Self-management behaviors mediate the relationship between distress and glycemic levels in adolescents with type 1 diabetes
The mediational models indicate that higher levels of DD were associated with increased HbA1c through lower SMB according to both adolescents and caregivers, although further study is needed in boys and girls, separately. Adolescents with high distress would likely benefit from support for effective SMB to ensure optimal glycemic levels.
Authors
- Kimberly L. Klages (ORCID: https://orcid.org/0000-0002-4433-5924)
- Amy E. Noser (ORCID: https://orcid.org/0000-0002-7773-2969)
- Luiza V. Mali (ORCID: https://orcid.org/0000-0002-0140-2090)
- Jamil A. Malik (ORCID: https://orcid.org/0000-0002-9521-4276)
- Meghan E. McGrady (ORCID: https://orcid.org/0000-0002-3150-3239)
- Lawrence M. Dolan (ORCID: https://orcid.org/0000-0002-5359-0636)
- Alan M. Delamater (ORCID: https://orcid.org/0000-0003-2320-4164)
- Janine Sanchez (ORCID: https://orcid.org/0000-0003-3790-6140)
- Jennifer Shroff Pendley (ORCID: https://orcid.org/0009-0003-3595-6803)
- Caroline J. Gillenson (ORCID: https://orcid.org/0000-0002-3543-7355)
Institutions
- Quaid-i-Azam University (PK)
- Cincinnati Children's Hospital Medical Center (US)
- University of Minnesota (US)
- University of Miami (US)
- Florida International University (US)
- Nemours Children's Health System (US)
- University of Minnesota Medical Center (US)
- University of Cincinnati (US)
Publication Details
- Journal
- Journal of Pediatric Psychology
- Published
- 2025-11-13
- DOI
- https://doi.org/10.1093/jpepsy/jsaf106
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00