Lu Xuanyi,Feng Lanling,Wu Dongmei,Factors related to diabetes distress among adolescent patients with type 1 diabetes: a Meta-analysis[J].SICHUAN MENTAL HEALTH,2024,37(2):173-178
Factors related to diabetes distress among adolescent patients with type 1 diabetes: a Meta-analysis
DOI:10.11886/scjsws20230613001
English keywords:Adolescents  Type 1 diabetes  Diabetes distress  Meta-analysis
Fund projects:四川省科技计划项目(项目名称:“家庭同步助力青少年成长进阶:培养积极心理,提升家庭抗逆力”心理健康科普培训,项目编号:24KJPX0034)
Author NameAffiliationPostcode
Lu Xuanyi School of Nursing Zunyi Medical University Zunyi 563000 China 563000
Feng Lanling The Fourth People's Hospital of Chengdu Chengdu 610036 China
The Clinical Hospital of Chengdu Brain Science Institute University of Electronic Science and Technology of China Chengdu 610036 China 
610036
Wu Dongmei* The Fourth People's Hospital of Chengdu Chengdu 610036 China
The Clinical Hospital of Chengdu Brain Science Institute University of Electronic Science and Technology of China Chengdu 610036 China 
610036
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English abstract:
      Background Diabetes distress is highly prevalent and has adverse impacts in adolescent patients with type 1 diabetes. However, the related factors of diabetes distress in adolescents with type 1 diabetes are not clear.Objective To identify the factors associated with diabetes distress in adolescents with type 1 diabetes using Meta-analysis, and to provide a scientific evidence for effective prevention and improvement of diabetes distress in adolescents with type 1 diabetes.Methods On December 1, 2022, a computerized search was conducted on databases including PubMed, Cochrane Library, Web of Science, Embase, CNKI, Wanfang Data, VIP and China Biomedical Literature Database, and studies relevant to diabetes distress in adolescents with type 1 diabetes were systematically included. Quality assessment of cross-sectional and cohort studies was carried out using criteria defined by the Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Scale (NOS). Then the included studies were pooled in a Meta-analysis using Revman 5.3.Results A total of 22 studies were included, involving 6 442 adolescents with type 1 diabetes. Meta-analysis denoted that the occurrence of diabetes distress among adolescents with type 1 diabetes was correlated with age (r=0.094,95% CI: 0.042~0.145), HbA1c (r=0.291, 95% CI: 0.248~0.335), trait anxiety (r=0.585, 95% CI: 0.526~0.639), depressive symptoms (r=0.635, 95% CI: 0.590~0.676), resilience (r=-0.410, 95% CI: -0.528~-0.276) and parents' diabetes distress (r=0.462, 95% CI: 0.421~0.501).Conclusion Factors including age, HbA1c, trait anxiety, depressive symptoms, resilience and parents' diabetes distress are correlated with diabetes distress in adolescents with type 1 diabetes. [Funded by Sichuan Science and Technology Program (number, 24KJPX0034)]
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