Abstract
The purpose of the current study was to examine executive function (EF) in adolescents with type 1 diabetes using both performance-based and questionnaire measures in relation to diabetes indicators. Adolescents age 13–17 completed performance-based measures of EF and measures of adherence. Adolescents’ parents reported on adolescents’ EF and adherence. HbA1c and frequency of blood glucose monitoring (glucometer data) were obtained from adolescents’ medical records. None of the performance-based measures of EF were significantly associated with adherence or with HbA1c. Parent-reported problems with EF were associated with poorer adherence, and adolescents who scored in the impaired range of the Behavioral Regulation Index of EF had significantly poorer adherence (both parent-reported adherence and frequency of blood glucose monitoring) and higher HbA1c than those in the normal range. Our findings suggest that parent-reported measures of EF may be more strongly linked to diabetes indicators than performance-based measures.
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References
American Diabetes Association. (2018). Standards of medical care in diabetes-2018. Diabetes Care, 41, S1–S159.
Anderson, B., Storfer-Isser, A., Taylor, H. G., Rosen, C. L., & Redline, S. (2009). Associations of executive function with sleepiness and sleep duration in adolescents. Pediatrics, 123, e701–e707.
Bagner, D. M., Williams, L. B., Geffken, G. R., Silverstein, J. H., & Storch, E. A. (2007). Type 1 diabetes in youth: The relationship between adherence and executive function. Child Health Care, 36, 169–179.
Berg, C. A., Wiebe, D. J., Suchy, Y., Turner, S. L., Butner, J., Munion, A., et al. (2018). Executive function predicting longitudinal change in type 1 diabetes management during the transition to emerging adulthood. Diabetes Care, 41, 2281–2288.
Compas, B. E., Jaser, S. S., Reeslund, K., Patel, N., & Yarboi, J. (2017). Neurocognitive deficits in children with chronic health conditions. American Psychologist, 72, 326–338.
Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis–Kaplan executive function system (DKEFS). San Antonio, TX: Psychological Corporation.
Duke, D. C., & Harris, M. A. (2014). Executive function, adherence, and glycemic control in adolescents with type 1 diabetes: A literature review. Current Diabetes Reports, 14, 532.
Duke, D. C., Raymond, J. K., & Harris, M. A. (2014). The diabetes related executive functioning scale (DREFS): Pilot results. Child Health Care, 43, 327–344.
Gershon, R. C., Wagster, M. V., Hendrie, H. C., Fox, N. A., Cook, K. F., & Nowinski, C. J. (2013). NIH toolbox for assessment of neurological and behavioral function. Neurology, 8, 119–124.
Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Test review: Behavior rating inventory of executive function. Child Neuropsychology, 6, 235–238.
Goethals, E. R., de Wit, M., Van Broeck, N., Lemiere, J., Van Liefferinge, D., Bohler, S., et al. (2018). Child and parental executive functioning in type 1 diabetes: Their unique and interactive role toward treatment adherence and glycemic control. Pediatric Diabetes, 19, 520–526.
Guilfoyle, S. M., Crimmins, N. A., & Hood, K. K. (2011). Blood glucose monitoring and glycemic control in adolescents with type 1 diabetes: Meter downloads versus self-report. Pediatric Diabetes, 12, 560–566.
Jaser, S. S., Patel, N., Xu, M., Tamborlane, W. V., & Grey, M. (2016). Stress and coping predicts adjustment and glycemic control in adolescents with type 1 diabetes. Annals of Behavioral Medicine, 51, 30–38.
La Greca, A. (2004). Manual for the self care inventory. Miami, FL: University of Miami.
Lawrence, J. M., Standiford, D. A., Loots, B., Klingensmith, G. J., Williams, D. E., Ruggiero, A., et al. (2006). Prevalence and correlates of depressed mood among youth with diabetes: The SEARCH for diabetes in youth study. Pediatrics, 117, 1348–1358. https://doi.org/10.1542/peds.2005-1398
Limbers, C. A., & Young, D. (2015). Executive functions and consumption of fruits/vegetables and high saturated fat foods in young adults. Journal of Health Psychology, 20, 602–611. https://doi.org/10.1177/1359105315573470
Miller, K. M., Foster, N. C., Beck, R. W., Bergenstal, R. M., DuBose, S. N., DiMeglio, L. A., et al. (2015). Current State of type 1 diabetes treatment in the U.S.: Updated data from the T1D Exchange Clinic Registry. Diabetes Care, 38, 971–978.
Miller, M. M., Rohan, J. M., Delamater, A., Shroff-Pendley, J., Dolan, L. M., Reeves, G., et al. (2013). Changes in executive functioning and self-management in adolescents with type 1 diabetes: A growth curve analysis. Journal of Pediatric Psychology, 38, 18–29.
Mitchell, R. L. C., & Phillips, L. H. (2007). The psychological, neurochemical and functional neuroanatomical mediators of the effects of positive and negative mood on executive functions. Neuropsychologia, 45, 617–629.
Miyake, A., & Friedman, N. P. (2012). The nature and organization of individual differences in executive functions: Four general conclusions. Current Directions in Psychological Science, 21, 8–14.
Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000). The unity and diversity of executive functions and their contributions to complex “Frontal Lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100.
Patel, N. J., Savin, K. L., Kahanda, S. N., Malow, B. A., Williams, L. A., Lochbihler, G., et al. (2018). Sleep habits in adolescents with type 1 diabetes: Variability in sleep duration linked with glycemic control. Pediatric Diabetes, 19, 1100–1106.
Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51–87.
Sommerfield, A. J., Deary, I. J., & Frier, B. M. (2004). Acute hyperglycemia alters mood state and impairs cognitive performance in people with type 2 diabetes. Diabetes Care, 27, 2335–2340. https://doi.org/10.2337/diacare.27.10.2335
Suchy, Y., Turner, S. L., Queen, T. L., Durracio, K., Wiebe, D. J., Butner, J., et al. (2016). The relation of questionnaire and performance-based measures of executive functioning with type 1 diabetes outcomes among late adolescents. Health Psychology, 35, 661–669.
Toplak, M. E., West, R. F., & Stanovich, K. E. (2013). Practitioner review: Do performance-based measures and ratings of executive function assess the same construct? Journal of Child Psychology and Psychiatry, 54, 131–143.
Wasserman, R. M., Hilliard, M. E., Schwartz, D. D., & Anderson, B. J. (2015). Practical strategies to enhance executive functioning and strengthen diabetes management across the lifespan. Current Diabetes Reports, 15, 52.
Wechsler, D. (2014). Wechsler intelligence scale for children-fifth edition (WISC-V): Technical and interpretive manual. Bloomington, MN: Pearson Clinical Assessment.
Weintraub, S., Dikmen, S. S., Heaton, R. K., Tulsky, D. S., Zelazo, P. D., Bauer, P. J., et al. (2013). Cognition assessment using the NIH Toolbox. Neurology, 80, S54–S64.
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This research was supported by a grant from the National Institute of Diabetes and Digestive and Kidney Diseases (DP3DK097678-01S1).
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Emily R. Hamburger, Morgan Lyttle, Bruce E. Compas and Sarah S. Jaser declare that they have no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. This article does not contain any studies with animals performed by any of the authors.
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Hamburger, E.R., Lyttle, M., Compas, B.E. et al. Performance-based and questionnaire measures of executive function in adolescents with type 1 diabetes. J Behav Med 42, 1041–1049 (2019). https://doi.org/10.1007/s10865-019-00027-2
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DOI: https://doi.org/10.1007/s10865-019-00027-2