This study investigates the role of psychological flexibility in relation to glycaemic control (HbA1c) and quality of life among adolescents with poorly-controlled diabetes. Adolescents (n = 65, aged 12–16 years) completed the Children and Adolescents Mindfulness Measure (CAMM), the Diabetes Acceptance and Action Scale for Children and Adolescents (DAAS), the Depression Scale (RBDI), and the Health-Related Quality of Life Scale (KINDL-R). HbA1c values were collected from medical records. A higher level of psychological flexibility was associated with better glycaemic control, better quality of life, and lower levels of depressive and anxiety symptoms. Mediation analysis showed that diabetes-related psychological flexibility mediated the relationship between glycaemic control and depressive symptoms as well as quality of life. The observations in the current study support the view that adolescents with type 1 diabetes would benefit from training their psychological flexibility skills.

这项研究调查了在糖尿病控制不佳的青少年中，心理灵活性与血糖控制（HbA1c）和生活质量之间的关系。青少年（n = 65，年龄在12-16岁之间）完成了《儿童和青少年正念测度》（CAMM），儿童和青少年的糖尿病接受和行动量表（DAAS），抑郁量表（RBDI）以及与健康相关的质量生活量表（KINDL-R）。HbA1c值是从医疗记录中收集的。心理柔韧性越高，血糖控制越好，生活质量越好，抑郁和焦虑症状的水平越低。调解分析表明，糖尿病相关的心理柔韧性介导了血糖控制与抑郁症状以及生活质量之间的关系。