title: Anxiety symptoms in adolescents with type 1 diabetes: association with blood glucose monitoring and glycemic control.
abstract: OBJECTIVE
  To examine the prevalence of anxiety symptoms and their association with blood glucose monitoring (BGM) and glycemic control in adolescents with type 1 diabetes.
  
  
  METHODS
  276 adolescents and their caregivers completed measures of anxiety symptoms. Adolescents completed a measure of depressive symptoms. Demographic and family characteristics were obtained from caregiver report. Diabetes duration, regimen type, BGM frequency, and glycemic control were also collected.
  
  
  RESULTS
  Trait anxiety symptoms that suggest further clinical assessment is needed were present in 17% of adolescents; the rate was 13% for state anxiety symptoms. Higher levels of state anxiety symptoms were associated with less frequent BGM F(14, 261) = 6.35, p < .0001, R(2) = .25, and suboptimal glycemic control, F(15, 260) = 7.97, p < .0001, R(2) = .32. State anxiety symptoms were correlates of BGM frequency and glycemic control independent of depressive symptoms.
  
  
  CONCLUSIONS
  State anxiety symptoms are associated with less frequent BGM and suboptimal glycemic control in adolescents with type 1 diabetes.
authors.affiliation: Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Herzer
authors.forename: Korey K
authors.initials: KK
authors.lastname: Hood
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000097:blood / Q000453:epidemiology*; D001786:Blood Glucose / Q000187:drug effects / Q000378:metabolism*; D015190:Blood Glucose Self-Monitoring; D017028:Caregivers; D003863:Depression / Q000097:blood / Q000453:epidemiology*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000187:drug effects / Q000378:metabolism*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D010555:Personality Inventory; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin
references.citation: Diabetes Care. 1995 Oct;18(10):1330-6
references.pmid: 8721933
references.citation: J Child Psychol Psychiatry. 1998 Jan;39(1):47-63
references.pmid: 9534086
references.citation: Psychol Bull. 1992 Mar;111(2):244-55
references.pmid: 1557475
references.citation: J Consult Clin Psychol. 2008 Apr;76(2):282-97
references.pmid: 18377124
references.citation: J Am Acad Child Adolesc Psychiatry. 1994 Jul-Aug;33(6):809-18
references.pmid: 7598758
references.citation: Diabetes Care. 2008 Aug;31(8):1516-20
references.pmid: 18509210
references.citation: Psychol Med. 2004 Nov;34(8):1465-74
references.pmid: 15724877
references.citation: J Anxiety Disord. 2003;17(2):211-21
references.pmid: 12614663
references.citation: J Pediatr Psychol. 2009 Apr;34(3):254-70
references.pmid: 18667479
references.citation: Horm Res. 2002;57 Suppl 1:117-20
references.pmid: 11979040
references.citation: J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):929-36
references.pmid: 11501693
references.citation: J Pediatr Psychol. 2005 Apr-May;30(3):287-91
references.pmid: 15784924
references.citation: Diabet Med. 2000 Mar;17(3):198-202
references.pmid: 10784223
references.citation: Diabetes Care. 2001 Aug;24(8):1342-7
references.pmid: 11473067
references.citation: Diabetes Care. 2006 Jun;29(6):1389-91
references.pmid: 16732028
references.citation: J Consult Clin Psychol. 1994 Dec;62(6):1204-12
references.pmid: 7860818
references.citation: Psychosomatics. 1999 Sep-Oct;40(5):404-13
references.pmid: 10479945
references.citation: Patient Educ Couns. 2007 Sep;68(1):10-5
references.pmid: 17582726
references.citation: Diabet Med. 1997 Feb;14(2):153-7
references.pmid: 9047094
references.citation: J Am Acad Child Adolesc Psychiatry. 2006 Oct;45(10):1179-1187
references.pmid: 17003663
references.citation: J Pediatr Psychol. 2007 Aug;32(7):733-44
references.pmid: 17264087
references.citation: Pediatr Diabetes. 2005 Mar;6(1):13-6
references.pmid: 15787896
references.citation: J Psychosom Res. 2002 Oct;53(4):907-11
references.pmid: 12377302
references.citation: Arch Clin Neuropsychol. 2005 Jun;20(4):539-46
references.pmid: 15896566
references.citation: Diabetes Care. 2005 Jan;28(1):186-212
references.pmid: 15616254
references.citation: Clin Psychol Rev. 2008 Oct;28(7):1266-80
references.pmid: 18571820
references.citation: Diabetes Care. 2001 Jul;24(7):1286-92
references.pmid: 11423517
references.citation: Diabetes Care. 1997 Jan;20(1):36-44
references.pmid: 9028691
references.citation: Diabet Med. 2006 Dec;23(12):1381-4
references.pmid: 17116192
references.citation: Diabet Med. 2002 Aug;19(8):635-42
references.pmid: 12147143
references.citation: Diabetes Care. 1995 Jan;18(1):77-82
references.pmid: 7698052
references.citation: Diabetes Care. 2006 Apr;29(4):818-22
references.pmid: 16567821
references.citation: J Pediatr Psychol. 2006 Sep;31(8):793-802
references.pmid: 16322274
references.citation: Diabetes Care. 2007 Jun;30(6):1653-62
references.pmid: 17372151
references.citation: J Pediatr. 2006 Aug;149(2):227-32
references.pmid: 16887440
references.citation: J Pediatr Nurs. 2006 Dec;21(6):412-24
references.pmid: 17101399
references.citation: Pediatr Diabetes. 2006 Aug;7(4):215-22
references.pmid: 16911009
references.citation: Clin Child Fam Psychol Rev. 1998 Jun;1(2):125-44
references.pmid: 11324302
references.citation: J Pediatr Psychol. 1990 Oct;15(5):633-41
references.pmid: 2283572
references.citation: Psychosom Med. 1999 Mar-Apr;61(2):181-7
references.pmid: 10204971
references.citation: J Abnorm Child Psychol. 1991 Dec;19(6):659-70
references.pmid: 1791272
references.citation: J Psychosom Res. 2001 Nov;51(5):665-72
references.pmid: 11728507
references.citation: Med Care. 2006 Dec;44(12):1064-72
references.pmid: 17122709
references.citation: Diabetes Care. 1997 Jan;20(1):45-51
references.pmid: 9028692
references.citation: Diabetes Care. 2009 May;32(5):804-6
references.pmid: 19228870
references.citation: N Engl J Med. 1986 Jul 24;315(4):215-9
references.pmid: 3523245
references.citation: Depress Anxiety. 2001;14(2):67-78
references.pmid: 11668659
references.citation: J Consult Clin Psychol. 1993 Apr;61(2):235-47
references.pmid: 8473577
references.citation: Health Psychol. 1992;11(2):135-8
references.pmid: 1582382
references.citation: Pediatr Diabetes. 2002 Sep;3(3):135-43
references.pmid: 15016153
references.citation: Compr Psychiatry. 2000 Mar-Apr;41(2 Suppl 1):55-60
references.pmid: 10746905