Coping styles in youths with insulin-dependent diabetes mellitus.

Hanson, Cindy L.; Cigrang, Jeff A.; Harris, Michael A.; Carle, Deborah L.; Relyea, George; Burghen, George A.

doi:10.1037/0022-006x.57.5.644

Cited by 117 publications

(81 citation statements)

References 45 publications

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“…Young adults show decreased adherence to their treatment compared with younger and older age groups (14). The level of adherence measured by the Self-Care Adherence Inventory has been found to be directly linked to metabolic control in different age groups (15)(16)(17). Improved adherence has also been observed with increased diabetes-specific social (18) and family (19,20) support.…”

mentioning

confidence: 80%

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes

Pacaud

Yale

2005

Paediatrics &Amp; Child Health

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During the passage from adolescence to adulthood, individuals are expected to go through three psychological stages: identity formation (finding out who they are), intimacy (establishment of stable intimate relationships) and generativity (productive lifestyle, career or vocational realization). Having diabetes may complicate this process. Further, the period of late adolescence and early adulthood coincides with the transition of care from paediatric to adult care services. This transition is a time when the individual is particularly at risk for loss of medical follow-up and medical complications. The present article reviews the current state of knowledge on psychosocial maturation in youth with diabetes and the process of transition of care from paediatric to adult care services.

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confidence: 80%

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes

Pacaud

Yale

2005

Paediatrics &Amp; Child Health

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“…[12,13]. This is perhaps a consequence of the fact that much of the work in this area has been in families where problems were evident [14,15], and it may be that more optimal functioning is associated with patterns of family dynamics that are more normative.…”

Section: Introductionmentioning

confidence: 98%

Diabetes control and the influence of family functioning

Whitehead¹,

Dimmock²,

Place³

2013

J Diab Res Clin Met

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Background: The link between glycaemic control of type 1 diabetes and family functioning is complex, with the existing literature largely focussing upon the association between clear patterns of disturbances in family functioning and suboptimal diabetic control. The more subtle changes to family function that might influence the degree of successful management of a child's diabetes have been less well studied. Methods: This study sought to explore whether suboptimal glycaemic control was associated with variations in family functioning that might not in themselves prompt concern in routine clinic review. The project focussed on families attending for routine follow-up in specialist paediatric diabetes clinics in the North East of England. Mother and child participants provided demographic information and completed the Family Adaptation and Cohesion Evaluation Scale (FACES IV), and the quality of their glycaemic control was assessed using the mean HbA1c value for each child over the last year. Families with clear emotional or family difficulties, or where the level of control was causing clear concern were excluded (as were families where there was major physical or a member with significant learning disabilities). The sample was divided into two groups; families whose children were in optimal glycaemic control of their diabetes, and families where the glycaemic control was suboptimal. Results: Whatever the degree of control, nearly all the mothers and index children reported functioning within the balanced range. The mothers of children with optimal glycaemic control reported their family to be more cohesive and expressed greater satisfaction with family life than mothers whose child's glycaemic control was suboptimal. The children with suboptimal diabetic control also tended to view their family life as more chaotic. Discussion: Despite the challenges most families cope reasonably well with the issues that managing type 1 diabetes in a child bring. However suboptimal control tends to be associated with some unhelpful family issues, and the implications for intervention are discussed. Conclusions: Suboptimal control, when it is present, prompts exploration of a wide range of factors. Assessment of family functioning should be part of this process, even if there is no evidence of major family difficulties because subtle distortions in functioning can significantly influence glycaemic control, especially in early adolescence.

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“…As the present study utilized a rather limited age range (13-18 years), no significant association was found between coping styles and age when controlling for sex (data not shown). In addition, Hanson et al (6) reported that although poor adherence to treatment often has been associated with developmental problems in adolescence, it was the maladaptive coping styles rather than age that predicted poor adherence to treatment.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…In addition, across different chronic diseases, it has been suggested that problemfocused coping is generally associated with better adjustment (5). In adolescents with diabetes, avoidance coping and venting emotions have been found to predict poor illness-specific self-care behavior but were unrelated to metabolic control (6). On the other hand, ways of coping with stress have also been identified as important factors in relation to metabolic control.…”

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confidence: 99%

The Coping Styles of Adolescents With Type 1 Diabetes Are Associated With Degree of Metabolic Control

et al. 2004

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OBJECTIVE -To systematically study the various coping styles in a population-based sample of adolescents with type 1 diabetes, exploring the association of different coping styles with metabolic control and adolescent self-reported diabetes-related quality of life.RESEARCH DESIGN AND METHODS -Of a total population of 116 adolescents with type 1 diabetes (age 13-18 years), 103 (89%) participated in the study, completing a questionnaire to obtain information on coping styles and perception of diabetes-specific quality of life. The mean age (ϮSD) was 14.9 Ϯ 1.6 years, diabetes duration 7.1 Ϯ 3.8 years, HbA 1c 9.4 Ϯ 1.6%, and male-to-female ratio 52:51.RESULTS -There was a significant correlation between higher HbA 1c values and higher degree of mental (r ϭ 0.25, P Ͻ 0.05) and behavioral (r ϭ 0.33, P Ͻ 0.01) disengagement and aggressive coping (r ϭ 0.33, P Ͻ 0.01). Stepwise multiple regression analyses indicated that greater use of aggressive coping (P Ͻ 0.05) and behavioral disengagement (P Ͻ 0.05) were significantly related to increase in HbA 1c . Greater use of active coping (P Ͻ 0.05) was significantly related to a decrease in HbA 1c . Partial correlation analysis showed that lower scores on diabetes-specific quality of life were significantly related to greater use of emotion-focused coping (r ϭ Ϫ0.22 to Ϫ0.49). Stepwise multiple regression analyses showed that greater use of mental disengagement was significantly related to lower degree of perceived diabetes-related impact.CONCLUSIONS -Poor metabolic control and lower degree of diabetes-related quality of life are associated with greater use of emotion-focused coping in adolescents with type 1 diabetes.

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Coping styles in youths with insulin-dependent diabetes mellitus.

Cited by 117 publications

References 45 publications

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes

Diabetes control and the influence of family functioning

The Coping Styles of Adolescents With Type 1 Diabetes Are Associated With Degree of Metabolic Control

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