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Performance-based and questionnaire measures of executive function in adolescents with type 1 diabetes

  • Emily R. Hamburger
  • Morgan Lyttle
  • Bruce E. Compas
  • Sarah S. JaserEmail author
Article
  • 36 Downloads

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.

Keywords

Adherence Adolescents Executive function Diabetes management Type 1 diabetes mellitus 

Notes

Acknowledgements

This research was supported by a grant from the National Institute of Diabetes and Digestive and Kidney Diseases (DP3DK097678-01S1).

Compliance with ethical standards

Conflict of interest

Emily R. Hamburger, Morgan Lyttle, Bruce E. Compas and Sarah S. Jaser declare that they have no conflict of interest.

Human and animal rights and informed consent

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.

References

  1. American Diabetes Association. (2018). Standards of medical care in diabetes-2018. Diabetes Care, 41, S1–S159.CrossRefGoogle Scholar
  2. 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.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis–Kaplan executive function system (DKEFS). San Antonio, TX: Psychological Corporation.Google Scholar
  7. 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.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.Google Scholar
  10. 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.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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.Google Scholar
  13. 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.CrossRefGoogle Scholar
  14. La Greca, A. (2004). Manual for the self care inventory. Miami, FL: University of Miami.Google Scholar
  15. 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 CrossRefGoogle Scholar
  16. 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 CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51–87.CrossRefGoogle Scholar
  24. 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 CrossRefGoogle Scholar
  25. 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.CrossRefGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.CrossRefGoogle Scholar
  28. Wechsler, D. (2014). Wechsler intelligence scale for children-fifth edition (WISC-V): Technical and interpretive manual. Bloomington, MN: Pearson Clinical Assessment.Google Scholar
  29. 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.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PediatricsVanderbilt University Medical CenterNashvilleUSA
  2. 2.Department of Psychology and Human DevelopmentVanderbilt UniversityNashvilleUSA

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