Factors related to diabetes distress among adolescent patients with type 1 diabetes:a Meta-analysis
Background Diabetes distress is highly prevalent and has adverse impacts in adolescent patients with type 1 diabetes.However,the related factors of diabetes distress in adolescents with type 1 diabetes are not clear.Objective To identify the factors associated with diabetes distress in adolescents with type 1 diabetes using Meta-analysis,and to provide a scientific evidence for effective prevention and improvement of diabetes distress in adolescents with type 1 diabetes.Methods On December 1,2022,a computerized search was conducted on databases including PubMed,Cochrane Library,Web of Science,Embase,CNKI,Wanfang Data,VIP and China Biomedical Literature Database,and studies relevant to diabetes distress in adolescents with type 1 diabetes were systematically included.Quality assessment of cross-sectional and cohort studies was carried out using criteria defined by the Agency for Healthcare Research and Quality(AHRQ)and Newcastle-Ottawa Scale(NOS).Then the included studies were pooled in a Meta-analysis using Revman 5.3.Results A total of 22 studies were included,involving 6 442 adolescents with type 1 diabetes.Meta-analysis denoted that the occurrence of diabetes distress among adolescents with type 1 diabetes was correlated with age(r=0.094,95％CI:0.042～0.145),HbA1c(r=0.291,95％CI:0.248～0.335),trait anxiety(r=0.585,95％CI:0.526～0.639),depressive symptoms(r=0.635,95％CI:0.590～0.676),resilience(r=-0.410,95％CI:-0.528～-0.276)and parents'diabetes distress(r=0.462,95％CI:0.421～0.501).Conclusion Factors including age,HbA1c,trait anxiety,depressive symptoms,resilience and parents'diabetes distress are correlated with diabetes distress in adolescents with type 1 diabetes.
国家科技期刊平台
NSTL
万方数据
