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The relationship between religious/spiritual (R/S) factors and adolescent health outcomes has been studied for decades; however,
the R/S measurement tools used may not be developmentally relevant for adolescents. A systematic literature review was conducted
to review and evaluate trends in measuring R/S in adolescent health outcomes research. In this review a total of 100 articles
met criteria for inclusion. Relatively few (n = 15) included adolescent-specific R/S measures or items accounting for developmentally relevant issues such as parental
religiosity or age-appropriate language. Future R/S and health research with adolescents would be strengthened by incorporating
developmentally relevant R/S measurement tools, psychometrics, and multidimensional measures. 相似文献
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Objective: Most adolescents and young adults (AYAs) with type 1 diabetes struggle with diabetes self-management and exhibit suboptimal glycemic control. This study examined two models of association between illness representations, a modifiable predictor of suboptimal outcomes, and adherence and glycemic control in AYAs with type 1 diabetes.Design and main outcome measures: Ninety-nine AYAs (ages 15–20?years) completed measures of illness representations and adherence at two visits. Blood glucose monitoring frequency and haemoglobin A1c were obtained via chart review. Relationships were examined using structural equation modelling.Results: Illness representations accounted for a significant proportion of the variance in blood glucose monitoring frequency (ΔR2?=?.23, p?<?.01) and adherence to emergency precautions at Time 1 (ΔR2?=?.07, p?=?.03). Illness representations also accounted for significant variance in blood glucose monitoring frequency (ΔR2?=?.08, p?=?.01), adherence to recommendations for insulin and food (ΔR2?=?.08, p?=?.02) and exercise (ΔR2?=?.10, p?<?.01), and adherence to emergency precautions (ΔR2?=?.16, p?<?.01) at Time 2.Conclusion: Illness representations are salient predictors of adherence in this population. Interventions targeting adherence promotion and glycemic control in AYAs with type 1 diabetes may be enhanced by efforts to modify illness representations. 相似文献
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McGrady ME Cotton S Rosenthal SL Roberts YH Britto M Yi MS 《Journal of clinical psychology in medical settings》2010,17(4):349-356
Twenty to 40% of adolescents with asthma experience significant symptoms of anxiety. This study examined the mediational role
of illness perceptions in the relationship between anxiety and asthma symptoms in adolescents. One hundred fifty-one urban
adolescents (ages 11–18) with asthma completed measures of illness perceptions, and anxiety and asthma symptoms. Using the
Baron and Kenny approach and Sobel tests, we examined whether illness perceptions mediated the anxiety-asthma symptom relationship.
Three illness perceptions significantly mediated the relationship between anxiety and asthma symptoms, z = 1.97–2.13, p < .05; adjusted R
2 = 0.42–0.51, p < .05. Greater anxiety symptoms were associated with perceptions that asthma negatively impacted one’s life and emotions
and was difficult to control. These negative illness perceptions were, in turn, related to greater asthma symptoms. Illness
perceptions helped explain the anxiety-asthma symptoms link in adolescents. Results suggest that targeting illness perceptions
in adolescents with asthma and anxiety may help reduce asthma symptoms. 相似文献
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Cotton S Weekes JC McGrady ME Rosenthal SL Yi MS Pargament K Succop P Roberts YH Tsevat J 《Journal of religion and health》2012,51(1):118-131
Predictors of multiple dimensions of spirituality/religiosity (S/R) and adolescents’ preferences for having S/R (e.g., prayer)
addressed in hypothetical medical settings were assessed in a sample of urban adolescents with asthma. Of the 151 adolescents
(mean age = 15.8, 60% female, 85% African-American), 81% said that they were religious and spiritual, 58% attended religious
services in the past month, and 49% prayed daily. In multivariable models, African-American race/ethnicity and having a religious
preference were associated with higher levels of S/R (R
2 = 0.07–0.25, P < .05). Adolescents’ preferences for including S/R in the medical setting increased with the severity of the clinical situation
(P < .05). 相似文献
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