We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Empowerment of Adolescents with Type 1 Diabetes Is Associated with Their Executive Functions.
- Authors
Łuczyński, Włodzimierz; Łazarczyk, Izabela; Szlachcikowska, Ilona; Kiernozek, Żaneta; Kaczmarek, Anna; Szylaj, Oliwia; Szadkowska, Agnieszka; Jarosz-Chobot, Przemysława; Głowińska-Olszewska, Barbara; Bossowski, Artur
- Abstract
Background. Adolescence is a difficult period for young people with type 1 diabetes mellitus (T1DM), both in psychological and clinical terms. Empowerment therapy may support these patients, provided they are ready to change and have adequate executive functions to facilitate this change. Therefore, we hypothesise that the readiness of adolescents with T1DM to change is related to clinical features and/or their executive functions. Methods. Using the Diabetes Empowerment Scale and the Behavioural Rating Inventory of Executive Function, we evaluated patients with T1DM duration of more than one year from three Polish diabetes centres of the PolPeDiab study group (N = 146). We related the data to features associated with disease and treatment and compared the results to those of adolescents without diabetes (N = 110). Results. We observed that adolescents with T1DM had a higher rate of abnormal results in executive function tests than their peers without diabetes (p > 0.05). Diabetes empowerment in this group of patients decreased with disease duration (r = -0.25, p = 0.006) and increased with deteriorating metabolic control (HbA1c; r = 0.25, p = 0.006). The greater the deficiencies in executive functions among adolescents with T1DM, the greater their readiness to change. The relationship between executive functions and diabetes empowerment is partially gender-differentiated. Conclusions. To conclude, we propose individualized diabetes education in this group of patients based on the assessment of readiness to change and executive functions.
- Subjects
POLAND; TYPE 1 diabetes; PSYCHOLOGICAL tests; SELF-efficacy; SEX distribution; AFFINITY groups; DISEASE duration; EXECUTIVE function; GLYCEMIC control
- Publication
BioMed Research International, 2019, p1
- ISSN
2314-6133
- Publication type
Article
- DOI
10.1155/2019/5184682