title: The Stress and Coping Context of Type 1 Diabetes Management Among Latino and Non-Latino White Early Adolescents and Their Mothers.
abstract: Examine ethnic differences in diabetes-related stress and coping among adolescents with type 1 diabetes and their mothers. Early adolescents with type 1 diabetes ( N  = 118, ages 10-15 years; 54% female; 47% Latino and 53% non-Latino White) and mothers described the adolescent's diabetes-related stressors and coping strategies, and rated stressor severity and controllability and coping competence. Surveys measured adherence; glycemic control (HbA1c) was indexed from medical records. Few ethnic differences in stress and coping emerged among adolescents. However, Latina mothers reported fewer diabetes-related stressors, had lower congruence with their adolescent on reports of diabetes-related stress, and appraised their adolescent as less competent in coping than non-Latino Whites. Lower dyadic stressor congruence and lower appraisals of coping competence were associated with poorer HbA1c. Mother-adolescent congruence in perceptions of diabetes stress, and appraisals of early adolescents' coping, may be important for understanding diabetes management in ethnically diverse samples.
authors.affiliation: Psychological Sciences and Health Sciences Research Institute, University of California, Merced.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mello
authors.affiliation: Psychological Sciences and Health Sciences Research Institute, University of California, Merced.|Division of Psychology, University of Texas Southwestern Medical Center.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Wiebe
authors.forename: Carolyn
authors.initials: C
authors.lastname: Barranco
authors.forename: Jose
authors.initials: J
authors.lastname: Barba
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D009035:Mothers / Q000523:psychology*; D010349:Patient Compliance / Q000208:ethnology* / Q000523:psychology; D012189:Retrospective Studies; D013315:Stress, Psychological / Q000208:ethnology*; D014481:United States; D044465:White People / Q000523:psychology*
keywords: Latino; dyadic coping; early adolescents; stress; type 1 diabetes