A Longitudinal Examination of Hope and Optimism and Their Role in Type 1 Diabetes in Youths

作者:Van Allen Jason*; Steele Ric G; Nelson Michael B; Peugh James; Egan Anna; Clements Mark; Patton Susana R
来源:Journal of Pediatric Psychology, 2016, 41(7): 741-749.
DOI:10.1093/jpepsy/jsv113

摘要

ObjectivesaEuro integral To test the longitudinal associations between hope and optimism and health outcomes (i.e., HbA1c and self-monitored blood glucose [SMBG]) among youths with Type 1 diabetes mellitus (T1DM) over a 6-month period.aEuro integral MethodsaEuro integral A total of 110 participants (aged 10-16 years) completed study measures at Time 1, and 81 completed measures at Time 2. Analyses examined hope and optimism as predictors of change in health outcomes, and examined SMBG as a mediator of the relationship between hope and optimism, and HbA1c.aEuro integral ResultsaEuro integral Change in hope, but not optimism, was associated with change in SMBG and HbA1c. Change in SMBG mediated the relationship between change in hope and HbA1c, but not between optimism and HbA1c. ConclusionsaEuro integral It may be beneficial to assess hope in pediatric T1DM patients to identify youths who may be at risk for poor diabetes management, and to test the benefit of hope-based intervention efforts in clinical studies.

  • 出版日期2016-8