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Perceived Diabetes Task Competence Mediates the Relationship of both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes

  • Original Article
  • Published:
Annals of Behavioral Medicine

An Erratum to this article was published on 28 June 2012

Abstract

Background

Adolescents dealing with type 1 diabetes experience disruptions in affect and diabetes management that may influence their blood glucose.

Purpose

A daily diary format examined whether daily fluctuations in both negative and positive affect were associated with adolescents’ perceived diabetes task competence (DTC) and blood glucose, and whether perceived DTC mediated the relationship between daily affect and blood glucose.

Methods

Sixty-two adolescents with type 1 diabetes completed a 2-week daily diary, which included daily measures of affect and perceived DTC, then recorded their blood glucose readings at the end of the day. We utilized hierarchical linear modeling to examine whether daily perceived DTC mediated the relationship between daily emotion and blood glucose.

Results

Daily perceived DTC mediated the relationship of both negative and positive affect with daily blood glucose.

Conclusions

This study suggests that within the ongoing process of self-regulation, daily affect may be associated with blood glucose by influencing adolescents’ perception of competence on daily diabetes tasks.

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Acknowledgements

This research was supported by grant 51000821 from the Primary Children’s Medical Center Research Foundation awarded to Deborah J. Wiebe and Cynthia A. Berg and by a University of Utah Research Foundation grant awarded to Deborah J. Wiebe. Portions of this research were presented at the 2006 annual conference of the Society for Behavioral Medicine. We thank the patients and staff of the Utah Diabetes Center and Kathy Free, Monica Foresman, Gary King, Rebecca Young, Devin Donaldson, and Marejka Shaevitz for their help with data collection and entry.

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Authors and Affiliations

  1. Department of Psychology, University of Utah, Salt Lake City, UT, USA

    Katherine T. Fortenberry M.S., Jorie M. Butler Ph.D., Jonathan Butner Ph.D., Cynthia A. Berg Ph.D. & Renn Upchurch Ph.D.

  2. Department of Psychiatry, University of Texas Dallas Southwestern Medical Center, Dallas, TX, USA

    Deborah J. Wiebe Ph.D.

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  1. Katherine T. Fortenberry M.S.
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  2. Jorie M. Butler Ph.D.
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  6. Deborah J. Wiebe Ph.D.
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Correspondence to Katherine T. Fortenberry M.S..

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Fortenberry, K.T., Butler, J.M., Butner, J. et al. Perceived Diabetes Task Competence Mediates the Relationship of both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes. ann. behav. med. 37, 1–9 (2009). https://doi.org/10.1007/s12160-009-9086-7

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