Supporting healthy sleep: a qualitative assessment of adolescents with type 1 diabetes and their parents.

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-11-01 DOI:10.1093/jpepsy/jsae055
Anne E Bowen, Sydney Holtman, Jennifer Reich, Stacey L Simon
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Abstract

Objective: Poor sleep health is common in adolescence due to a combination of physiological, psychosocial, and environmental factors. Adolescents with type 1 diabetes (T1D) may be at increased risk for poor sleep health due to physiological and behavioral aspects of diabetes and its management. This article describes a qualitative analysis of interviews with adolescents with T1D and their parents about facilitators and barriers to sleep health and family strategies to balance teens' sleep with competing demands.

Methods: Separate interviews were conducted with 20 adolescents with T1D and 20 parents. Interviews were recorded and transcribed verbatim and analyzed thematically. Participants were on average 15.8 ± 1.2 years old, 45% female, and 85% non-Hispanic White.

Results: Overnight diabetes management was the most frequently reported barrier to sleep. Families reported different strategies for taking responsibility of overnight diabetes management, which differentially impacted sleep. Families worked to balance diabetes management and sleep with other aspects of adolescent life, including school demands, social activities, and electronics use. Facilitators to healthy sleep identified by families included diabetes assistive technology and maintaining a consistent sleep/wake schedule. Both adolescents and parents voiced beliefs that their diabetes care team is not able to help with sleep health.

Conclusions: Pediatric psychologists should be aware of the specific sleep barriers experienced by adolescents with T1D and their parents. A focus on overnight diabetes management strategies may facilitate psychologists' support of families in the adolescent's transition to independent diabetes management. Research is needed on the impact of optimizing sleep health in adolescents with T1D.

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支持健康睡眠:对 1 型糖尿病青少年及其父母的定性评估。
目的由于生理、社会心理和环境因素的综合影响,睡眠质量差在青少年时期很常见。患有 1 型糖尿病(T1D)的青少年可能会因为糖尿病及其管理的生理和行为方面的原因而增加睡眠质量差的风险。本文介绍了对患有 T1D 的青少年及其父母进行的访谈的定性分析,内容涉及睡眠健康的促进因素和障碍,以及平衡青少年睡眠与各种需求的家庭策略:分别对 20 名患 T1D 的青少年和 20 名家长进行了访谈。对访谈进行了录音和逐字记录,并进行了专题分析。参与者平均年龄(15.8 ± 1.2)岁,45%为女性,85%为非西班牙裔白人:结果:隔夜糖尿病管理是最常见的睡眠障碍。据报告,家庭在承担糖尿病夜间管理责任方面采取了不同的策略,这对睡眠产生了不同的影响。家庭努力平衡糖尿病管理和睡眠与青少年生活的其他方面,包括学校要求、社交活动和电子产品的使用。家庭确定的促进健康睡眠的因素包括糖尿病辅助技术和保持一致的睡眠/觉醒时间表。青少年和家长都认为,他们的糖尿病护理团队无法在睡眠健康方面提供帮助:结论:儿科心理学家应了解患有 T1D 的青少年及其父母所经历的特殊睡眠障碍。关注糖尿病夜间管理策略可能有助于心理学家在青少年过渡到独立管理糖尿病的过程中为其家庭提供支持。我们需要研究优化 T1D 青少年睡眠健康的影响。
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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Systematic review and meta-analysis of combined cognitive-behavioral therapy and physical activity and exercise interventions for pediatric chronic disease. Temporal summation of pain in sickle cell disease: comparison of adolescents and young adults with chronic vs. infrequent pain. Handling missing data in longitudinal clinical trials: three examples from the pediatric psychology literature. Insomnia severity and obesity mediated by health behaviors in adolescents. Supporting healthy sleep: a qualitative assessment of adolescents with type 1 diabetes and their parents.
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