Abstract：
OBJECTIVE: Despite advances in diabetes technology, many adolescents with type 1 diabetes (T1D) cannot achieve target metabolic control. Resilience is associated with better outcomes in diabetes care. The aim of this review is to synthesize studies on resilience in adolescents with T1D, particularly how the concept of resilience has been explored.
METHODS: This integrative review was carried out according to Whittemore and Knafl\'s framework. A systematic search was conducted in the CINAHL, PubMed/Medline and PsycInfo databases. Eligibility criteria included studies on resilience in adolescents with T1D, aged 13 to 18 years, that were published in English in peer-reviewed scientific journals. The Mixed Methods Appraisal Tool was used to assess study quality.
RESULTS: The review included twenty-four studies. Resilience was defined as the ability or capacity, or the process, to maintain physical and psychological well-being despite exposure to significant stressors or distress events. Diabetes resilience was defined as achieving positive psychosocial and health outcomes despite the challenges of living with T1D. Studies were quantitative (n = 21), qualitative (n = 1) and mixed methods (n = 2). Six resilience instruments were found. The DSTAR-Teen was the most used and the only instrument for adolescents with T1D.
CONCLUSIONS: This review highlighted the need for an explicit definition of the concept of resilience because previous studies used different definitions or lacked a definition. In the future, a more precise concept analysis of resilience in adolescents with T1D is warranted.
CONCLUSIONS: The DSTAR-Teen is a promising resilience measure with good psychometric properties for further studies in adolescents with T1D.
METHODS: This integrative review was carried out according to Whittemore and Knafl\'s framework. A systematic search was conducted in the CINAHL, PubMed/Medline and PsycInfo databases. Eligibility criteria included studies on resilience in adolescents with T1D, aged 13 to 18 years, that were published in English in peer-reviewed scientific journals. The Mixed Methods Appraisal Tool was used to assess study quality.
RESULTS: The review included twenty-four studies. Resilience was defined as the ability or capacity, or the process, to maintain physical and psychological well-being despite exposure to significant stressors or distress events. Diabetes resilience was defined as achieving positive psychosocial and health outcomes despite the challenges of living with T1D. Studies were quantitative (n = 21), qualitative (n = 1) and mixed methods (n = 2). Six resilience instruments were found. The DSTAR-Teen was the most used and the only instrument for adolescents with T1D.
CONCLUSIONS: This review highlighted the need for an explicit definition of the concept of resilience because previous studies used different definitions or lacked a definition. In the future, a more precise concept analysis of resilience in adolescents with T1D is warranted.
CONCLUSIONS: The DSTAR-Teen is a promising resilience measure with good psychometric properties for further studies in adolescents with T1D.
摘要：
目标：尽管糖尿病技术取得了进展，许多患有1型糖尿病(T1D)的青少年无法达到目标代谢控制.弹性与糖尿病护理中更好的结果相关。这篇综述的目的是综合对T1D青少年弹性的研究，特别是如何探索韧性的概念。
方法：本综合综述是根据Whittemore和Knafl的框架进行的。在CINAHL进行了系统的搜索，PubMed/Medline和PsycInfo数据库。合格标准包括对T1D青少年韧性的研究，13至18岁，在同行评审的科学期刊上以英文发表。使用混合方法评估工具评估研究质量。
结果：该综述包括24项研究。弹性被定义为能力或能力，或过程，保持身体和心理健康，尽管暴露于重大压力源或痛苦事件。糖尿病恢复力被定义为尽管生活在T1D中面临挑战，但仍能实现积极的社会心理和健康结果。研究是定量的(n=21)，定性(n=1)和混合方法(n=2)。发现了六种弹性工具。DSTAR-Teen是T1D青少年使用最多的唯一工具。
结论：这篇综述强调了对韧性概念的明确定义的必要性，因为以前的研究使用了不同的定义或缺乏定义。在未来,有必要对T1D青少年的韧性进行更精确的概念分析.
结论：DSTAR-Teen是一种有前途的弹性测量指标，具有良好的心理测量特性，可用于T1D青少年的进一步研究。
方法：本综合综述是根据Whittemore和Knafl的框架进行的。在CINAHL进行了系统的搜索，PubMed/Medline和PsycInfo数据库。合格标准包括对T1D青少年韧性的研究，13至18岁，在同行评审的科学期刊上以英文发表。使用混合方法评估工具评估研究质量。
结果：该综述包括24项研究。弹性被定义为能力或能力，或过程，保持身体和心理健康，尽管暴露于重大压力源或痛苦事件。糖尿病恢复力被定义为尽管生活在T1D中面临挑战，但仍能实现积极的社会心理和健康结果。研究是定量的(n=21)，定性(n=1)和混合方法(n=2)。发现了六种弹性工具。DSTAR-Teen是T1D青少年使用最多的唯一工具。
结论：这篇综述强调了对韧性概念的明确定义的必要性，因为以前的研究使用了不同的定义或缺乏定义。在未来,有必要对T1D青少年的韧性进行更精确的概念分析.
结论：DSTAR-Teen是一种有前途的弹性测量指标，具有良好的心理测量特性，可用于T1D青少年的进一步研究。
