The influence of the family on control of diabetes

The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review

“…Family criticism, i.e., a general pattern of conflict in family relationships, was associated with increased pain among rheumatoid arthritis patients (Manne and Zautra, 1990). In addition, family criticism predicted worse glycemic and lipid control at 6 months among people with diabetes in one study (Edelstein and Linn, 1985), but was not associated with glycemic control in another (Trief et al 1998). …”

“…Among patients with diabetes, there is evidence that family behaviors affect patients using insulin differently than those using oral medications only. It is notable that, among the eight studies in this review examining glycemic control or diabetes self-management behavior as outcomes, only the two studies with 100% insulin-using patients found significant effects of family behavior (Edelstein and Linn, 1985; Hagedoorn et al 2006). Future studies of family behaviors among diabetes patients should adjust for medication regimen and consider evaluating differences among those who use insulin versus those who do not.…”

“…Participant gender generally matched expected distributions for each condition; for example RA studies had a majority of female patient participants, coronary artery disease (CAD) and ESRD studies had a majority of male patient participants, and diabetes patient participants were fairly evenly divided by gender. Exceptions were a RA study that focused exclusively on women (Manne and Zautra, 1989, 1990), and CAD (Drory and Florian, 1991) and diabetes (Edelstein and Linn, 1985) studies that focused exclusively on men. Fourteen studies focused on spouse/partner behaviors, while eight focused on family-wide behaviors.…”

“…Family achievement orientation, i.e. family casting events into a competitive achievement framework, was positively associated with diabetes metabolic control (Edelstein and Linn, 1985). Family cohesion, i.e., a pattern of common interests and shared emotions within the family, predicted better blood pressure control at 3 years among hypertensive patients (Baker et al 2000).…”

“…Similarly, family structure-organization (i.e. having highly structured relationships, with a strong emphasis on orderliness and routine), was associated with worse metabolic control among men with diabetes (Edelstein and Linn, 1985). Chesla and colleagues (2004) did find that family structure-organization was associated with higher diabetes-related quality of life, but their definition of this behavior included family emphasis on closeness as well as on roles and rules.…”

The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review

“…Family criticism, i.e., a general pattern of conflict in family relationships, was associated with increased pain among rheumatoid arthritis patients (Manne and Zautra, 1990). In addition, family criticism predicted worse glycemic and lipid control at 6 months among people with diabetes in one study (Edelstein and Linn, 1985), but was not associated with glycemic control in another (Trief et al 1998). …”

“…Among patients with diabetes, there is evidence that family behaviors affect patients using insulin differently than those using oral medications only. It is notable that, among the eight studies in this review examining glycemic control or diabetes self-management behavior as outcomes, only the two studies with 100% insulin-using patients found significant effects of family behavior (Edelstein and Linn, 1985; Hagedoorn et al 2006). Future studies of family behaviors among diabetes patients should adjust for medication regimen and consider evaluating differences among those who use insulin versus those who do not.…”

“…Participant gender generally matched expected distributions for each condition; for example RA studies had a majority of female patient participants, coronary artery disease (CAD) and ESRD studies had a majority of male patient participants, and diabetes patient participants were fairly evenly divided by gender. Exceptions were a RA study that focused exclusively on women (Manne and Zautra, 1989, 1990), and CAD (Drory and Florian, 1991) and diabetes (Edelstein and Linn, 1985) studies that focused exclusively on men. Fourteen studies focused on spouse/partner behaviors, while eight focused on family-wide behaviors.…”

“…Family achievement orientation, i.e. family casting events into a competitive achievement framework, was positively associated with diabetes metabolic control (Edelstein and Linn, 1985). Family cohesion, i.e., a pattern of common interests and shared emotions within the family, predicted better blood pressure control at 3 years among hypertensive patients (Baker et al 2000).…”

“…Similarly, family structure-organization (i.e. having highly structured relationships, with a strong emphasis on orderliness and routine), was associated with worse metabolic control among men with diabetes (Edelstein and Linn, 1985). Chesla and colleagues (2004) did find that family structure-organization was associated with higher diabetes-related quality of life, but their definition of this behavior included family emphasis on closeness as well as on roles and rules.…”

The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review

“…Family criticism, i.e., a general pattern of conflict in family relationships, was associated with increased pain among rheumatoid arthritis patients (Manne and Zautra, 1990). In addition, family criticism predicted worse glycemic and lipid control at 6 months among people with diabetes in one study (Edelstein and Linn, 1985), but was not associated with glycemic control in another (Trief et al 1998). …”

“…Among patients with diabetes, there is evidence that family behaviors affect patients using insulin differently than those using oral medications only. It is notable that, among the eight studies in this review examining glycemic control or diabetes self-management behavior as outcomes, only the two studies with 100% insulin-using patients found significant effects of family behavior (Edelstein and Linn, 1985; Hagedoorn et al 2006). Future studies of family behaviors among diabetes patients should adjust for medication regimen and consider evaluating differences among those who use insulin versus those who do not.…”

“…Participant gender generally matched expected distributions for each condition; for example RA studies had a majority of female patient participants, coronary artery disease (CAD) and ESRD studies had a majority of male patient participants, and diabetes patient participants were fairly evenly divided by gender. Exceptions were a RA study that focused exclusively on women (Manne and Zautra, 1989, 1990), and CAD (Drory and Florian, 1991) and diabetes (Edelstein and Linn, 1985) studies that focused exclusively on men. Fourteen studies focused on spouse/partner behaviors, while eight focused on family-wide behaviors.…”

“…Family achievement orientation, i.e. family casting events into a competitive achievement framework, was positively associated with diabetes metabolic control (Edelstein and Linn, 1985). Family cohesion, i.e., a pattern of common interests and shared emotions within the family, predicted better blood pressure control at 3 years among hypertensive patients (Baker et al 2000).…”

“…Similarly, family structure-organization (i.e. having highly structured relationships, with a strong emphasis on orderliness and routine), was associated with worse metabolic control among men with diabetes (Edelstein and Linn, 1985). Chesla and colleagues (2004) did find that family structure-organization was associated with higher diabetes-related quality of life, but their definition of this behavior included family emphasis on closeness as well as on roles and rules.…”

The impact of family behaviors and communication patterns on chronic illness outcomes: a systematic review

“…Family criticism, i.e., a general pattern of conflict in family relationships, was associated with increased pain among rheumatoid arthritis patients (Manne and Zautra, 1990). In addition, family criticism predicted worse glycemic and lipid control at 6 months among people with diabetes in one study (Edelstein and Linn, 1985), but was not associated with glycemic control in another (Trief et al 1998). …”

“…Among patients with diabetes, there is evidence that family behaviors affect patients using insulin differently than those using oral medications only. It is notable that, among the eight studies in this review examining glycemic control or diabetes self-management behavior as outcomes, only the two studies with 100% insulin-using patients found significant effects of family behavior (Edelstein and Linn, 1985; Hagedoorn et al 2006). Future studies of family behaviors among diabetes patients should adjust for medication regimen and consider evaluating differences among those who use insulin versus those who do not.…”

“…Participant gender generally matched expected distributions for each condition; for example RA studies had a majority of female patient participants, coronary artery disease (CAD) and ESRD studies had a majority of male patient participants, and diabetes patient participants were fairly evenly divided by gender. Exceptions were a RA study that focused exclusively on women (Manne and Zautra, 1989, 1990), and CAD (Drory and Florian, 1991) and diabetes (Edelstein and Linn, 1985) studies that focused exclusively on men. Fourteen studies focused on spouse/partner behaviors, while eight focused on family-wide behaviors.…”

“…Family achievement orientation, i.e. family casting events into a competitive achievement framework, was positively associated with diabetes metabolic control (Edelstein and Linn, 1985). Family cohesion, i.e., a pattern of common interests and shared emotions within the family, predicted better blood pressure control at 3 years among hypertensive patients (Baker et al 2000).…”

“…Similarly, family structure-organization (i.e. having highly structured relationships, with a strong emphasis on orderliness and routine), was associated with worse metabolic control among men with diabetes (Edelstein and Linn, 1985). Chesla and colleagues (2004) did find that family structure-organization was associated with higher diabetes-related quality of life, but their definition of this behavior included family emphasis on closeness as well as on roles and rules.…”