title: The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: variable- and person-focused approaches.
abstract: This study explored the association between personal resilience and distress, coping, and diabetes outcomes in 50 adolescents with type 1 diabetes. Resilience was defined by a factor score derived from validated instruments measuring self-efficacy, optimism, and self-esteem. Variable- and person-focused methodologies were used to explore these associations. Low resilience was associated with higher distress, poor quality of life, and poor glycemic control. Participants with low resilience used more maladaptive coping strategies and were at greatest risk of poor outcomes. Findings suggest that resilience is a promising candidate for interventions designed to reduce distress and improve outcomes for adolescents with type 1 diabetes.
authors.affiliation: University of Washington School of Medicine, USA Seattle Children's Research Institute, USA joyce.yi-frazier@seattlechildrens.org.
authors.forename: Joyce P
authors.initials: JP
authors.lastname: Yi-Frazier
authors.affiliation: University of Utah, USA.
authors.forename: Mona
authors.initials: M
authors.lastname: Yaptangco
authors.affiliation: Seattle Children's Research Institute, USA.
authors.forename: Sharla
authors.initials: S
authors.lastname: Semana
authors.affiliation: Seattle Children's Research Institute, USA.
authors.forename: Emil
authors.initials: E
authors.lastname: Buscaino
authors.affiliation: Seattle Children's Research Institute, USA.
authors.forename: Valeria
authors.initials: V
authors.lastname: Thompson
authors.affiliation: Seattle Children's Research Institute, USA.
authors.forename: Katie
authors.initials: K
authors.lastname: Cochrane
authors.affiliation: Seattle Children's Research Institute, USA.
authors.forename: Marissa
authors.initials: M
authors.lastname: Tabile
authors.affiliation: Seattle Children's Research Institute, USA.
authors.forename: Erin
authors.initials: E
authors.lastname: Alving
authors.affiliation: University of Washington School of Medicine, USA Seattle Children's Research Institute, USA.
authors.forename: Abby R
authors.initials: AR
authors.lastname: Rosenberg
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D055500:Resilience, Psychological; D013315:Stress, Psychological / Q000523:psychology*
keywords: adolescence; chronic illness; coping; diabetes; distress; outcomes; resilience