Journal of Contextual Behavioral Science (JCBS)
Volume 19, January 2021, Pages 50-56
Authors
Alho Iina, Joro Mirka, Juntunen Laura, Muotka Joona, Lappalainen Raimo
Abstract
This study investigates the role of psychological flexibility in relation to glycaemic control (HbA1c) and quality of life among adolescents with poorly-controlled diabetes. Adolescents (n = 65, aged 12–16 years) completed the Children and Adolescents Mindfulness Measure (CAMM), the Diabetes Acceptance and Action Scale for Children and Adolescents (DAAS), the Depression Scale (RBDI), and the Health-Related Quality of Life Scale (KINDL-R). HbA1c values were collected from medical records. A higher level of psychological flexibility was associated with better glycaemic control, better quality of life, and lower levels of depressive and anxiety symptoms. Mediation analysis showed that diabetes-related psychological flexibility mediated the relationship between glycaemic control and depressive symptoms as well as quality of life. The observations in the current study support the view that adolescents with type 1 diabetes would benefit from training their psychological flexibility skills.