{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:40:04Z","timestamp":1790959204827,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T00:00:00Z","timestamp":1752883200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["K23NR019911"],"award-info":[{"award-number":["K23NR019911"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this secondary data analysis is to examine associations among dispositional gratitude and psychosocial and glycemic outcomes in adolescents with type 1 diabetes (T1DM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a secondary data analysis using baseline data from a pilot study examining the efficacy of a mindfulness-based stress reduction mHealth application in adolescents with T1DM. A total of 31 participants who were between the ages of 12 to 19\u2009years old, had diabetes for at least 6\u2009months, were able to speak and read English, and had access to a mobile phone were included in the analysis. Correlations among dispositional gratitude, anxiety symptoms, A1C, insomnia, and diabetes self-care were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Dispositional gratitude was negatively correlated with anxiety symptoms, A1C, and insomnia. Dispositional gratitude was positively correlated with diabetes self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher dispositional gratitude was associated with lower anxiety symptoms, better glycemic control, better sleep, and better diabetes self-care. The practice of gratitude may be a modifiable factor that can reduce anxiety symptoms and, in turn, optimize glycemic outcomes in this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106251350614","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T10:19:36Z","timestamp":1752920376000},"page":"375-381","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Dispositional Gratitude and Psychosocial and Glycemic Outcomes in Adolescents With Type 1 Diabetes"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0482-4774","authenticated-orcid":false,"given":"Rebecca","family":"Koerner","sequence":"first","affiliation":[{"name":"University of South Florida, Tampa, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn","family":"Rechenberg","sequence":"additional","affiliation":[{"name":"University of South Florida, Tampa, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"e_1_3_2_2_2","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. 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