{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:07:20Z","timestamp":1788890840494,"version":"build-2803163510"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":126,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK121316"],"award-info":[{"award-number":["R01DK121316"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescents with type 1 diabetes (T1D) often face challenges with diabetes management and experience diabetes distress related to the burden of treatment. Positive affect, including feelings of enthusiasm, joy, and engagement, may play a role in improving health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to identify demographic and clinical factors associated with positive affect in adolescents with T1D and assess the impact of adolescents\u2019 positive affect on glycemic outcomes and quality of life over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The current study is a longitudinal analysis of data from a multisite randomized controlled trial. Adolescents\u2019 self-reported positive affect was analyzed in relation to demographic variables, clinical outcomes, and diabetes-related quality of life over a 12-month period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In our sample of 196 adolescents with T1D, greater adolescent age was significantly associated with lower levels of positive affect. Importantly, positive affect was associated with lower HbA1c and higher quality of life over 12\u2009months, after adjusting for baseline levels and demographic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that positive affect may be a protective factor for adolescents with T1D, underscoring the potential for incorporating approaches that induce positive affect as a way to improve diabetes management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaag023","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T11:43:54Z","timestamp":1776858234000},"source":"Crossref","is-referenced-by-count":0,"title":["Positive affect predicts enhanced quality of life and glycemic outcomes in adolescents with type 1 diabetes"],"prefix":"10.1093","volume":"60","author":[{"given":"Maya","family":"Jayaram","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University Medical Center , Nashville, TN 37232,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charity","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University Medical Center , Nashville, TN 37232,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kashope","family":"Anifowoshe","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University Medical Center , Nashville, TN 37232,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University Medical Center , Nashville, TN 37232,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7958-7662","authenticated-orcid":false,"given":"Sarah S","family":"Jaser","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University Medical Center , Nashville, TN 37232,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"2026090813170169000_kaag023-B1","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/S2213-8587(23)00025-6","article-title":"Trends in incidence of youth-onset type 1 and type 2 diabetes in the USA, 2002-18: results from the population-based SEARCH for diabetes in youth study","volume":"11","author":"Wagenknecht","year":"2023","journal-title":"Lancet Diabetes Endocrinol"},{"key":"2026090813170169000_kaag023-B2","doi-asserted-by":"crossref","first-page":"S283","DOI":"10.2337\/dc25-S014","article-title":"14. 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