The association of environmental mastery and diabetes distress among young adults with type 1 diabetes
Authors' conclusion
Greater EM was associated with lower DD. Reducing DD in young adults with T1D may require a better understanding of the developmental processes that lead to a sense of global mastery.
Study context
- Population
- Young adults (19–31 years) with T1D receiving care at a speciality clinic in New York City, 2017; mean age 24.5 years, 59% female, 70% Non-Hispanic White416 with complete data
- Participants
- 423 adults
- Exposure
- Association of environmental mastery with diabetes distress
- Outcome
- Association between EM score (7-item Ryff scale) and DD score (17-item Diabetes Distress Scale), adjusted for HbA1c and sociodemographic and clinical covariates
Methodological detailsonline survey, single specialty clinic, Response rate 423 of 743 (57%)
- Online survey
- Single specialty clinic
- Response rate 423 of 743 (57%)
Main finding
As reported in the abstract
Covariate-adjusted DD score per 1 SD increase in EM score
Decrease in covariate-adjusted diabetes distress (DD) score per 1 SD increase in environmental mastery (EM) score
0.51 SD
95% CI 0.43, 0.59
Mean EM score
33.5 ± 8.7
Mean DD score
2.3 ± 1.0
Observational data: associations, not effects.
Further findings
EM–DD association by HbA1c target range (<53 mmol/mol [<7.0%] vs not in target)
- Inverse association between EM and DD of similar magnitude in those with HbA1c in and not in the target range
Original publication
The association of environmental mastery and diabetes distress among young adults with type 1 diabetes. Diabet Med. Published 9 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →