Diabetes During Adolescence

Skinner, Timothy C.; Channon, Sue; Howells, Lesley; McEvilley, Adele

doi:10.1002/0470846569.ch2

Cited by 24 publications

(67 citation statements)

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“…What is surprising perhaps is that, in this study, the effects of family dynamic variables were greater than those previously reported by the HSG for gender, age and insulin regimen [11]. Other groups have shown associations between family structure and diabetes outcomes [3,4,15]. Adolescents from divorced, separated and single-parent families in particular, appear to be most at risk of poor metabolic outcome.…”

Section: Discussioncontrasting

confidence: 75%

“…An extensive literature explores the relationships between family structure, communication and relationships and diabetes outcomes [2][3][4]. Moreover, it appears that, during adolescence, psychological and self-management interventions that include a focus on family relationships and communication may be more effective than interventions that focus on the individual adolescent [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Are family factors universally related to metabolic outcomes in adolescents with Type 1 diabetes?

et al. 2008

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Section: Discussioncontrasting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Are family factors universally related to metabolic outcomes in adolescents with Type 1 diabetes?

et al. 2008

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“…The theme of control seems to be especially meaningful here as the women's perceived 'locus of control' over diabetes seemed to oscillate between extremes of external (no personal control) to internal (complete personal control). It has been suggested that holding beliefs at either extreme on this continuum is maladaptive (Skinner, Channon, Howells, & McEvilly, 2000) and it may be that if the individual believed that control of diabetes was located too firmly within themselves (as opposed to being a shared responsibility with health care professionals), they may be at risk of developing a state of 'learned helplessness', becoming overwhelmed by the responsibility.…”

Section: Discussionmentioning

confidence: 99%

An Exploration of the Experiences of Young Women Living with Type 1 Diabetes

et al. 2009

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The aim of this research was to explore young women's experience of living with type 1 diabetes. Nine young women aged between 18 and 24 took part in semi-structured interviews. Data were analysed using Interpretive Phenomenological Analysis. Four main super-ordinate themes emerged; ;the relationship with the body', ;personal challenges', ;the impact of relationships' and ;changing and adapting'. These themes provide a deeper understanding of the issues faced by young women with type 1 diabetes. The implications for clinical practice are discussed.

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“…Psychosocial research on adolescents with diabetes has tended to focus predominantly on the effects of family on diabetes outcome (3)(4)(5). However, there has been little consideration of the mechanisms by which the family environment influences self-care, well-being, and metabolic control (3)(4)(5)(6). One model that has been put forward is that the family environment may influence the development of illness beliefs (7,8).…”

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confidence: 99%

Personal Models of Diabetes in Relation to Self-Care, Well-Being, and Glycemic Control

2001

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OBJECTIVE -Personal models of diabetes have been shown to be proximal determinants of self-care behavior in adults with diabetes, both cross-sectionally and prospectively. This study set out to test the predictive utility of this approach in adolescents with diabetes.RESEARCH DESIGN AND METHODS -Participants were recruited from four regional hospitals in southern England (n ϭ 54). They completed questionnaires assessing diabetes self-care, well-being, and personal models of diabetes (perceived impact, perceived seriousness, and short-and long-term treatment effectiveness) at baseline and 1-year follow-up. GHb assays performed as part of the patients' usual diabetes care were used to assess glycemic control.RESULTS -After controlling for baseline anxiety, change in perceived impact of diabetes prospectively predicted adolescents' anxiety (␤ ϭ Ϫ0.21; t ϭ Ϫ2.65; P Ͻ 0.01). After controlling for baseline dietary self-care, change in perceived effectiveness of the diabetes treatment regimen to control diabetes predicted dietary self-care (␤ ϭ Ϫ0.39; t ϭ Ϫ3.28; P Ͻ 0.0005). Poorer dietary self-care and being female were predictive of poorer glycemic control (r 2 ϭ 0.29; F ϭ 2.74; P Ͻ 0.005).CONCLUSIONS -This study provides further support for the role of personal models of illness in determining responses to illness. As adolescents take responsibility for the management of their diabetes, parents, clinicians, educators, and interventionists should consider these adolescents' beliefs about their diabetes and its treatment as key factors influencing self-care, emotional well-being, and glycemic control. Diabetes Care 24:828 -833, 2001

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Diabetes During Adolescence

Cited by 24 publications

References 0 publications

Are family factors universally related to metabolic outcomes in adolescents with Type 1 diabetes?

Are family factors universally related to metabolic outcomes in adolescents with Type 1 diabetes?

An Exploration of the Experiences of Young Women Living with Type 1 Diabetes

Personal Models of Diabetes in Relation to Self-Care, Well-Being, and Glycemic Control

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