Alexandra Main1, Deborah J Wiebe2, Karina Van Bogart2, Sara L Turner3, Christy Tucker4, Jonathan E Butner3, Cynthia A Berg3. 1. Psychological Sciences and Health Sciences Research Institute, University of California, Merced amain@ucmerced.edu. 2. Psychological Sciences and Health Sciences Research Institute, University of California, Merced. 3. Department of Psychology, University of Utah, and. 4. Division of Psychology, University of Texas Southwestern Medical Center.
Abstract
OBJECTIVES: This study examined (a) associations of parent-adolescent relationship characteristics and adolescent problem behavior with late adolescents' secrecy from parents about type 1 diabetes management, and (b) whether secrecy was associated with diabetes and psychological outcomes independently of these factors. METHODS: Adolescents (N = 247, Mage = 17.76 years) completed survey measures of diabetes-related secrecy from parents, disclosure, parental acceptance, parental knowledge, and conduct problems. Mothers and adolescents reported on adolescent adherence to diabetes regimens and adolescents reported their depressive symptoms. Glycemic control was obtained from HbA1c test kits. RESULTS: Adolescent-reported disclosure to parents was uniquely negatively associated with secrecy from parents. Controlling for relationship variables, conduct problems, and sociodemographic and illness-related variables, secrecy from mothers was uniquely associated with poorer glycemic control and secrecy from both parents was associated with lower adherence. CONCLUSIONS: Secrecy about type 1 diabetes management is uniquely associated with diabetes outcomes independent of other relationship characteristics and problem behaviors.
OBJECTIVES: This study examined (a) associations of parent-adolescent relationship characteristics and adolescent problem behavior with late adolescents' secrecy from parents about type 1 diabetes management, and (b) whether secrecy was associated with diabetes and psychological outcomes independently of these factors. METHODS: Adolescents (N = 247, Mage = 17.76 years) completed survey measures of diabetes-related secrecy from parents, disclosure, parental acceptance, parental knowledge, and conduct problems. Mothers and adolescents reported on adolescent adherence to diabetes regimens and adolescents reported their depressive symptoms. Glycemic control was obtained from HbA1c test kits. RESULTS: Adolescent-reported disclosure to parents was uniquely negatively associated with secrecy from parents. Controlling for relationship variables, conduct problems, and sociodemographic and illness-related variables, secrecy from mothers was uniquely associated with poorer glycemic control and secrecy from both parents was associated with lower adherence. CONCLUSIONS: Secrecy about type 1 diabetes management is uniquely associated with diabetes outcomes independent of other relationship characteristics and problem behaviors.
Authors: Cynthia A Berg; Deborah J Wiebe; Yana Suchy; Amy E Hughes; Jessica H Anderson; Elida I Godbey; Jonathan Butner; Christy Tucker; Emilie I Franchow; Andrea K Pihlaskari; Pamela S King; Mary A Murray; Perrin C White Journal: J Pediatr Psychol Date: 2014-07-25
Authors: Pamela S King; Cynthia A Berg; Jonathan Butner; Linda M Drew; Carol Foster; David Donaldson; Mary Murray; Michael Swinyard; Deborah J Wiebe Journal: J Adolesc Health Date: 2011-12-03 Impact factor: 5.012
Authors: Alexandra Main; Deborah J Wiebe; Andrea R Croom; Katie Sardone; Elida Godbey; Christy Tucker; Perrin C White Journal: J Pediatr Psychol Date: 2014-08-08
Authors: Ledina Imami; Samuele Zilioli; Erin T Tobin; Daniel J Saleh; Heidi S Kane; Richard B Slatcher Journal: J Psychosom Res Date: 2017-02-21 Impact factor: 3.006
Authors: Cynthia A Berg; Jonathan Butner; Deborah J Wiebe; Amy Hughes Lansing; Peter Osborn; Pamela S King; Debra L Palmer; Jorie M Butler Journal: Dev Rev Date: 2017-09-21
Authors: Cynthia A Berg; Tara Queen; Jonathan E Butner; Sara L Turner; Amy Hughes Lansing; Alexandra Main; Jessica H Anderson; Brian C Thoma; Joel B Winnick; Deborah J Wiebe Journal: J Pediatr Psychol Date: 2017-01-01