Evidence map›Paper›PMID 31043453›Full record

Trial reportPediatrics2019

Diabetes-Related Emotional Distress Over Time.

Esti Iturralde, Joseph R Rausch, Jill Weissberg-Benchell, Korey K Hood

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 57 citations in OpenAlex.

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  10. The Interrelationship of Diabetes Distress and Glycemic Outcomes Over Time in Adolescents With Type 1 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Esti IturraldeDepartment of Pediatrics, Stanford University School of Medicine, Stanford University, Stanford, California.
Joseph R RauschCenter for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Jill Weissberg-BenchellDepartment of Psychiatry and Behavioral Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Korey K HoodDepartment of Pediatrics, Stanford University School of Medicine, Stanford University, Stanford, California; kkhood@stanford.edu.
Stanford University · USLurie Children's Hospital · USNationwide Children's Hospital · US

Funding

Resilience Promotion in Teens with Type 1 Diabetes: Preventing Negative OutcomesR01DK090030 · NIDDK · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI HOOD, KOREY K, WEISSBERG-BENCHELL, JILL · 2011 to 2015
$3.2M
NIDDK NIH HHS R01 DK090030
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMany adolescents with type 1 diabetes experience diabetes-related distress (DRD; the negative emotional reactions specific to managing diabetes), but most research on DRD among adolescents relies on cross-sectional data. We assess adolescents' longitudinal DRD patterns and predictors of chronic DRD.

methodsThis secondary analysis of data from a depression prevention clinical trial included 264 adolescents with type 1 diabetes randomly assigned to a resilience or education intervention (mean age: 15.7 ± 1.1 years; 59.8% female). Youth reported their DRD at 5 assessments over 16 months. Using latent class growth analysis, we classified adolescents into trajectory groups according to baseline starting point (intercept) and rate of change (slope) of DRD. We examined bivariate associations between trajectory group membership and demographic and clinical factors. Baseline predictors of chronic DRD were assessed via multiple logistic regression.

resultsParticipants were classified into 4 groups: stable high DRD (7.2%; high intercept, flat slope), stable moderate DRD (28.0%; above-average intercept, flat slope), improving DRD (33.7%; average intercept, downward slope), and low DRD (31.1%; below-average intercept, downward slope). Lower hemoglobin A1c, greater adherence, fewer socioemotional difficulties, and more adaptive coping distinguished the improving and low DRD trajectories. Chronic DRD patterns were associated with female sex and higher depressive symptoms and hemoglobin A1c.

conclusionsIn this study of adolescents' DRD trajectories during and after a psychoeducational intervention, one-third of youth were classified as having chronic, elevated DRD. Links with multiple clinical factors support efforts for routine DRD screening and comprehensive interventions for distressed youth.

Indexed as

EmotionsAdolescentCross-Sectional StudiesDepressionDiabetes Mellitus, Type 1FemaleHumansLongitudinal StudiesMaleStress, PsychologicalTime Factors

Identifiers

PMID31043453
PMCPMC6564058
OpenAlexW2942827959

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.