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- Rassart, Jessica (author)
Illness identity and adjusting to type I diabetes: A four-wave longitudinal study.
- Article/chapterEnglish2021
Publisher, publication year, extent ...
- 2021-05
- American Psychological Association (APA),2021
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- LIBRIS-ID:oai:gup.ub.gu.se/305703
- https://gup.ub.gu.se/publication/305703URI
- https://doi.org/10.1037/hea0001063DOI
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- Language:English
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- Prior research has linked illness identity-or the extent to which the illness is integrated into one's identity-to diabetes-specific functioning. Four illness identity dimensions have been identified: rejection, acceptance, engulfment, and enrichment. As longitudinal research on this topic is scarce, this study examined developmental trajectories of illness identity and prospective associations between illness identity and diabetes-specific functioning.Adolescents and emerging adults with Type I diabetes, aged 14 to 25 (Mage = 19; 54% girls), participated in a four-wave longitudinal study spanning 3 years (N = 559 at Time 1). Participants filled out questionnaires on illness identity, treatment adherence, and diabetes-specific distress. Hemoglobin A1c (HbA1c) values were obtained from participants' medical records. To chart the development of illness identity over time, we performed latent growth curve modeling. Cross-lagged analysis was used to examine prospective associations between illness identity and diabetes-specific functioning.We observed small linear increases in acceptance (Mslope = .05, p < .01) and engulfment (Mslope = .03, p < .05) and a small linear decrease in rejection (Mslope = -.08, p < .001) across waves (with scale scores ranging between 1 and 5). Rejection negatively predicted and enrichment positively predicted treatment adherence 1 year later, which, in turn, positively predicted enrichment and negatively predicted engulfment over time. Furthermore, rejection and engulfment positively predicted diabetes-specific distress 1 year later. Finally, diabetes-specific distress and HbA1c positively predicted engulfment 1 year later. Standardized cross-lagged coefficients ranged between |.05| and |.11|.We identified small but interesting changes in three out of four illness identity dimensions. Prospective associations between illness identity and diabetes-specific functioning were bidirectional in nature. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Subject headings and genre
- SAMHÄLLSVETENSKAP Psykologi hsv//swe
- SOCIAL SCIENCES Psychology hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
Added entries (persons, corporate bodies, meetings, titles ...)
- Oris, Leen (author)
- Prikken, Sofie (author)
- Goethals, Eveline R (author)
- Raymaekers, Koen (author)
- Weets, Ilse (author)
- Moons, Philip,1968Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xmooph (author)
- Luyckx, Koen (author)
- Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)
Related titles
- In:Health psychology : official journal of the Division of Health Psychology, American Psychological Association: American Psychological Association (APA)40:5, s. 326-3361930-7810
- In:Health Psychology: American Psychological Association (APA)40:5, s. 326-3360278-6133
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