Developmental shifts during early adolescence relate to type 1 diabetes (T1D) self-management, increased risk of emotional distress, and worsening health status. Less is known about positive experiences related to T1D. This study evaluated associations of positive well-being (PWB) with diabetes burden, self-management, and glycemic control. Youth (N = 55, age = 12-13 years; X¯ age = 12.75 + 0.56 years, 50.9% male, 38.2% non-Caucasian) reported PWB, depressive symptoms, and diabetes burden. Parents reported on overall T1D adherence. Adherence behaviors and glycemic control were assessed objectively. Higher PWB correlated with lower depressive symptoms (rs = −.45), less diabetes burden (rs = −.48), and better glycemic control (rs = −.43), all p < .01. When controlling for diabetes duration, higher PWB correlated with lower depressive symptoms and better glycemic control. PWB was not related to demographics or adherence. Initial exploration suggests PWB is related to key diabetes constructs, and maybe valuable to consider along with efforts to support youth with T1D during a vulnerable developmental period.

Allgaier, A. K., Frühe, B., Pietsch, K., Saravo, B., Baethmann, M., Schulte-Körne, G. (2012). Is the Children’s Depression Inventory Short version a valid screening tool in pediatric care? A comparison to its full-length version. Journal of Psychosomatic Research, 73, 369-374. doi:10.1016/j.jpsychores.2012.08.016
Google Scholar | Crossref | Medline | ISI
American Diabetes Association . (2015). Standards of medical care in diabetes—2015. Diabetes Care, 38, S1-S94. doi:10.2337/dc15-S001-S018
Google Scholar | Crossref | ISI
Amiel, S. A., Sherwin, R. S., Simonson, D. C., Lauritano, A. A., Tamborlane, W. V. (1986). Impaired insulin action in puberty. A contributing factor to poor glycemic control in adolescents with diabetes. New England Journal of Medicine, 315, 215-219.
Google Scholar | Crossref | Medline | ISI
Bech, P. (2012). Subjective positive well-being. World Psychiatry, 11, 105-106.
Google Scholar | Crossref | Medline
Centers for Disease Control and Prevention . (n.d.). Healthy people 2020. Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/health-related-quality-of-life-well-being?topicid=19
Google Scholar
Chase, H. P., Maahs, D. (2012). Understanding diabetes. Denver, CO: Children’s Diabetes Foundation.
Google Scholar
Cheema, J. R. (2014). Some general guidelines for choosing missing data handling methods in educational research. Journal of Modern Applied Statistical Methods, 13, 53-75.
Google Scholar | Crossref
Chiang, J. L., Kirkman, M. S., Laffel, L. M., Peters, A. L. (2014). Type 1 diabetes through the life span: A position statement of the American Diabetes Association. Diabetes Care, 37, 2034-2054. doi:10.2337/dc14-1140
Google Scholar | Crossref | Medline | ISI
DAWN Summit . (2004). 2nd International DAWN Summit: A call-to-action to improve psychosocial care for people with diabetes. Practical Diabetes International, 21, 201-208. doi:10.1002/pdi.648
Google Scholar | Crossref
Delamater, A. M., de Wit, M., McDarby, V., Malik, J., Acerini, C. L. (2014). ISPAD clinical practice consensus guidelines 2014 compendium: Psychological care of children and adolescents with type 1 diabetes. Pediatric Diabetes, 15, 232-244. doi:10.1111/pedi.12191
Google Scholar | Crossref | Medline | ISI
de Wit, M., Pouwer, F., Gemke, R. J., Delemarre-van de Waal, H. A., Snoek, F. J. (2007). Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes. Diabetes Care, 30, 2003-2006. doi:10.2337/dc07-0447
Google Scholar | Crossref | Medline | ISI
de Wit, M., Winterdijk, P., Aanstoot, H. J., Anderson, B., Danne, T., Deeb, L., . . . Snoek, F. (2012). Assessing diabetes-related quality of life of youth with type 1 diabetes in routine clinical care: The MIND Youth Questionnaire (MY-Q). Pediatric Diabetes, 13, 638-646. doi:10.1111/j.1399-5448.2012.00872
Google Scholar | Crossref | Medline
Ensaff, H. F., Coan, S., Sahota, P., Braybrook, D., Akter, H., McLeod, H. (2015). Adolescents’ food choice and the place of plant-based food. Nutrients, 7, 4619-4637. doi:10.3390/nu7064619
Google Scholar | Crossref | Medline
Frank, M. R. (2005). Psychological issues in the care of children and adolescents with type 1 diabetes. Paediatric Child Health, 10, 18-20.
Google Scholar | Medline
Funnell, M. M., Siminerio, L. M. (2013). Diabetes self-management education. In Peters, A., Laffel, L. (Eds.), Type 1 diabetes source book (pp. 131-152). Alexandria, VA: American Diabetes Association.
Google Scholar
Gandhi, K., Bach-Mai, M. V., Eshtehardi, S. S., Wasserman, R. M., Hilliard, M. E. (2015). Adherence in adolescents with Type 1 diabetes: Strategies and considerations for assessment in research and practice. Diabetes Management, 5, 485-498. doi:10.2217/dmt.15.41
Google Scholar | Crossref
Haller, M. J. (2013). Type 1 diabetes in the 21st century: A review of the landscape. In Peters, A., Laffel, L. (Eds.), Type 1 diabetes source book (pp. 1-18). Alexandria, VA: American Diabetes Association.
Google Scholar
Higgins, L. A., Zacharatos, M. Z. (2013). Nutrition. In Peters, A., Laffel, L. (Eds.), Type 1 diabetes source book (pp. 219-247). Alexandria, VA: American Diabetes Association.
Google Scholar
Hilliard, M. E., Harris, M. A., Weissberg-Benchell. (2012). Diabetes resilience: A model of risk and protection in type 1 diabetes. Current Diabetes Reports, 12, 739-748. doi:10.1007/s11892-012-0314-3
Google Scholar | Crossref | Medline
Hilliard, M. E., Holmes, C. S., Chen, R., Maher, K., Robinson, E., Streisand, R. (2013a). Disentangling the roles of parental monitoring and family conflict in adolescents’ management of type 1 diabetes. Health Psychology, 32, 388-396. doi:10.1037/a0027811
Google Scholar | Crossref | Medline | ISI
Hilliard, M. E., McQuaid, E. L., Nabors, L., Hood, K. K. (2015). Resilience in youth and families living with pediatric health and developmental conditions: Introduction to the special issue on resilience. Journal of Pediatric Psychology, 40, 835-839. doi:10.1093/jpepsy/jsv072
Google Scholar | Crossref | Medline
Hilliard, M. E., Wu, Y. P., Rausch, J., Dolan, L. M., Hood, K. K. (2013b). Predictors of deteriorations in diabetes management and control in adolescents with type 1 diabetes. Journal of Adolescent Health, 52, 28-34. doi:10.1016/j.jadohealth.2012.05.009
Google Scholar | Crossref | Medline | ISI
Hood, K. K., Beavers, D. P., Yi-Frazier, J., Bell, R., Dabelea, D., Mckeown, R. E., Lawerence, J. M. (2014). Psychosocial burden and glycemic control during the first 6 years of diabetes: Results from the SEARCH for diabetes in youth study. Journal of Adolescent Health, 55, 498-504. doi:10.1016/j.jadohealth.2014.03.011
Google Scholar | Crossref | Medline | ISI
Hood, K. K., Peterson, C. M., Rohan, J. M., Drotar, D. (2009). Association between adherence and glycemic control in pediatric type 1 diabetes: A meta-analysis. Pediatrics, 124, e1171-e1179. doi:10.1542/peds.2009-0207
Google Scholar | Crossref | Medline | ISI
Jaser, S. S., Patel, N., Linsky, R., Whittemore, R. (2014). Development of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes. Pediatric Health Care, 28, 478-485. doi:10.1016/j.pedhc.2014.02.008
Google Scholar | Crossref | Medline
Jaser, S. S., Patel, N., Rothman, R. L., Choi, L., Whittemore, R. (2014). Check it! A randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes. The Diabetes Educator, 40, 659-667. doi:10.1177/0145721714535990
Google Scholar | SAGE Journals | ISI
Kichler, J. C., Kaugars, A. S. (2015). Topical review: Applying positive development principles to group interventions for the promotion of family resilience in pediatric psychology. Journal of Pediatric Psychology, 40, 978-980. doi:10.1093/jpepsy/jsu115
Google Scholar | Crossref | Medline
Kovacs, M. (2011). Children’s Depression Inventory 2 (CDI 2). North Tonawanda, NY: Multi-Health Systems.
Google Scholar
Kumar, B., Robinson, R., Till, S. (2015). Physical activity and health in adolescence. Clinical Medicine, 15, 267-272. doi:10.7861/clinmedicine
Google Scholar | Crossref | Medline
Markowitz, J. T., Garvey, K. C., Laffel, L. M. (2015). Developmental changes in the roles of patients and families in type 1 diabetes management. Current Diabetes Review, 11, 231-238. doi:10.2174/1573399811666150421114146
Google Scholar | Crossref | Medline
Markowitz, J. T., Laffel, L. M., Volkening, L. K., Anderson, B. J., Nansel, T. R., Weissberg-Benchell, J., Wysocki, T. (2011). Validation of an abbreviated adherence measure for young people with Type 1 diabetes. Diabetic Medicine, 28, 1113-1117. doi:10.1111/j.1464-5491.2011.03321
Google Scholar | Crossref | Medline | ISI
Masten, A. S. (2001). Ordinary magic. Resilience processes in development. American Psychologist, 56, 227-238.
Google Scholar | Crossref | Medline | ISI
Masten, A. S., Monn, A. R. (2015). Child and family resilience: A call for integrated science, practice, and professional training. Family Relations, 64, 5-21. doi:10.1111/fare.12103
Google Scholar | Crossref | ISI
McGrady, M. E., Laffel, L., Drotar, D., Repaske, D., Hood, K. K. (2009). Depressive symptoms and glycemic control in adolescents with type 1 diabetes: Mediational role of blood glucose monitoring. Diabetes Care, 32, 804-806. doi:10.1111/j.1399-5448.2011.00771.x
Google Scholar | Crossref | Medline | ISI
Monaghan, M., Clary, L., Stern, A., Hilliard, M. E., Streisand, R. (2015). Protective factors in young children with type 1 diabetes. Journal of Pediatric Psychology, 40, 878-887. doi:10.1093/jpepsy/jsv041
Google Scholar | Crossref | Medline
Monaghan, M., Hilliard, M., Sweenie, R., Riekert, K. (2013). Transition readiness in adolescents and emerging adults with diabetes: The role of patient-provider communication. Current Diabetes Reports, 13, 900-908. doi:10.1007/s11892-013-0420-x
Google Scholar | Crossref | Medline
Peyrot, M., Rubin, R. R., Lauritzen, T., Snoek, F. J., Matthews, D. R., Skoylund, S. E. (2005). Psychosocial problems and barriers to improved diabetes management: Results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study. Diabetes Medicine, 22, 1379-1385. doi:10.1111/j.1464-5491.2005.01644.x
Google Scholar | Crossref | Medline | ISI
Rohan, J. M., Huang, B., Pendley, J. S., Delamater, A., Dolan, L., Reeves, G., Drotar, D. (2015). Predicting health resilience in pediatric type 1 diabetes: A test of the resilience model framework. Journal of Pediatric Psychology, 40, 956-967. doi:10.1093/jpepsy/jsv061
Google Scholar | Crossref | Medline
Rosenberg, A. R., Yi-Frazier, J. P., Eaton, L., Wharton, C., Cochrane, K., Pihoker, C., McCauley, E. (2015). Promoting resilience in stress management: A pilot study of a novel resilience-promoting intervention for adolescents and young adults with serious illness. Journal of Pediatric Psychology, 40, 992-999. doi:10.1093/jpepsy/jsv004
Google Scholar | Crossref | Medline | ISI
Steinberg, L., Morris, A. S. (2001). Adolescent development. Annual Review of Psychology, 52, 83-110. doi:10.1146/annurev.psych.52.1.83
Google Scholar | Crossref | Medline | ISI
Topp, C. W., Østergaard, S. D., Søndergaard, S., Bech, P. (2015). The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84, 167-176. doi:10.1159/000376585
Google Scholar | Crossref | Medline | ISI
Turkel, S., Pao, M. (2007). Late consequences of chronic pediatric illness. Psychiatric Clinics of North America, 30, 819-835. doi:10.1016/j.psc.2007.07.009
Google Scholar | Crossref | Medline | ISI
Van Allen, J., Steele, R. G., Nelson, M. B., Peugh, J., Egan, A., Clements, M., Patton, S. R. (2015). A longitudinal examination of hope and optimism and their role in type 1 diabetes in youths. Journal of Pediatric Psychology, 41, 1-9. doi:10.1093/jpepsy/jsv113
Google Scholar | Crossref | Medline
Van Cleave, J., Gortmaker, S. L., Perrin, J. M. (2010). Dynamics of obesity and chronic health conditions among children and youth. Journal of the American Medical Association, 303, 623-630. doi:10.1001/jama.2010.104
Google Scholar | Crossref | Medline | ISI
Weissberg-Benchell, J., Antisdel-Lomaglio, J. (2011). Diabetes-specific emotional distress among adolescents: Feasibility, reliability, and validity of the problem areas in diabetes-teen version. Pediatric Diabetes, 12, 341-344. doi:10.1111/j.1399-5448.2010.00720
Google Scholar | Crossref | Medline | ISI
World Health Organization . (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference. New York, NY.
Google Scholar
World Health Organization . (1998). Mastering depression in primry care. Frederiksborg, Denmark: Regional Office for Europe Psychiatric Research Unit.
Google Scholar
World Health Organization and Calouste Gulbenkian Foundation . (2014). Social determinants of mental health. Geneva, Switzerland: World Health Organization.
Google Scholar
Wysocki, T., Nansel, T. R., Holmbeck, G. N., Chen, R., Laffel, L., Anderson, B., Weissberg-Benchell, J. (2009). Collaborative involvement of primary and secondary caregivers: Associations with youths’ diabetes outcomes. Journal of Pediatric Psychology, 34, 869-881. doi:10.1093/jpepsy/jsn136
Google Scholar | Crossref | Medline | ISI
Yi-Frazier, J. P., Yaptangco, M., Semana, S., Buscaino, E., Thompson, V., Cochrane, K., . . . .Rosenberg, A. R. (2015). The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: Variable- and person-focused approaches. Journal of Health Psychology, 20, 1196-1206. doi:10.1177/1359105313509846
Google Scholar | SAGE Journals | ISI
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