ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2022
Relationships among adverse childhood experiences, delay discounting, impulsivity, and diabetes self-management.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.
- Relationship Between Delay Discounting and Clinical Diabetes Outcomes: A Systematic Review.Journal of general internal medicine · 2024Pooled it
- The relationship between pre-incarceration related social determinants and glycaemic control in African Americans with criminal legal involvement and type 2 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Intertemporal Decision-Making Ability in Patients with Chronic Diseases: A Concept Analysis.Patient preference and adherence · 2026Review
- Mediating Role of Delay Discounting in the Link Between Depressive Symptoms and Diabetes Onset: Findings from a Prospective Survey of a Community Sample.International journal of behavioral medicine · 2025Article
- Time and risk preferences and the perceived effectiveness of incentives to comply with diabetic retinopathy screening among older adults with type 2 diabetes.Frontiers in psychology · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveAdverse childhood experiences (ACEs) have been linked to risky health behaviors, as well as the development of chronic health conditions such as both type 1 and type 2 diabetes mellitus. A connection between ACEs and diabetes self-management has not yet been established. The current study aims to investigate the relationships among ACEs, delay discounting, impulsivity, and diabetes self-management.
methodA total of 227 adults aged 18 to 77 with type 1 diabetes, type 2 diabetes, and prediabetes were recruited to complete an online survey via Amazon's mechanical Turk. Participants completed validated measures of diabetes self-care, delay discounting, and impulsivity, as well as questions regarding diabetes history and financial strain.
resultsIn the overall sample and controlling for financial strain, increased number of ACEs was significantly associated with poorer diabetes management (r = -.15, p < .05). Higher delay discounting was associated with fewer ACEs (r = -.31, p < .05) and better diabetes care (r = .42, p < .01), as well as increased number of diabetes-related complications (r = .33, p < .01), controlling for financial strain. Participants who use insulin to manage their diabetes had significantly better diabetes self-care scores (t(225) = 8.19, p < .01), higher levels of delay discounting (t(101) = 3.15, p < .01), and fewer reported ACEs (t(224) = -2.19, p < .05).
conclusionsACEs are associated with poorer diabetes self-management later in life. This may be an important consideration for clinicians treating patients with diabetes and prediabetes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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