AI Article Synopsis
- The study investigates how sleep quality affects depressive symptoms, diabetes distress, and diabetes management self-efficacy in adolescents and young adults with type 1 diabetes over time.
- Using data from a randomized trial of 60 participants, researchers conducted cross-lagged analyses to observe associations between these factors at multiple time points.
- Findings revealed that poorer sleep quality at the start predicted higher depressive symptoms and lower self-efficacy related to diabetes management in the following months, emphasizing the importance of addressing sleep issues in diabetes care.
Article Abstract
Purpose: To examine the longitudinal, bidirectional associations of sleep quality with depressive symptoms, diabetes-specific distress and diabetes management self-efficacy among adolescents and young adults with type 1 diabetes.
Methods: Cross-lagged analyses used baseline, three-, six- and nine-month data from a randomized trial among 60 young people. Self-report measures included the Pittsburgh Sleep Quality Index, Center for Epidemiological Studies - Depressed Mood scale, Problem Areas in Diabetes Teen version, and Diabetes Management Self-efficacy Scale.
Results: Lower sleep quality at baseline was associated with higher three-month depressive symptoms (b = 0.21, p = 0.005) and lower diabetes self-efficacy (b = -0.18, p = 0.014), but not diabetes distress (b = 0.06, p = 0.403). Similar patterns were found at six and nine months. Three-month psychological functioning was not associated with six-month sleep quality.
Conclusions: Among adolescents and young adults with type 1 diabetes, lower sleep quality predicted subsequent depressive symptoms and lower diabetes self-efficacy rather than vice versa. Sleep deserves a central place in diabetes care.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10592068 | PMC |
| http://dx.doi.org/10.1016/j.jpsychores.2023.111457 | DOI Listing |
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