Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.

C. L. Hanson, S. W. Henggeler, Michael Harris, G. A. Burghen, M. Moore

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

This study investigated the associations between important dimensions of family relations and the metabolic control of adolescents with insulin-dependent diabetes mellitus (IDDM). Participants were 94 intact families (mother, father, and adolescent) of adolescents with IDDM. Metabolic control was determined by the adolescents' level of HbA(1c), and family relations were assessed with the Marital Adjustment Scale and the Family Adaptability and Cohesion Evaluation Scales-II. Although zero-order correlations showed that good metabolic control was associated with high family cohesion, family flexibility, and high marital satisfaction, hierarchical regression analyses revealed that these associations were considerably attenuated when participant demographic variables, especially the duration of IDDM, were controlled. Follow-up analyses showed that the associations between family relations and metabolic control were mediated by the duration of IDDM. Under conditions of short duration, there were strong associations between family relations and metabolic control. As duration lengthened, however, these associations decreased substantially. These results suggest that the associations between family relations and health are relatively complex in this sample of adolescents with IDDM.

Original languageEnglish (US)
Pages (from-to)239-253
Number of pages15
JournalHealth Psychology
Volume8
Issue number2
StatePublished - 1989
Externally publishedYes

Fingerprint

Family Relations
Type 1 Diabetes Mellitus
Health Status
Social Adjustment
Family Health
Fathers
Regression Analysis
Mothers
Demography

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus. / Hanson, C. L.; Henggeler, S. W.; Harris, Michael; Burghen, G. A.; Moore, M.

In: Health Psychology, Vol. 8, No. 2, 1989, p. 239-253.

Research output: Contribution to journalArticle

Hanson, CL, Henggeler, SW, Harris, M, Burghen, GA & Moore, M 1989, 'Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.', Health Psychology, vol. 8, no. 2, pp. 239-253.
Hanson, C. L. ; Henggeler, S. W. ; Harris, Michael ; Burghen, G. A. ; Moore, M. / Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus. In: Health Psychology. 1989 ; Vol. 8, No. 2. pp. 239-253.
@article{92e9d86704ae47c6915b072367373f03,
title = "Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.",
abstract = "This study investigated the associations between important dimensions of family relations and the metabolic control of adolescents with insulin-dependent diabetes mellitus (IDDM). Participants were 94 intact families (mother, father, and adolescent) of adolescents with IDDM. Metabolic control was determined by the adolescents' level of HbA(1c), and family relations were assessed with the Marital Adjustment Scale and the Family Adaptability and Cohesion Evaluation Scales-II. Although zero-order correlations showed that good metabolic control was associated with high family cohesion, family flexibility, and high marital satisfaction, hierarchical regression analyses revealed that these associations were considerably attenuated when participant demographic variables, especially the duration of IDDM, were controlled. Follow-up analyses showed that the associations between family relations and metabolic control were mediated by the duration of IDDM. Under conditions of short duration, there were strong associations between family relations and metabolic control. As duration lengthened, however, these associations decreased substantially. These results suggest that the associations between family relations and health are relatively complex in this sample of adolescents with IDDM.",
author = "Hanson, {C. L.} and Henggeler, {S. W.} and Michael Harris and Burghen, {G. A.} and M. Moore",
year = "1989",
language = "English (US)",
volume = "8",
pages = "239--253",
journal = "Health Psychology",
issn = "0278-6133",
publisher = "American Psychological Association Inc.",
number = "2",

}

TY - JOUR

T1 - Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.

AU - Hanson, C. L.

AU - Henggeler, S. W.

AU - Harris, Michael

AU - Burghen, G. A.

AU - Moore, M.

PY - 1989

Y1 - 1989

N2 - This study investigated the associations between important dimensions of family relations and the metabolic control of adolescents with insulin-dependent diabetes mellitus (IDDM). Participants were 94 intact families (mother, father, and adolescent) of adolescents with IDDM. Metabolic control was determined by the adolescents' level of HbA(1c), and family relations were assessed with the Marital Adjustment Scale and the Family Adaptability and Cohesion Evaluation Scales-II. Although zero-order correlations showed that good metabolic control was associated with high family cohesion, family flexibility, and high marital satisfaction, hierarchical regression analyses revealed that these associations were considerably attenuated when participant demographic variables, especially the duration of IDDM, were controlled. Follow-up analyses showed that the associations between family relations and metabolic control were mediated by the duration of IDDM. Under conditions of short duration, there were strong associations between family relations and metabolic control. As duration lengthened, however, these associations decreased substantially. These results suggest that the associations between family relations and health are relatively complex in this sample of adolescents with IDDM.

AB - This study investigated the associations between important dimensions of family relations and the metabolic control of adolescents with insulin-dependent diabetes mellitus (IDDM). Participants were 94 intact families (mother, father, and adolescent) of adolescents with IDDM. Metabolic control was determined by the adolescents' level of HbA(1c), and family relations were assessed with the Marital Adjustment Scale and the Family Adaptability and Cohesion Evaluation Scales-II. Although zero-order correlations showed that good metabolic control was associated with high family cohesion, family flexibility, and high marital satisfaction, hierarchical regression analyses revealed that these associations were considerably attenuated when participant demographic variables, especially the duration of IDDM, were controlled. Follow-up analyses showed that the associations between family relations and metabolic control were mediated by the duration of IDDM. Under conditions of short duration, there were strong associations between family relations and metabolic control. As duration lengthened, however, these associations decreased substantially. These results suggest that the associations between family relations and health are relatively complex in this sample of adolescents with IDDM.

UR - http://www.scopus.com/inward/record.url?scp=0024540706&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024540706&partnerID=8YFLogxK

M3 - Article

VL - 8

SP - 239

EP - 253

JO - Health Psychology

JF - Health Psychology

SN - 0278-6133

IS - 2

ER -