title: Secrecy From Parents and Type 1 Diabetes Management in Late Adolescence.
abstract: OBJECTIVE
  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.affiliation: Psychological Sciences and Health Sciences Research Institute, University of California, Merced amain@ucmerced.edu.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Main
authors.affiliation: Psychological Sciences and Health Sciences Research Institute, University of California, Merced.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Wiebe
authors.affiliation: Psychological Sciences and Health Sciences Research Institute, University of California, Merced.
authors.forename: Karina
authors.initials: K
authors.lastname: Van Bogart
authors.affiliation: Department of Psychology, University of Utah, and.
authors.forename: Sara L
authors.initials: SL
authors.lastname: Turner
authors.affiliation: Division of Psychology, University of Texas Southwestern Medical Center.
authors.forename: Christy
authors.initials: C
authors.lastname: Tucker
authors.affiliation: Department of Psychology, University of Utah, and.
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Butner
authors.affiliation: Department of Psychology, University of Utah, and.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Berg
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001786:Blood Glucose; D003219:Confidentiality; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D030881:Disclosure; D019468:Disease Management; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
keywords: conduct problems; disclosure; late adolescence; relationship quality; secrecy; type 1 diabetes