Comparing social learning and family systems correlates of adaptation in youths with IDDM.
Evaluated social learning and family systems theoretical models to determine (a) whether illness-specific family relations (based on social learning theory) and general family behaviors (based on family systems theory) relate uniquely to the youths' illness-specific and psychosocial adaptation, and (b) whether these types of family relations covary or whether they represent distinct aspects of family functioning. Participants included 95 youths with insulin-dependent diabetes mellitus (IDDM) and their parents. Positive and supportive family relations (illness-specific family support, general family affection, general family adaptability) as well as conflictual and nonsupportive relations (i.e., illness-specific family nonsupport, general family conflict) were assessed. Results suggest that both illness-specific and general family relations uniquely predict the youths' dietary adherence and general psychosocial adaptation. Because illness-specific and general family relations also covary, broad-based models that include both types of family functioning seem warranted.
Hanson
C L
CL
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston 29425.
De Guire
M J
MJ
Schinkel
A M
AM
Henggeler
S W
SW
Burghen
G A
GA
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology; D010552:Personality Assessment; D011582:Psychological Theory; D012803:Sick Role; D012951:Socialization
D006442:Glycated Hemoglobin