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Gepubliceerd in: Journal of Behavioral Medicine 3/2021

10-02-2021

Diabetes burnout among emerging adults with type 1 diabetes: a mixed methods investigation

Auteur: Vicki S. Helgeson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2021

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Abstract

Feeling overwhelmed, exhausted, and frustrated by the daily demands of diabetes management has been referred to as diabetes burnout. The goal of the study was to develop a measure of diabetes burnout and to link this measure to psychological health and diabetes outcomes. Emerging adults with type 1 diabetes (n = 88, average age 27) completed an online questionnaire and an HbA1c assessment; a subset was interviewed by phone to obtain a more in-depth understanding of burnout. Exploratory factor analysis revealed three burnout domains: exhaustion, detachment, and powerlessness. Burnout was related to higher psychological distress, higher diabetes distress, and poorer diabetes outcomes. Burnout independently predicted higher HbA1c, independent of diabetes distress. Qualitative interviews revealed that participants defined burnout in terms of exhaustion and powerlessness and resolved burnout by acceptance and utilization of social resources. Prevention and intervention efforts might target resilience as a way to mitigate burnout.
Literatuur
go back to reference Abdoli, S., Hessler, D. M., Vora, A., Smither, B., & Stuckey, H. (2019a). Experiences of diabetes burnout: A qualitative study among people with type 1 diabetes. American Journal of Nursing, 119(12), 22–31.CrossRef Abdoli, S., Hessler, D. M., Vora, A., Smither, B., & Stuckey, H. (2019a). Experiences of diabetes burnout: A qualitative study among people with type 1 diabetes. American Journal of Nursing, 119(12), 22–31.CrossRef
go back to reference Collins, W. A., & Steinberg, L. (2007). Adolescent development in interpersonal context. In N. Eisenberg, W. Damon, & R. M. Lerner (Eds.), Handbook of child psychology (3rd ed., pp. 1003–1067). New Jersey: Wiley. Collins, W. A., & Steinberg, L. (2007). Adolescent development in interpersonal context. In N. Eisenberg, W. Damon, & R. M. Lerner (Eds.), Handbook of child psychology (3rd ed., pp. 1003–1067). New Jersey: Wiley.
go back to reference Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research and Evaluation, 10, 7. Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research and Evaluation, 10, 7.
go back to reference Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.CrossRef Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.CrossRef
go back to reference Greening, L., Stoppelbein, L., Konishi, C., Jordan, S. S., & Moll, G. (2007). Child routines and youths’ adherence to treatment for type 1 diabetes. Journal of Pediatric Psychology, 32, 437–447.CrossRef Greening, L., Stoppelbein, L., Konishi, C., Jordan, S. S., & Moll, G. (2007). Child routines and youths’ adherence to treatment for type 1 diabetes. Journal of Pediatric Psychology, 32, 437–447.CrossRef
go back to reference Helgeson, V. S., Reynolds, K. A., Siminerio, L., Escobar, O., & Becker, D. (2008). Parent and adolescent distribution of responsibility for diabetes self-care: Links to health outcomes. Journal of Pediatric Psychology, 33(5), 497–508.CrossRef Helgeson, V. S., Reynolds, K. A., Siminerio, L., Escobar, O., & Becker, D. (2008). Parent and adolescent distribution of responsibility for diabetes self-care: Links to health outcomes. Journal of Pediatric Psychology, 33(5), 497–508.CrossRef
go back to reference Helgeson, V. S., Reynolds, K. A., Siminerio, L., Becker, D., & Escobar, O. (2014). Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes. Journal of Psychosomatic Research, 77, 484–491.CrossRef Helgeson, V. S., Reynolds, K. A., Siminerio, L., Becker, D., & Escobar, O. (2014). Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes. Journal of Psychosomatic Research, 77, 484–491.CrossRef
go back to reference Kessler, R. C., Mickelson, K. D., Walters, E. E., Zhao, S., & Hamilton, L. (2004). Age and depression in the MIDUS survey. In O. G. Brim, C. D. Ryff & R. C. Kessler (Eds.), How healthy are we? A national study of well-being at midlife (pp. 227–251). Chicago, IL: The University of Chicago Press. Kessler, R. C., Mickelson, K. D., Walters, E. E., Zhao, S., & Hamilton, L. (2004). Age and depression in the MIDUS survey. In O. G. Brim, C. D. Ryff & R. C. Kessler (Eds.), How healthy are we? A national study of well-being at midlife (pp. 227–251). Chicago, IL: The University of Chicago Press.
go back to reference La Greca, A. M., Swales, T., Klemp, S., & Madigan, S. (1988). Self-care behaviors among adolescents with diabetes. Ninth Annual Sessions of the Society of Behavioral Medicine. La Greca, A. M., Swales, T., Klemp, S., & Madigan, S. (1988). Self-care behaviors among adolescents with diabetes. Ninth Annual Sessions of the Society of Behavioral Medicine.
go back to reference Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2, 99–113.CrossRef Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2, 99–113.CrossRef
go back to reference Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout inventory manual (3rd ed.). California: Consulting Psychologists Press. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout inventory manual (3rd ed.). California: Consulting Psychologists Press.
go back to reference Polonsky, W. H. (1999). Diabetes burnout: What you can do when you can’t take it anymore. Arlington, VA: American Diabetes Association. Polonsky, W. H. (1999). Diabetes burnout: What you can do when you can’t take it anymore. Arlington, VA: American Diabetes Association.
go back to reference Polonsky, W. H., Fisher, L., Earles, J., Dudl, R. J., Lees, J., Mullan, J., & Jackson, R. A. (2005). Assessing psychosocial distress in diabetes. Diabetes Care, 28(3), 626–631.CrossRef Polonsky, W. H., Fisher, L., Earles, J., Dudl, R. J., Lees, J., Mullan, J., & Jackson, R. A. (2005). Assessing psychosocial distress in diabetes. Diabetes Care, 28(3), 626–631.CrossRef
go back to reference Seligman, M. E. P. (1972). Learned helplessness. Annual Review of Medicine, 23, 407–412.CrossRef Seligman, M. E. P. (1972). Learned helplessness. Annual Review of Medicine, 23, 407–412.CrossRef
go back to reference Talbot, F., Nouwen, A., Gingras, J., Gosselin, M., & Audet, J. (1997). The assessment of diabetes-related cognitive and social factors: The multidimensional diabetes questionnaire. Journal of Behavioral Medicine, 20(3), 291–311.CrossRef Talbot, F., Nouwen, A., Gingras, J., Gosselin, M., & Audet, J. (1997). The assessment of diabetes-related cognitive and social factors: The multidimensional diabetes questionnaire. Journal of Behavioral Medicine, 20(3), 291–311.CrossRef
Metagegevens
Titel
Diabetes burnout among emerging adults with type 1 diabetes: a mixed methods investigation
Auteur
Vicki S. Helgeson
Publicatiedatum
10-02-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-020-00198-3

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