Apply

Behavioral Interventions for Youth With Diabetes

LinkedInFacebookTwitterPrintFriendlyShare
Citation

Caccavale, L. J. & Monaghan, M. (2020). Behavioral Interventions for Youth With Diabetes. Journal of Health Service Psychology, 46(3). https://doi.org/10.1007/s42843-020-00014-1

Abstract

Diabetes management is multifaceted. Psychologists have an important role in helping youth with diabetes improve adherence, cope with challenges, and improve overall well-being. Effective assessment includes consideration of diabetes management, history of the diagnosis, general psychological functioning, and examination of specific symptoms and risk behaviors.  Evidence-based interventions include skill training and adherence promotion, family-focused interventions, and behavioral strategies for health promotion. Tips for effective communication involve changing from critical labeling statements to positive goal-oriented problem-solving comments. Detailed description of the clinical process of assessment and intervention is presented.

Access continuing education course on CE.NationalRegister.org

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176.appi.books.9780890425596

Andes, L. J., Cheng, Y. J., Rolka, D. B., Gregg, E. W., & Imperatore, G. (2020). Prevalence of prediabetes among adolescents and young adults in the United States, 2005–2016. JAMA Pediatrics, 174(2), e194498. https://doi.org/10.1001/jamapediatrics.2019.4498

Arslanian, S., Bacha, F., Grey, M., Marcus, M. D., White, N. H., & Zeitler, P. (2018). Evaluation and management of youth-onset type 2 diabetes: A position statement by the American Diabetes Association. Diabetes Care, 41, 2648–2668. https://doi.org/10.2337/dci18-0052

Bryden, K. S., Dunger, D. B., Mayou, R. A., Peveler, R. C., & Neil, H. A. (2003). Poor prognosis of young adults with type 1 diabetes: A longitudinal study. Diabetes Care, 26(4), 1052–1057. https://doi.org/10.2337/diacare.26.4.1052

Buchberger, B., Huppertz, H., Krabbe, L., Lux, B., Mattivi, J. T., & Siafarikas, A. (2016). Symptoms of depression and anxiety in youth with type 1 diabetes: A systematic review and meta-analysis. Psychoneuroendocrinology, 70, 70–84. https://doi.org/10.1016/j.psyneuen.2016.04.019

Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A., . . . Schatz, D. (2018). Type 1 diabetes in children and adolescents: A position statement by the American Diabetes Association. Diabetes Care, 41(9), 2026–2044. https://doi.org/10.2337/dci18-0023

Dabelea, D., Mayer-Davis, E. J., Saydah, S., Imperatore, G., Linder, B., Divers, J., . . . Hamman, R. F. (2014). Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. JAMA, 311(17), 1778–1786. https://doi.org/10.1001/jama.2014.3201

Foster, N. C., Beck, R. W., Miller, K. M., Clements, M. A., Rickels, M. R., DiMeglio, L. A., . . .

Garg, S. K. (2019). State of type 1 diabetes management and outcomes from the T1D Exchange in 2016–2018. Diabetes Technol Ther, 21(2), 66–72. https://doi.org/10.1089/dia.2018.0384

Hagger, V., Hendrieckx, C., Cameron, F., Pouwer, F., Skinner, T. C., & Speight, J. (2018). Diabetes distress is more strongly associated with HbA1c than depressive symptoms in adolescents with type 1 diabetes: Results for the Diabetes MILES Youth—Australia. Pediatric Diabetes, 19(4), 840–847. https://doi.org/10.1111/pedi.12641

Hanlan, M. E., Griffith, J., Patel, N., & Jaser, S. S. (2013). Eating disorders and disordered eating in type 1 diabetes: Prevalence, screening, and treatment options. Current Diabetes Reports, 13(6), 909–916. https://doi.org/10.1007/s11892-013-0418-4

Helgeson, V. S., Siminerio, L., Escobar, O., & Becker, D. (2009). Predictors of metabolic control among adolescents with diabetes: A 4-year longitudinal study. J Pediatr Psychol, 34(3), 254–270. https://doi.org/10.1093/jpepsy/jsn079

Hessler, D., Fisher, L., Polonsky, W., & Johnson, N. (2016). Diabetes-related distress in parents of teens with type 1 diabetes. Journal of Pediatric Psychology, 41(7), 750–758.http://doi.org/10.1093/jpepsy/jsw002.

Jaser, S., Faulkner, S., Whittemore, M., Jeon, R., Murphy, S., Delamater, K., & Grey, A. (2012). Coping, self-management, and adaptation in adolescents with type 1 diabetes. Annals of Behavioral Medicine, 43(3), 311–319. https://doi.org/10.1007/s12160-012-9343-z

Juvenile Diabetes Research Foundation. (2017). Type 1 diabetes facts . Retrived from http://www.jdrf.org/about/what-is-t1d/facts/

Katz, L. L., Anderson, B. J., McKay, S. V., Izquierdo, R., Casey, T. L., Higgins, L. A., . . . Nadeau, K. J. (2016). Correlates of medication adherence in the TODAY cohort of youth with type 2 diabetes. Diabetes Care, 39(11), 1956–1962. https://doi.org/10.2337/dc15-2296

Lascar, N., Brown, J., Pattison, H., Barnett, A. H., Bailey, C. J., & Bellary, S. (2018). Type 2 diabetes in adolescents and young adults. The Lancet Diabetes & Endocrinology, 6(1), 69–80. https://doi.org/10.1016/S2213-8587(17)30186-9

Lawrence, J. M., Standiford, D. A., Loots, B., Klingensmith, G. J., Williams, D. E., Ruggiero,

A., . . . McKeown, R. E. (2006). Prevalence and correlates of depressed mood among youth with diabetes: The SEARCH for Diabetes in Youth Study. Pediatrics, 117(4), 1348–1358. https://doi.org/10.1542/peds.2005-1398

Mayer-Davis, E. J., Lawrence, J. M., Dabelea, D., Divers, J., Isom, S., . . . Wagenknecht, L., for the SEARCH for Diabetes in Youth Study. (2017). Incidence trends of type 1 and type 2 diabetes among youths, 2002–2012. New England Journal of Medicine, 376, 1419–1429. https://doi.org/10.1056/NEJMoa1610187

Monaghan, M., Singh, C., Streisand, R., & Cogen, F. (2010). Screening and identification of children and adolescents at risk for depression during a diabetes clinic visit. Diabetes Spectrum, 23(1), 25–31. https://doi.org/10.2337/diaspect.23.1.25

Mulvaney, S. A., Mara, C. A., Kichler, J. C., Majidi, S., Driscoll, K. A., Westen, S. C., . . . Monaghan, M. (2019). A retrospective multisite examination of depression screening practices, scores, and correlates in pediatric diabetes care. Translational Behavioral Medicine. https://doi.org/10.1093/tbm/ibz171

Nip, A. S. Y., Reboussin, B. A., Dabelea, D., Bellatorre, A., Mayer-Davis, E. J., Kahkoska, A. R., Lawrence, J. M., Peterson, C. M., Dolan, L., & Pihoker, C. (2019). Disordered eating behaviors in youth and young adults with type 1 or type 2 diabetes receiving insulin therapy: The SEARCH for Diabetes in Youth Study. Diabetes Care, 42(5), 859–866. https://doi.org/10.2337/dc18-2420.

Noser, A., Dai, H., Marker, A., Raymond, J., Majidi, S., Clements, M., . . . Patton, S. (2019).

Parental depression and diabetes-specific distress after the onset of type 1 diabetes in children. Health Psychology, 38(2), 103–112. https://doi.org/10.1037/hea0000699

Rewers, M., Pihoker, C., Donaghue, K., Hanas, R., Swift, P., & Klingensmith, G. J. (2007). Assessment and monitoring of glycemic control in children and adolescents with diabetes. Pediatric Diabetes, 8(6), 408–418. https://doi.org/10.1111/j.1399-5448.2007.00352.x

Reynolds, K. A., & Helgeson, V. S. (2011). Children with diabetes compared to peers: Depressed? Distressed? A meta-analytic review. Annals of Behavioral Medicine, 42(1), 29–41. https://doi.org/10.1007/s12160-011-9262-4

Rollnick, S., Miller, W. R., & Butler, C. C. (2008). Motivational interviewing in healthcare:

Helping patients change behavior. New York: Guilford Press.

Slover, R. H., Welsh, J. B., Criego, A., Weinzimer, S. A., Willi, S. M., Wood, M. A., & Tamborlane, W. V. (2012). Effectiveness of sensor-augmented pump therapy in children and adolescents with type 1 diabetes in the STAR 3 study. Pediatr Diabetes, 13(1), 6–11. https://doi.org/10.1111/j.1399-5448.2011.00793.x

Stewart, S. M., Rao, U., Emslie, G. J., Klein, D., & White, P. C. (2005). Depressive symptoms predict hospitalization for adolescents with type 1 diabetes mellitus. Pediatrics, 115(5), 1315–1319. https://doi.org/10.1542/peds.2004-1717

Tryggestad, J. B., & Willi, S. M. (2015). Complications and comorbidities of T2DM in adolescents: Findings from the TODAY clinical trial. Journal of Diabetes and its Complications, 29(2), 307–312. https://doi.org/10.1016/j.jdiacomp.2014.10.009

Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(12), 2126–2140. https://doi.org/10.2337/dc16-2053

Earn CE

CE.NationalRegister.org

Learn More

1200 New York Ave NW, Ste 800

Washington DC 20005

p: 202.783.7663

f: 202.347.0550

Endorsed by the National Register