72 years. Glycemic control degree was evaluated through HbA1c. To assess psychosocial factors, the following questionnaires were used: resilience (Resilience Scale, RS) and anxiety and depression (Hospital Anxiety and Depression Scale, HADS). The Diabetes Knowledge Assessment Scale (DKNA) was used to assess knowledge about diabetes.

Results

Significant correlations were found between HbA1c and resilience, anxiety and depression. Multiple linear regression analysis revealed that the only variable which presented significant association with the value of HbA1c was depression.

Conclusions

Depression has a significant association with higher HbA1c levels, as demonstrated in a regression analysis. The results suggest that depression, anxiety and resilience should be considered in the design of a multidisciplinary approach to type 1 diabetes, as these factors were significantly correlated with glycemic control. Glycemic control was not correlated with knowledge of diabetes, suggesting that theoretical or practical understanding of this disease is not by itself significantly associated with appropriate glycemic control (HbA1c ≤ 7.5%).

【 授权许可】

   
2013 Santos et al.; licensee BioMed Central Ltd.

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