# Diabetes-related posttraumatic stress symptoms, resilience, and illness management among adolescents and young adults with type 1 diabetes: an exploratory study

## TL;DR

This study explores how diabetes-related trauma symptoms affect mental health and diabetes management in young people with type 1 diabetes.

## Contribution

The study is the first to explore diabetes-related posttraumatic stress symptoms in adolescents and young adults with type 1 diabetes.

## Key findings

- Higher diabetes-related PTSS is linked to increased depression, anxiety, and diabetes-related distress.
- PTSS severity is associated with lower resilience and worse mental health outcomes.
- Most participants had HbA1c levels above the recommended threshold, indicating poor diabetes control.

## Abstract

This study examined relationships between diabetes-related posttraumatic stress symptoms (PTSS) and depression, anxiety, resilience, Hemoglobin A1c (HbA1c), self-care behaviors, and diabetes-related distress among adolescents and young adults (AYA) with type 1 diabetes, a group navigating critical developmental transitions.

Fifty AYA, aged 14–25, from a pediatric diabetes unit of an urban academic medical center participated. Diabetes-related PTSS, mental health, resilience, and diabetes self-care were assessed using validated scales. Statistical analyses examined associations and predicted likelihoods of mental health difficulties based on PTSS severity.

The average HbA1c was 8.36% (SD = 1.76), with 74% exceeding the recommended level. About 30% exhibited clinically relevant diabetes-related PTSS. PTSS was positively correlated with depression (r = 0.367, p = 0.009), anxiety (r = 0.435, p = 0.002), and diabetes-related distress (r = 0.436, p = 0.002), and negatively correlated with resilience (r = -0.330, p = 0.019). Higher PTSS severity increased the odds of depression (OR = 1.08, p = 0.022) and anxiety (OR = 1.09, p = 0.009), while reducing resilience (OR = 0.931, p = 0.034).

Addressing both psychological and physical aspects of diabetes is essential. Integrating trauma-informed care and PTSS screening into routine management may improve outcomes and better support AYA during transitions. Given the study’s small sample and cross-sectional design, future longitudinal research is needed to confirm these findings.