Psychological factors associated with diabetes self-management among adolescents with Type 1 diabetes: A systematic review

J Health Psychol. 2018 Nov;23(13):1749-1765. doi: 10.1177/1359105316669580. Epub 2016 Sep 22.

Abstract

This review aims to synthesise the literature examining the psychosocial variables related to self-management (insulin adherence, non-adherence and administration, blood sugar monitoring, dietary behaviour, exercise behaviour) in adolescents with type 1 diabetes. A systematic search of three electronic databases was carried out and, after the application of eligibility criteria, 21 articles were assessed for quality prior to data extraction. Numerous psychological factors were found to be associated with self-management; however, correlations were typically small to moderate. The strongest associations were found between social anxiety and diet (among males); greater intrinsic motivation, conscientiousness and diet; and extraversion and exercise.

Keywords: adherence; adolescence; diabetes; diet; exercise behaviour.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Diabetes Mellitus, Type 1 / psychology*
  • Diabetes Mellitus, Type 1 / therapy
  • Health Behavior
  • Humans
  • Motivation
  • Patient Compliance / psychology
  • Psychology, Adolescent
  • Self-Management / psychology*