TY - JOUR
T1 - Changes in executive functioning and self-management in adolescents with type 1 diabetes
T2 - A growth curve analysis
AU - Miller, Megan M.
AU - Rohan, Jennifer M.
AU - Delamater, Alan
AU - Shroff-Pendley, Jennifer
AU - Dolan, Lawrence M.
AU - Reeves, Grafton
AU - Drotar, Dennis
N1 - Funding Information:
The work reported in this article was funded by the National Institute of Diabetes and Digestive Disease (1R01 DK069486).
PY - 2013/1
Y1 - 2013/1
N2 - Objective: To investigate the relation of changes in executive functioning to changes in diabetes self-management in a 2-year prospective study of a sample of youth aged 9-11 years at baseline (n = 239) with type 1 diabetes and their maternal caregivers. Research Design and Methods: Youth and maternal caregivers completed the Diabetes Self-Management Profile (DSMP) at baseline, 12 months, and 24 months. Maternal caregivers completed the Behavioral Rating Inventory of Executive Functioning (BRIEF) at the same time points to assess global executive functioning, and the domains of behavioral regulation and metacognition. Results: Youth reported self-management decreased over time (p <. 01) while behavioral regulation (e.g., the child's ability to shift cognitive set and moderate emotions and behaviors via emotional control) increased (p <. 05). Changes in behavioral regulation significantly predicted rate of change in youth-reported self-management (p <. 01). Global executive functioning and metacognition (e.g., the child's ability to monitor, initiate, plan, organize, and sustain future-oriented problem solving and working memory) did not change over time and did not predict changes in self-management. Moreover, executive functioning and self-management did not predict changes in HbA1c. Conclusions: Positive changes in behavioral regulation may enhance self-management of type 1 diabetes during the transition to adolescence.
AB - Objective: To investigate the relation of changes in executive functioning to changes in diabetes self-management in a 2-year prospective study of a sample of youth aged 9-11 years at baseline (n = 239) with type 1 diabetes and their maternal caregivers. Research Design and Methods: Youth and maternal caregivers completed the Diabetes Self-Management Profile (DSMP) at baseline, 12 months, and 24 months. Maternal caregivers completed the Behavioral Rating Inventory of Executive Functioning (BRIEF) at the same time points to assess global executive functioning, and the domains of behavioral regulation and metacognition. Results: Youth reported self-management decreased over time (p <. 01) while behavioral regulation (e.g., the child's ability to shift cognitive set and moderate emotions and behaviors via emotional control) increased (p <. 05). Changes in behavioral regulation significantly predicted rate of change in youth-reported self-management (p <. 01). Global executive functioning and metacognition (e.g., the child's ability to monitor, initiate, plan, organize, and sustain future-oriented problem solving and working memory) did not change over time and did not predict changes in self-management. Moreover, executive functioning and self-management did not predict changes in HbA1c. Conclusions: Positive changes in behavioral regulation may enhance self-management of type 1 diabetes during the transition to adolescence.
KW - Behavioral regulation
KW - Executive functioning
KW - Metacognition
KW - Self-management
KW - Type 1 diabetes
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U2 - 10.1093/jpepsy/jss100
DO - 10.1093/jpepsy/jss100
M3 - Article
C2 - 23027720
AN - SCOPUS:84872690544
VL - 38
SP - 18
EP - 29
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
SN - 0146-8693
IS - 1
ER -
