ABSTRACT

Peer victimization (PV) is linked with glycemic deviations among youth with type 1 diabetes (T1D). The role of social self-efficacy remains understudied. We examined social self-efficacy as a mediator in the relation between PV and hemoglobin A1c (HbA1c), and as a mediator in the relation between PV and physical activity. Participants were 198 youth (M(SD) age = 13.82 (2.70)) with T1D. A serial mediation model demonstrated social self-efficacy and diabetes embarrassment mediated the relation between PV and HbA1c. Social self-efficacy mediated the relation between PV and physical activity. Providers should consider physical activity and social adjustment when evaluating youths’ treatment adherence.

摘要

同伴受害 (PV) 与 1 型糖尿病 (T1D) 青少年的血糖偏差有关。社会自我效能感的作用仍未得到充分研究。我们研究了社会自我效能感作为 PV 和糖化血红蛋白 (HbA1c) 之间关系的中介因素，以及作为 PV 和体力活动之间关系的中介因素。参与者为 198 名患有 T1D 的青少年（M ( SD ) 年龄 = 13.82 (2.70)）。系列中介模型证明了社会自我效能感和糖尿病尴尬介导了 PV 和 HbA1c 之间的关系。社会自我效能感介导了PV和体力活动之间的关系。在评估青少年的治疗依从性时，提供者应考虑身体活动和社会适应。