Individual and family strengths: an examination of the relation to disease management and metabolic control in youth with type 1 diabetes.
We examined the association of youths' positive qualities, family cohesion, disease management, and metabolic control in Type 1 diabetes. Two-hundred fifty-seven youth-parent dyads completed the Family Cohesion subscale of the Family Environment Scale, the Diabetes Behavior Rating Scale, 24-hour diabetes interview, and youth completed the Positive Qualities subscale of the Youth Self Report (YSR-PQ). Structural equation modeling demonstrated that YSR-PQ scores were associated with metabolic control mediated by associations with more family cohesion and better disease management. That is, youth with higher YSR-PQ scores had more cohesive families, better disease management, and, indirectly, better metabolic control. Family cohesion was indirectly associated with better metabolic control mediated by its association with better disease management, but not mediated by its association with YSR-PQ scores. Youth who reported more positive qualities, as measured by the YSR-PQ subscale, had better disease management and metabolic control through the association with more family cohesion. However, the current results did not support an alternative hypothesis that cohesive families display better diabetes management mediated by higher YSR-PQ scores.
Department of Psychiatry and Behavioral Sciences, Children's National Medical Center, George Washington University, Washington, DC, USA.
Eleanor Race
ER
Mackey
Marisa E
ME
Hilliard
Sarah Shafer
SS
Berger
Randi
R
Streisand
Rusan
R
Chen
Clarissa
C
Holmes
D000223:Adaptation, Psychological; D000293:Adolescent; D000367:Age Factors; D016009:Chi-Square Distribution; D002648:Child; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000517:prevention & control* / Q000523:psychology; D019468:Disease Management; D005195:Family Relations; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D038321:Glycemic Index; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008960:Models, Psychological; D015999:Multivariate Analysis; D011594:Psychometrics; D036301:Qualitative Research; D012944:Social Support; D013223:Statistics as Topic; D013315:Stress, Psychological
D006442:Glycated Hemoglobin