Gender differences in the relationship between parental report of self-regulation skills and adolescents' management of type 1 diabetes

Paulo A. Graziano, Gary R. Geffken, Laura B. Williams, Adam B. Lewin, Danny Duke, Eric A. Storch, Janet H. Silverstein

Research output: Contribution to journalArticle

11 Scopus citations


Objective: To examine the extent to which self-regulation skills of adolescents with type 1 diabetes (T1D), including executive functioning and emotion regulation, relate to treatment adherence and glycemic control. Method: Participants were 109 adolescents aged 12-18 yr with TID and their primary caregiver who attended an outpatient appointment at a pediatric endocrinology clinic. Parents and adolescents completed a measure of treatment adherence. Parents completed a self-regulation measure while a glycemic control measure [i.e., hemoglobin A1c (HbA1c)] was collected. Results: For boys, executive functioning and emotion regulation deficits were significantly associated with worse treatment adherence and glycemic control. Further analyses indicated that emotion regulation was the primary self-regulation measure related to treatment adherence and glycemic control. No significant associations were found for girls. Conclusion: For adolescent boys, the ability to cope with various stressors and emotions may be as important as higher-order thinking skills for maximizing treatment adherence and diabetes control. Clinical implications and potential mechanisms by which emotion regulation skills relate to adolescent boys' diabetes treatment management are discussed.

Original languageEnglish (US)
Pages (from-to)410-418
Number of pages9
JournalPediatric Diabetes
Issue number4 PART 2
Publication statusPublished - Jun 2011



  • Emotion regulation
  • Glycemic control
  • Self-regulation
  • Treatment adherence
  • Type 1 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

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