Glycemic control in youth with type 1 diabetes: Family predictors and mediators

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

Research output: Contribution to journalArticle

89 Citations (Scopus)

Abstract

Objective: This study examined predictive and mediated relationships among youth perception of critical parenting, Child Behavior Checklist Externalizing Subscale (CBCL) externalizing problem scores, adherence, and (hemoglobin A 1c HbA1c), in youth with type 1 diabetes from low socioeconomic status families. Methods: Caregiver/youth dyads (n = 120) completed diabetes specific measures of family functioning regarding diabetes management and structured adherence interviews. Parents completed the CBCL, while assays of youth HbA1c were performed. Analyses were conducted using hierarchical linear regression. Results: Combined measures predicted 44% of the variance in HbA1c. Adherence partially mediated critical parenting and HbA1c, while critical parenting and adherence mediated CBCL externalizing problem scores and HbA1c. CBCL externalizing problem scores did not mediate critical parenting and HbA1c. Conclusions: The presence of youth perceptions of critical parenting and youth externalizing behavior problems may interfere with adherence, leading to increases in HbA1c.

Original languageEnglish (US)
Pages (from-to)719-727
Number of pages9
JournalJournal of Pediatric Psychology
Volume33
Issue number7
DOIs
StatePublished - Aug 2008
Externally publishedYes

Fingerprint

Type 1 Diabetes Mellitus
Parenting
Child Behavior
Checklist
Hemoglobin A
Social Class
Caregivers
Linear Models
Parents
Interviews

Keywords

  • Adherence
  • Chronic illness
  • Endocrinology
  • Externalizing
  • Family functioning
  • Glycemic control
  • HbA
  • Parents
  • Type 1 diabetes

ASJC Scopus subject areas

  • Psychology(all)
  • Developmental and Educational Psychology

Cite this

Duke, D., Geffken, G. R., Lewin, A. B., Williams, L. B., Storch, E. A., & Silverstein, J. H. (2008). Glycemic control in youth with type 1 diabetes: Family predictors and mediators. Journal of Pediatric Psychology, 33(7), 719-727. https://doi.org/10.1093/jpepsy/jsn012

Glycemic control in youth with type 1 diabetes : Family predictors and mediators. / Duke, Danny; Geffken, Gary R.; Lewin, Adam B.; Williams, Laura B.; Storch, Eric A.; Silverstein, Janet H.

In: Journal of Pediatric Psychology, Vol. 33, No. 7, 08.2008, p. 719-727.

Research output: Contribution to journalArticle

Duke, D, Geffken, GR, Lewin, AB, Williams, LB, Storch, EA & Silverstein, JH 2008, 'Glycemic control in youth with type 1 diabetes: Family predictors and mediators', Journal of Pediatric Psychology, vol. 33, no. 7, pp. 719-727. https://doi.org/10.1093/jpepsy/jsn012
Duke, Danny ; Geffken, Gary R. ; Lewin, Adam B. ; Williams, Laura B. ; Storch, Eric A. ; Silverstein, Janet H. / Glycemic control in youth with type 1 diabetes : Family predictors and mediators. In: Journal of Pediatric Psychology. 2008 ; Vol. 33, No. 7. pp. 719-727.
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