Anxiety in Youth With Type 1 Diabetes.
Kaitlyn Rechenberg, Robin Whittemore, Margaret Grey
PMID 27663096WHAT IT FOUND
Anxiety is common in youth with type 1 diabetes and links to poorer self-management and glucose control.
State anxiety correlates with family conflict and missed monitoring, while trait anxiety ties to fear of hypoglycemia and symptom misattribution.
Key findings
01Anxiety symptoms are prevalent, with 21.3% of one sample screening positive for an anxiety disorder.
02State anxiety is associated with higher HbA1c, family conflict, and lower blood glucose monitoring.
03Trait anxiety is associated with fear of hypoglycemia, worry about episodes, and misattributing non-diabetes symptoms to blood glucose.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The majority of included studies were cross-sectional, so causality cannot be determined. There was no consistency in how anxiety was measured across studies. The review only included US-based studies, limiting generalizability to other cultural contexts. Only three intervention studies were found, two of which were non-randomized. Some studies measured anxiety incidentally rather than as a primary outcome.
Declared interests
No funding or conflicts of interest were declared in the provided text.
The easy way to misread this
Do not assume treating anxiety will improve diabetes outcomes based on this review. The link is correlational in most studies, and the only randomized trial found that continuous glucose monitoring did not reduce diabetes-related anxiety.