L B Williams1, L M B Laffel, K K Hood. 1. Center for Treatment Adherence, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Abstract
AIMS: Diabetes-specific family conflict is associated with suboptimal adherence and glycaemic control. Little is known about the individual and family factors associated with diabetes-specific family conflict. The purpose of this study was to examine whether background factors (e.g. age, gender), diabetes variables (e.g. duration of diabetes, adherence, glycaemic control) and psychological distress (i.e. depression and anxiety) in parents and children and adolescents were associated with diabetes-specific family conflict. METHODS: Participants were 187 children and adolescents with Type 1 diabetes and their parents. Study measures assessed diabetes-specific family conflict, youth depression and parent depression and anxiety. Demographic and disease-specific data (adherence, glycaemic control) were also collected. RESULTS: Findings suggested a close link between psychological distress in parents and children and adolescents and reports of increased diabetes-specific family conflict. In the presence of suboptimal glycaemic control, children and adolescents and parents reported more family conflict. Adherence was not significantly associated with family conflict. CONCLUSIONS: This study highlights the importance of considering the impact of individual psychological functioning on family conflict and also suggests a bidirectional relationship between conflict and glycaemic control.
AIMS: Diabetes-specific family conflict is associated with suboptimal adherence and glycaemic control. Little is known about the individual and family factors associated with diabetes-specific family conflict. The purpose of this study was to examine whether background factors (e.g. age, gender), diabetes variables (e.g. duration of diabetes, adherence, glycaemic control) and psychological distress (i.e. depression and anxiety) in parents and children and adolescents were associated with diabetes-specific family conflict. METHODS:Participants were 187 children and adolescents with Type 1 diabetes and their parents. Study measures assessed diabetes-specific family conflict, youth depression and parent depression and anxiety. Demographic and disease-specific data (adherence, glycaemic control) were also collected. RESULTS: Findings suggested a close link between psychological distress in parents and children and adolescents and reports of increased diabetes-specific family conflict. In the presence of suboptimal glycaemic control, children and adolescents and parents reported more family conflict. Adherence was not significantly associated with family conflict. CONCLUSIONS: This study highlights the importance of considering the impact of individual psychological functioning on family conflict and also suggests a bidirectional relationship between conflict and glycaemic control.
Authors: Janet Silverstein; Georgeanna Klingensmith; Kenneth Copeland; Leslie Plotnick; Francine Kaufman; Lori Laffel; Larry Deeb; Margaret Grey; Barbara Anderson; Lea Ann Holzmeister; Nathaniel Clark Journal: Diabetes Care Date: 2005-01 Impact factor: 19.112
Authors: Tim Wysocki; Michael A Harris; Lisa M Buckloh; Deborah Mertlich; Amanda Sobel Lochrie; Alexandra Taylor; Michelle Sadler; Nelly Mauras; Neil H White Journal: J Pediatr Psychol Date: 2006-01-09
Authors: A M Jacobson; S T Hauser; P Lavori; J B Willett; C F Cole; J I Wolfsdorf; R H Dumont; D Wertlieb Journal: Psychosom Med Date: 1994 Sep-Oct Impact factor: 4.312
Authors: J McKelvey; D A Waller; A J North; J F Marks; B Schreiner; L B Travis; J N Murphy Journal: Diabetes Educ Date: 1993 Mar-Apr Impact factor: 2.140
Authors: Adam B Lewin; Amanda D Heidgerken; Gary R Geffken; Laura B Williams; Eric A Storch; Kenneth M Gelfand; Janet H Silverstein Journal: J Pediatr Psychol Date: 2005-03-03
Authors: Sarah McCue Horwitz; Margaret J Briggs-Gowan; Amy Storfer-Isser; Alice S Carter Journal: J Womens Health (Larchmt) Date: 2007-06 Impact factor: 2.681
Authors: Elina Tsiouli; Evangelos C Alexopoulos; Charikleia Stefanaki; Christina Darviri; George P Chrousos Journal: Can Fam Physician Date: 2013-02 Impact factor: 3.275
Authors: Robin Whittemore; Lauren Liberti; Sangchoon Jeon; Ariana Chao; Sarah S Jaser; Margaret Grey Journal: West J Nurs Res Date: 2013-12-19 Impact factor: 1.967
Authors: Eleanor R Mackey; Kari Struemph; Priscilla W Powell; Rusan Chen; Randi Streisand; Clarissa S Holmes Journal: Health Psychol Date: 2014-05-05 Impact factor: 4.267
Authors: Kimberly L Savin; Emily R Hamburger; Alexandra D Monzon; Niral J Patel; Katia M Perez; Jadienne H Lord; Sarah S Jaser Journal: J Fam Psychol Date: 2018-02