Relationships Among Adverse Childhood Experiences, Delay Discounting, Impulsivity, and Diabetes Self-Management

Lindsey M. Shain; Mai Nguyen; Amy L. Meadows

doi:10.1037/hea0001209

Relationships Among Adverse Childhood Experiences, Delay Discounting, Impulsivity, and Diabetes Self-Management

Lindsey M. Shain, Mai Nguyen, Amy L. Meadows

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: Adverse childhood experiences (ACEs) have been linked to risky health behaviors, as well as the development of chronic health conditions such as both type 1 and type 2 diabetes mellitus. A connection between ACEs and diabetes self-management has not yet been established. The current study aims to investigate the relationships among ACEs, delay discounting, impulsivity, and diabetes self-management. Method: A total of 227 adults aged 18 to 77 with type 1 diabetes, type 2 diabetes, and prediabetes were recruited to complete an online survey via Amazon’s mechanical Turk. Participants completed validated measures of diabetes self-care, delay discounting, and impulsivity, as well as questions regarding diabetes history and financial strain. Results: In the overall sample and controlling for financial strain, increased number of ACEs was significantly associated with poorer diabetes management (r = -.15, p <.05). Higher delay discounting was associated with fewer ACEs (r = -.31, p <.05) and better diabetes care (r =.42, p <.01), as well as increased number of diabetes-related complications (r =.33, p <.01), controlling for financial strain. Participants who use insulin to manage their diabetes had significantly better diabetes self-care scores (t(225) = 8.19, p <.01), higher levels of delay discounting (t(101) = 3.15, p <.01), and fewer reported ACEs (t(224) = -2.19, p,.05). Conclusions: ACEs are associated with poorer diabetes self-management later in life.

Original language	English
Pages (from-to)	566-571
Number of pages	6
Journal	Health Psychology
Volume	41
Issue number	8
DOIs	https://doi.org/10.1037/hea0001209
State	Published - 2022

Bibliographical note

Funding Information:
This project was supported by the University of Kentucky Scientist-Clinician (Scholar) Career Development Program and the National Institutes of Health National Center for Advancing Translational Sciences through Grant UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no known conflict of interest to disclose.

Publisher Copyright:
© 2022. American Psychological Association

Keywords

Adherence
Adverse childhood experiences
Diabetes
Impulsivity

ASJC Scopus subject areas

Applied Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1037/hea0001209

Cite this

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title = "Relationships Among Adverse Childhood Experiences, Delay Discounting, Impulsivity, and Diabetes Self-Management",

abstract = "Objective: Adverse childhood experiences (ACEs) have been linked to risky health behaviors, as well as the development of chronic health conditions such as both type 1 and type 2 diabetes mellitus. A connection between ACEs and diabetes self-management has not yet been established. The current study aims to investigate the relationships among ACEs, delay discounting, impulsivity, and diabetes self-management. Method: A total of 227 adults aged 18 to 77 with type 1 diabetes, type 2 diabetes, and prediabetes were recruited to complete an online survey via Amazon{\textquoteright}s mechanical Turk. Participants completed validated measures of diabetes self-care, delay discounting, and impulsivity, as well as questions regarding diabetes history and financial strain. Results: In the overall sample and controlling for financial strain, increased number of ACEs was significantly associated with poorer diabetes management (r = -.15, p <.05). Higher delay discounting was associated with fewer ACEs (r = -.31, p <.05) and better diabetes care (r =.42, p <.01), as well as increased number of diabetes-related complications (r =.33, p <.01), controlling for financial strain. Participants who use insulin to manage their diabetes had significantly better diabetes self-care scores (t(225) = 8.19, p <.01), higher levels of delay discounting (t(101) = 3.15, p <.01), and fewer reported ACEs (t(224) = -2.19, p,.05). Conclusions: ACEs are associated with poorer diabetes self-management later in life.",

keywords = "Adherence, Adverse childhood experiences, Diabetes, Impulsivity",

author = "Shain, {Lindsey M.} and Mai Nguyen and Meadows, {Amy L.}",

note = "Funding Information: This project was supported by the University of Kentucky Scientist-Clinician (Scholar) Career Development Program and the National Institutes of Health National Center for Advancing Translational Sciences through Grant UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no known conflict of interest to disclose. Publisher Copyright: {\textcopyright} 2022. American Psychological Association",

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doi = "10.1037/hea0001209",

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volume = "41",

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T1 - Relationships Among Adverse Childhood Experiences, Delay Discounting, Impulsivity, and Diabetes Self-Management

AU - Shain, Lindsey M.

AU - Nguyen, Mai

AU - Meadows, Amy L.

N1 - Funding Information: This project was supported by the University of Kentucky Scientist-Clinician (Scholar) Career Development Program and the National Institutes of Health National Center for Advancing Translational Sciences through Grant UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no known conflict of interest to disclose. Publisher Copyright: © 2022. American Psychological Association

PY - 2022

Y1 - 2022

N2 - Objective: Adverse childhood experiences (ACEs) have been linked to risky health behaviors, as well as the development of chronic health conditions such as both type 1 and type 2 diabetes mellitus. A connection between ACEs and diabetes self-management has not yet been established. The current study aims to investigate the relationships among ACEs, delay discounting, impulsivity, and diabetes self-management. Method: A total of 227 adults aged 18 to 77 with type 1 diabetes, type 2 diabetes, and prediabetes were recruited to complete an online survey via Amazon’s mechanical Turk. Participants completed validated measures of diabetes self-care, delay discounting, and impulsivity, as well as questions regarding diabetes history and financial strain. Results: In the overall sample and controlling for financial strain, increased number of ACEs was significantly associated with poorer diabetes management (r = -.15, p <.05). Higher delay discounting was associated with fewer ACEs (r = -.31, p <.05) and better diabetes care (r =.42, p <.01), as well as increased number of diabetes-related complications (r =.33, p <.01), controlling for financial strain. Participants who use insulin to manage their diabetes had significantly better diabetes self-care scores (t(225) = 8.19, p <.01), higher levels of delay discounting (t(101) = 3.15, p <.01), and fewer reported ACEs (t(224) = -2.19, p,.05). Conclusions: ACEs are associated with poorer diabetes self-management later in life.

AB - Objective: Adverse childhood experiences (ACEs) have been linked to risky health behaviors, as well as the development of chronic health conditions such as both type 1 and type 2 diabetes mellitus. A connection between ACEs and diabetes self-management has not yet been established. The current study aims to investigate the relationships among ACEs, delay discounting, impulsivity, and diabetes self-management. Method: A total of 227 adults aged 18 to 77 with type 1 diabetes, type 2 diabetes, and prediabetes were recruited to complete an online survey via Amazon’s mechanical Turk. Participants completed validated measures of diabetes self-care, delay discounting, and impulsivity, as well as questions regarding diabetes history and financial strain. Results: In the overall sample and controlling for financial strain, increased number of ACEs was significantly associated with poorer diabetes management (r = -.15, p <.05). Higher delay discounting was associated with fewer ACEs (r = -.31, p <.05) and better diabetes care (r =.42, p <.01), as well as increased number of diabetes-related complications (r =.33, p <.01), controlling for financial strain. Participants who use insulin to manage their diabetes had significantly better diabetes self-care scores (t(225) = 8.19, p <.01), higher levels of delay discounting (t(101) = 3.15, p <.01), and fewer reported ACEs (t(224) = -2.19, p,.05). Conclusions: ACEs are associated with poorer diabetes self-management later in life.

KW - Adherence

KW - Adverse childhood experiences

KW - Diabetes

KW - Impulsivity

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Relationships Among Adverse Childhood Experiences, Delay Discounting, Impulsivity, and Diabetes Self-Management

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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