Self-regulation and collaborative coping with Type 1 Diabetes over the life span

一生中自我调节和协作应对 1 型糖尿病

• 批准号: 8807078
• 负责人: Cynthia A Berg
• 金额: $ 387.46万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-18 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8807078
• 关键词: Adherence; Adolescent; Adult; Affect; Age; American; Behavior; Behavioral; Blood Glucose; Child; Child Rearing; Chronic; Chronic Disease; Cognition; Cognitive; Collaborations; Conflict (Psychology); Couples; Diabetes Mellitus; Disease; Distress; Elderly; Elements; Emotions; Face; Family; Fostering; Future; Health; Home environment; Individual; Informal Social Control; Insulin-Dependent Diabetes Mellitus; Intervention; Interview; Joints; Life; Life Expectancy; Link; Literature; Longevity; Longitudinal Studies; Marital Relationships; Measures; Metabolic Control; Methods; Moods; Online Systems; Outcome; Parent-Child Relations; Parents; Patient Self-Report; Patients; Persons; Play; Problem Solving; Process; Reporting; Research; Resources; Role; Self Efficacy; Social Environment; Spouses; Stress; Stressful Event; Technology; Time; Video Recording; Work; coping; diabetes management; diaries; emerging adult; executive function; experience; follow-up; high risk; innovation; longitudinal design; middle age; pressure; public health relevance; social; stressor

 DESCRIPTION (provided by applicant): In 2013, nearly three million Americans were living with type 1 diabetes, with 85% of these individuals being adults. As coping with diabetes occurs in a social context, romantic partners likely play an important role in diabetes management. However, little is known about how adults cope with type 1 diabetes management throughout adulthood and the role of romantic partners. Collaborative involvement by romantic partners (jointly coping with challenges of diabetes) may facilitate daily diabetes management in the face of competing work and family pressures among young and middle-aged adults and may be especially important for older adults who may be adept at collaboration but experiencing reduced cognitive and physical reserves. The proposed study applies an adult life-span perspective to examine the stressors that are linked to diabetes management during young, middle-aged, and older adulthood and the ways that romantic partners may facilitate diabetes management across time through collaborative coping processes. The study employs a multi-method, multisite, 6-month longitudinal design that will examine collaborative processes, stress, diabetes management, and distress. Two-hundred and fifty couples across the life span where one person has type 1 diabetes will complete a baseline interview, a 14-day daily diary, and a 6-month follow-up assessment. In Aim 1 we will identify the daily stressors experienced by individuals across the life span with type 1 diabetes that are linked to poorer diabetes management and distress. Couples will complete a web-based 14-day daily diary to assess daily stressors, diabetes adherence, mood, and blood glucose. Qualitative analysis of stressor content will reveal the general and diabetes stressors that interfere with daily diabetes management at different ages. In Aim 2 we examine the collaborative processes associated with better diabetes management and lower distress both daily and across six months and whether these processes are differentially important across the life span. Multiple collaborative processes are examined: appraisals that the illness is shared, collaborative coping when stressors arise, and video-recorded behavioral interactions when discussing a current diabetes problem. In Aim 3 we examine whether collaborative processes are especially beneficial for individuals with low executive function, using behavioral and self-report assessments of executive functioning. The proposed study takes an innovative multi-method approach to the social context of type 1 diabetes management over the life span, which has great potential for informing developmentally appropriate tailored interventions for adults with type 1 diabetes and their partners.

 描述（由适用提供）：2013年，近300万美国人患有1型糖尿病，其中85％的人是成年人。由于应对糖尿病在社会环境中发生，因此浪漫伴侣可能在糖尿病管理中起着重要作用。但是，对于成年人如何应对整个成年期以及浪漫伴侣的作用，知之甚少。面对年轻和中年成年人的竞争性工作和家庭压力，浪漫伴侣的合作参与（共同应对糖尿病的挑战）可能会举办每日糖尿病管理，对于可能熟悉协作但认知能力减少的认知和身体储备的老年人可能尤其重要。拟议的研究将成人寿命的观点应用于检查与年轻，中年和老年人期间与糖尿病管理有关的压力源，以及浪漫伴侣可以通过协作应对过程在时间上促进糖尿病管理的方式。该研究采用多方法，多站点，6个月的纵向设计，将检查协作过程，压力，糖尿病管理和困扰。在整个生活范围内，有两十五十对夫妇患有1型糖尿病，将完成基线访谈，每日14天的日记和6个月的随访评估。在AIM 1中，我们将确定个人在整个生命周期中经历的日常压力，其中1型糖尿病与较差的糖尿病管理和困扰有关。夫妻将完成基于网络的14天日记，以评估日常压力源，糖尿病粘附，情绪和血糖。压力源含量的定性分析将揭示一般和糖尿病压力源，这些压力源会干扰不同年龄的每日糖尿病管理。在AIM 2中，我们研究了与更好的糖尿病管理相关的协作过程，每天和六个月都会降低困扰，以及这些过程在整个生命周期中是否不同。检查了多个协作过程：评估疾病是分享的，在出现压力时进行协作应对，并在讨论当前的糖尿病问题时进行视频录制的行为互动。在AIM 3中，我们检查了使用行为和自我报告评估执行功能的行为和自我报告评估，协作过程是否对执行功能较低的个人特别有益。拟议的研究将创新的多方法方法采用了1型糖尿病管理的社会环境，这在整个生命周期内具有很大的潜力，可以为1型糖尿病及其伴侣的成年人提供适合发展的适合量身定制的干预措施。

项目成果

Daily experiences of type 1 diabetes stress across adulthood.

成年期间 1 型糖尿病压力的日常经历。

• DOI: 10.1111/dme.14628
• 发表时间: 2022
• 期刊: Diabetic medicine : a journal of the British Diabetic Association
• 作者: Kelly,CaitlinS;Berg,CynthiaA;LeeTracy,Eunjin;Staylor,Kaitlyn;Thomas,Amanda;Helgeson,VickiS
• 通讯作者: Helgeson,VickiS

Daily sleep quality and daily stressors in couples coping with type 1 diabetes.

应对 1 型糖尿病的夫妇的每日睡眠质量和每日压力源。

• DOI: 10.1037/hea0000690
• 发表时间: 2019-01
• 期刊: Health psychology : official journal of the Division of Health Psychology, American Psychological Association
• 作者: Tracy EL;Berg CA;Baucom KJW;Turner SL;Kelly CS;Van Vleet M;Butner J;Helgeson VS
• 通讯作者: Helgeson VS

The importance of having fun: Daily play among adults with type 1 diabetes.

• DOI: 10.1177/0265407519832115
• 发表时间: 2019-11-01
• 期刊: Journal of social and personal relationships
• 影响因子: 2.8
• 作者: Van Vleet M;Helgeson VS;Berg CA
• 通讯作者: Berg CA

Adult attachment insecurity and associations with diabetes distress, daily stressful events and self-management in type 1 diabetes.

成人依恋不安全感以及与糖尿病困扰、日常压力事件和 1 型糖尿病自我管理的关系。

• DOI: 10.1007/s10865-019-00111-7
• 发表时间: 2020
• 期刊: Journal of behavioral medicine
• 影响因子: 3.1
• 作者: Kelly,CS;Berg,CA;Helgeson,VS
• 通讯作者: Helgeson,VS

A multimethod approach to measuring communal coping in adults with type 1 diabetes.

• DOI: 10.1037/hea0001123
• 发表时间: 2022-01
• 期刊: HEALTH PSYCHOLOGY
• 影响因子: 4.2
• 作者: Zajdel, Melissa;Helgeson, Vicki S.;Butner, Jonathan E.;Tracy, Eunjin Lee;Berg, Cynthia A.
• 通讯作者: Berg, Cynthia A.