Diabetes resilience: A model of risk and protection in type 1 diabetes

Marisa E. Hilliard, Michael A. Harris, Jill Weissberg-Benchell

Research output: Contribution to journalReview article

71 Scopus citations

Abstract

Declining diabetes management and control are common as children progress through adolescence, yet many youths with diabetes do remarkably well. Risk factors for poor diabetes outcomes are well-researched, but fewer data describe processes that lead to positive outcomes such as engaging in effective diabetes self-management, experiencing high quality of life, and achieving in-range glycemic control. Resilience theory posits that protective processes buffer the impact of risk factors on an individual's development and functioning. We review recent conceptualizations of resilience theory in the context of type 1 diabetes management and control and present a theoretical model of pediatric diabetes resilience. Applications to clinical care and research include the development of preventive interventions to build or strengthen protective skills and processes related to diabetes and its management. The ultimate goal is to equip youths with diabetes and their families with the tools to promote both behavioral and health-related resilience in diabetes.

Original languageEnglish (US)
Pages (from-to)739-748
Number of pages10
JournalCurrent diabetes reports
Volume12
Issue number6
DOIs
StatePublished - Dec 1 2012

Keywords

  • Adherence
  • Diabetes
  • Glycemic control
  • Protection
  • Quality of life
  • Resilience
  • Risk

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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