Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study
AimsThis study examined relationships between diabetes-related posttraumatic stress symptoms (PTSS) and depression, anxiety, resilience, Hemoglobin A1c (HbA1c), self-care behaviors, and diabetes-related distress among adolescents and young adults (AYA) with type 1 diabetes, a group navigating critic...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1615273/full |
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| author | Tamaki Hosoda-Urban Ellen O’Donnell |
| author_facet | Tamaki Hosoda-Urban Ellen O’Donnell |
| author_sort | Tamaki Hosoda-Urban |
| collection | DOAJ |
| description | AimsThis study examined relationships between diabetes-related posttraumatic stress symptoms (PTSS) and depression, anxiety, resilience, Hemoglobin A1c (HbA1c), self-care behaviors, and diabetes-related distress among adolescents and young adults (AYA) with type 1 diabetes, a group navigating critical developmental transitions.MethodsFifty AYA, aged 14–25, from a pediatric diabetes unit of an urban academic medical center participated. Diabetes-related PTSS, mental health, resilience, and diabetes self-care were assessed using validated scales. Statistical analyses examined associations and predicted likelihoods of mental health difficulties based on PTSS severity.ResultsThe average HbA1c was 8.36% (SD = 1.76), with 74% exceeding the recommended level. About 30% exhibited clinically relevant diabetes-related PTSS. PTSS was positively correlated with depression (r = 0.367, p = 0.009), anxiety (r = 0.435, p = 0.002), and diabetes-related distress (r = 0.436, p = 0.002), and negatively correlated with resilience (r = -0.330, p = 0.019). Higher PTSS severity increased the odds of depression (OR = 1.08, p = 0.022) and anxiety (OR = 1.09, p = 0.009), while reducing resilience (OR = 0.931, p = 0.034).ConclusionAddressing both psychological and physical aspects of diabetes is essential. Integrating trauma-informed care and PTSS screening into routine management may improve outcomes and better support AYA during transitions. Given the study’s small sample and cross-sectional design, future longitudinal research is needed to confirm these findings. |
| format | Article |
| id | doaj-art-13168fa39ce94d3eab9d7737292e1a2d |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-13168fa39ce94d3eab9d7737292e1a2d2025-08-20T02:47:01ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-07-011610.3389/fpsyt.2025.16152731615273Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory studyTamaki Hosoda-Urban0Ellen O’Donnell1Faculty of Medicine, Tottori University, Yonago, JapanDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, United StatesAimsThis study examined relationships between diabetes-related posttraumatic stress symptoms (PTSS) and depression, anxiety, resilience, Hemoglobin A1c (HbA1c), self-care behaviors, and diabetes-related distress among adolescents and young adults (AYA) with type 1 diabetes, a group navigating critical developmental transitions.MethodsFifty AYA, aged 14–25, from a pediatric diabetes unit of an urban academic medical center participated. Diabetes-related PTSS, mental health, resilience, and diabetes self-care were assessed using validated scales. Statistical analyses examined associations and predicted likelihoods of mental health difficulties based on PTSS severity.ResultsThe average HbA1c was 8.36% (SD = 1.76), with 74% exceeding the recommended level. About 30% exhibited clinically relevant diabetes-related PTSS. PTSS was positively correlated with depression (r = 0.367, p = 0.009), anxiety (r = 0.435, p = 0.002), and diabetes-related distress (r = 0.436, p = 0.002), and negatively correlated with resilience (r = -0.330, p = 0.019). Higher PTSS severity increased the odds of depression (OR = 1.08, p = 0.022) and anxiety (OR = 1.09, p = 0.009), while reducing resilience (OR = 0.931, p = 0.034).ConclusionAddressing both psychological and physical aspects of diabetes is essential. Integrating trauma-informed care and PTSS screening into routine management may improve outcomes and better support AYA during transitions. Given the study’s small sample and cross-sectional design, future longitudinal research is needed to confirm these findings.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1615273/fulltype 1 diabetesposttraumatic stress symptomsadolescents and young adultsresiliencemental healthtrauma |
| spellingShingle | Tamaki Hosoda-Urban Ellen O’Donnell Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study Frontiers in Psychiatry type 1 diabetes posttraumatic stress symptoms adolescents and young adults resilience mental health trauma |
| title | Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study |
| title_full | Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study |
| title_fullStr | Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study |
| title_full_unstemmed | Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study |
| title_short | Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study |
| title_sort | diabetes related posttraumatic stress symptoms resilience and illness management among adolescents and young adults with type 1 diabetes an exploratory study |
| topic | type 1 diabetes posttraumatic stress symptoms adolescents and young adults resilience mental health trauma |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1615273/full |
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