A1 Journal article (refereed)
Adolescents with poorly controlled type 1 diabetes : psychological flexibility is associated with the glycemic control, quality of life and depressive symptoms (2021)


Alho, I., Joro, M., Juntunen, L., Muotka, J., & Lappalainen, R. (2021). Adolescents with poorly controlled type 1 diabetes : psychological flexibility is associated with the glycemic control, quality of life and depressive symptoms. Journal of Contextual Behavioral Science, 19, 50-56. https://doi.org/10.1016/j.jcbs.2020.12.003


JYU authors or editors


Publication details

All authors or editorsAlho, Iina; Joro, Mirka; Juntunen, Laura; Muotka, Joona; Lappalainen, Raimo

Journal or seriesJournal of Contextual Behavioral Science

ISSN2212-1447

eISSN2212-1455

Publication year2021

Volume19

Pages range50-56

PublisherElsevier BV

Publication countryNetherlands

Publication languageEnglish

DOIhttps://doi.org/10.1016/j.jcbs.2020.12.003

Publication open accessNot open

Publication channel open access

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/73543


Abstract

This study investigates the role of psychological flexibility in relation to glycaemic control (HbA1c) and quality of life among adolescents with poorly-controlled diabetes. Adolescents (n = 65, aged 12–16 years) completed the Children and Adolescents Mindfulness Measure (CAMM), the Diabetes Acceptance and Action Scale for Children and Adolescents (DAAS), the Depression Scale (RBDI), and the Health-Related Quality of Life Scale (KINDL-R). HbA1c values were collected from medical records. A higher level of psychological flexibility was associated with better glycaemic control, better quality of life, and lower levels of depressive and anxiety symptoms. Mediation analysis showed that diabetes-related psychological flexibility mediated the relationship between glycaemic control and depressive symptoms as well as quality of life. The observations in the current study support the view that adolescents with type 1 diabetes would benefit from training their psychological flexibility skills.


Keywordsjuvenile diabetesself-careyoung peoplepsychological factorsresiliency (flexibility)quality of lifedepression (mental disorders)

Free keywordstype 1 diabetes; adolescence; psychological flexibility; quality of life


Contributing organizations


Ministry reportingYes

Reporting Year2021

JUFO rating1


Last updated on 2024-03-04 at 19:57