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Cited by 80Diabetes Management and EducationDiabetes Management and ResearchStudent Stress and Coping

Stress and coping predicts adjustment and glycemic control in adolescents with type 1 diabetes

Open access
Jaser, Sarah S., Patel, Niral, Xu, Meng, Tamborlane, William V., Grey, Margaret·2017·Annals of Behavioral Medicine
DOI 10.1007/s12160-016-9825-5PMC PMC5253083
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Abstract

BACKGROUND: Adolescents with type 1 diabetes are at increased risk for deteriorating glycemic control, poor quality of life, and depressive symptoms. Stress and coping are related to these outcomes in adolescents with diabetes, yet few studies have examined these constructs longitudinally. PURPOSE: This study aimed to describe stress and coping in adolescents with type 1 diabetes and to examine coping strategies as predictors of adolescent adjustment (i.e., depressive symptoms, quality of life) and glycemic control. METHODS: Adolescents with type 1 diabetes completed measures of diabetes-related stress, coping, symptoms of depression, and quality of life at baseline, 6 months, and 12 months. Data on glycemic control were collected from the adolescents' medical charts. RESULTS: The adolescents' use of primary control coping (e.g., problem solving) and secondary control engagement coping (e.g., positive thinking) strategies predicted significantly fewer problems with quality of life and fewer depressive symptoms over time. In contrast, the use of disengagement coping strategies (e.g., avoidance) predicted more problems with quality of life and depressive symptoms. Coping was not a significant predictor of glycemic control. Coping mediated the effects of diabetes-related stress on depressive symptoms and quality of life. CONCLUSIONS: The ways in which adolescents with type 1 diabetes cope with diabetes-related stress predict quality of life and symptoms of depression but not glycemic control. Through the use of screening to identify adolescent's diabetes-related stress and targeted interventions to improve coping strategies, there is potential to improve outcomes.

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  • Jaser et al. (2017) found that the use of appropriate coping strategies in dealing with diabetes-related stress predicts better quality of life and fewer symptoms of depression in AYA with T1D.

    “Jaser et al. (2017) found that the use of appropriate coping strategies in dealing with diabetes-related stress predicts better quality of life and fewer symptoms of depression in AYA with T1D.”

    From Involving patients' perspective in the development of an internet- and mobile-based CBT intervention for adolescents with chronic medical conditions: Findings from a qualitative study (2021) · cites this paper as Jaser et al. (2017)

    The Abstract’s Results and the Discussion report that primary and secondary control coping predicted fewer depressive symptoms and fewer quality-of-life problems over time. However, the Methods’ Participants section limits the sample to adolescents aged 10–16; the claim’s broader AYA population includes young adults, whom this study did not examine. (LLM, conf=0.88)

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  • Adolescents with Type 1 diabetes experience stressors associated with their developmental stage.

    “Adolescents with T1D experience stressors associated with their developmental stage (Chao et al., 2016; Hedge et al., 2023; Jaser et al., 2017)”

    From “Diabetes is really simple on paper, but really complicated when you actually have it”: Understanding the daily stressors of adolescents living with Type 1 diabetes (2024) · cites this paper as Jaser et al., 2017

  • Adolescents with Type 1 diabetes rely on a strong social support network to manage their stress and mitigate the experience of social isolation.

    “Adolescents with T1D rely on a strong social support network to manage their stress and mitigate the experience of social isolation (Chetty et al., 2019; Jaser et al., 2017).”

    From “Diabetes is really simple on paper, but really complicated when you actually have it”: Understanding the daily stressors of adolescents living with Type 1 diabetes (2024) · cites this paper as Jaser et al., 2017

    The Results (Adolescent Stress; page unavailable) identify feeling different from peers as a diabetes-related stressor, and the Discussion recommends supporting adolescents’ coping efforts. Neither passage shows that adolescents rely on a social support network to manage stress or that such a network mitigates social isolation. Searches for social support, social isolation, and support-seeking found no passage addressing that relationship. (LLM, conf=0.74)

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Research works printed but not linked: 1

  1. [35]Compas BE Desjardins L Vannatta K Children and adolescents coping with cancer: self- and parent reports of coping and anxiety/depression Health Psychol 2014 33 853 861 25068455 PMC4241756

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Authors
Jaser, S. S., Patel, N., Xu, M., Tamborlane, W. V., & Grey, M.
Affiliations
  • Vanderbilt University (US)
  • Yale University (US)
Corresponding author
Jaser, Sarah S.
ORCID
Venue
Annals of Behavioral Medicine
Publisher
Oxford University Press (OUP)
Published
2016-08-05
Volume
51
Issue
1
Pages
30-38
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
DOI
10.1007/s12160-016-9825-5
PMC
PMC5253083
OpenAlex
W2484352664
Cited by
80
References
42
Citations by year
2026: 6 · 2025: 5 · 2024: 14 · 2023: 8 · 2022: 9 · 2021: 8 · 2020: 8 · 2019: 10 · 2018: 8 · 2017: 4
FWCI
7.37
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (unspecified)
Locations
  • Annals of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Diabetes and Digestive and Kidney Diseases (K23DK088454)
  • National Center for Research Resources (UL1 RR024139)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Keywords
type 1 diabetes, adolescents, diabetes distress, coping strategies, glycemic control, depressive symptoms, quality of life, adjustment, disengagement coping, problem-focused coping, positive thinking, mediation
MeSH terms
Adaptation, Psychological, Adolescent, Blood Glucose, Child, Depression, Diabetes Mellitus, Type 1, Female, Humans, Male, Quality of Life, Stress, Psychological

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