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Diabetes Resilience: A Model of Risk and Protection in Type 1 Diabetes

  • Psychosocial Aspects (K Hood, Section Editor)
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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.

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Disclosure

Conflicts of interest: M.E. Hilliard, none; M.A. Harris, none; J. Weissberg-Benchell has been paid by Roche Diagnostics to give lectures at a variety of diabetes conferences on the topics of adaptation and coping with diabetes and with technology, has also coauthored a book on transitioning from pediatric to adult care for ADA, and receives occasional royalty checks from the American Diabetes Association.

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Authors and Affiliations

  1. Johns Hopkins Adherence Research Center, Johns Hopkins University School of Medicine, 5501 Hopkins Bayview Circle, JHAAC 3B.24, Baltimore, MD, 21224, USA

    Marisa E. Hilliard

  2. Child Development and Rehabilitation Center, Oregon Health and Science University, Portland, OR, 97239, USA

    Michael A. Harris

  3. Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern University’s Feinberg School of Medicine, Chicago, IL, 60611, USA

    Jill Weissberg-Benchell

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  1. Marisa E. Hilliard
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  2. Michael A. Harris
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  3. Jill Weissberg-Benchell
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Correspondence to Marisa E. Hilliard.

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Hilliard, M.E., Harris, M.A. & Weissberg-Benchell, J. Diabetes Resilience: A Model of Risk and Protection in Type 1 Diabetes. Curr Diab Rep 12, 739–748 (2012). https://doi.org/10.1007/s11892-012-0314-3

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