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Memory matters II: Predictors of self -care behaviors in young adults with type 1 diabetes.

机译:记忆问题二:1型糖尿病青年人自我保健行为的预测因子。

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摘要

Type 1 diabetes and associated hypoglycemia can result in verbal memory difficulties, yet the role of memory in daily diabetes self-care has not been evaluated for young adults. Subtests from two well-standardized memory measures were administered to 34 young adults with type 1 diabetes, aged 18--29, in this pilot study. Self-care behaviors were assessed through 24-hour diabetes care interviews, while HbA1c indicated metabolic control. Verbal associative memory uniquely accounted for 12% of the variance in blood glucose testing frequency (p < .05) and combined with socioeconomic status (SES) and intellectual ability, accounted for 28% of the variance, p < .05. Quantitative verbal memory accounted for 20% of the variance in total calories consumed for individuals on a diabetes-related diet (p < .05), although the overall model with SES, intellectual ability, and quantitative memory was at a trend level, p = .06. Single-trial verbal memory uniquely predicted 10% of the variance in metabolic control (p < .05) and along with SES and intellectual ability, predicted 32% of the variance, p < .05. Importantly, memory was the only significant predictor in each model, which indicates memory, rather than overall cognitive capacity or financial/educational resources, relates to self-care behaviors/health status. Memory, a novel factor not previously evaluated in the quest to better understand daily disease management for young adults with diabetes, is significantly related to central self-care behaviors and metabolic control. Memory predictors likely warrant additional research and clinical attention such that eventually, intervention studies might identify strategies or compensatory aids that could improve young adults' self-care behaviors and health status through facilitating better memory functioning.
机译:1型糖尿病和相关的低血糖症可能导致口头记忆困难,但尚未评估年轻人在日常糖尿病自我护理中的记忆作用。在这项初步研究中,对34位年龄在18--29岁的1型糖尿病年轻人进行了两项标准化的记忆测验的子测试。通过24小时糖尿病护理访谈对自我护理行为进行了评估,而HbA1c则表明了代谢控制。言语联想记忆独特地占血糖测试频率方差的12%(p <.05),并结合社会经济地位(SES)和智力,占方差28%,p <.05。尽管具有SES,智力和定量记忆的总体模型处于趋势水平,但定量言语记忆占个体与糖尿病相关饮食消耗的总卡路里变化的20%(p <.05)。 .06。单项口头记忆唯一地预测了代谢控制中10%的方差(p <.05),以及SES和智力,预测了32%的方差,p <.05。重要的是,记忆是每个模型中唯一重要的预测指标,它表明记忆而不是整体认知能力或财力/教育资源与自我护理行为/健康状况有关。记忆力是以前在寻求更好地了解糖尿病年轻人的日常疾病管理过程中未评估的新因素,它与中枢自我护理行为和代谢控制显着相关。记忆预测因子可能需要更多的研究和临床关注,因此,干预研究最终可能会确定策略或补偿性辅助手段,这些手段或补偿手段可通过促进更好的记忆功能来改善年轻人的自我保健行为和健康状况。

著录项

  • 作者

    Soutor, Sari A.;

  • 作者单位

    Virginia Commonwealth University.;

  • 授予单位 Virginia Commonwealth University.;
  • 学科 Clinical psychology.;Cognitive psychology.;Developmental psychology.
  • 学位 Ph.D.
  • 年度 2004
  • 页码 82 p.
  • 总页数 82
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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