Glycemic control in youth with type 1 diabetes: family predictors and mediators.
OBJECTIVE
This study examined predictive and mediated relationships among youth perception of critical parenting, Child Behavior Checklist Externalizing Subscale (CBCL) externalizing problem scores, adherence, and (hemoglobin A(1c) HbA(1c)), in youth with type 1 diabetes from low socioeconomic status families.


METHODS
Caregiver/youth dyads (n = 120) completed diabetes specific measures of family functioning regarding diabetes management and structured adherence interviews. Parents completed the CBCL, while assays of youth HbA(1c) were performed. Analyses were conducted using hierarchical linear regression.


RESULTS
Combined measures predicted 44% of the variance in HbA(1c). Adherence partially mediated critical parenting and HbA(1c), while critical parenting and adherence mediated CBCL externalizing problem scores and HbA(1c). CBCL externalizing problem scores did not mediate critical parenting and HbA1(c).


CONCLUSIONS
The presence of youth perceptions of critical parenting and youth externalizing behavior problems may interfere with adherence, leading to increases in HbA(1c).
Duke
Danny C
DC
Department of Clinical and Health Psychology, University of Florida, PO Box 100165, 101 S. Newell Drive No. 3151, FL, USA.
Geffken
Gary R
GR
Lewin
Adam B
AB
Williams
Laura B
LB
Storch
Eric A
EA
Silverstein
Janet H
JH
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology / Q000628:therapy*; D005192:Family Health; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D016014:Linear Models; D008297:Male; D016487:Parenting; D010349:Patient Compliance / Q000523:psychology*; D012648:Self Care / Q000523:psychology*; D012944:Social Support; D014481:United States
D006442:Glycated Hemoglobin