Display Settings:


Send to:

Choose Destination
We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
J Pediatr Psychol. 2008 Jun;33(5):497-508. Epub 2007 Sep 10.

Parent and adolescent distribution of responsibility for diabetes self-care: links to health outcomes.

Author information

  • 1Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213, USA. vh2e@andrew.cmu.edu



To examine the relation of adolescent and parent responsibility distribution for diabetes self-care to psychological and physical health.


We interviewed children (mean age 12 years) annually for 3 years and asked parents to complete a questionnaire. Both reported how diabetes self-care was distributed in the family. Amount of responsibility held by the child only, the parent only, and shared between child and parent was calculated. Psychological distress, competence, and diabetes outcomes were assessed at each wave.


In both cross-sectional and longitudinal (lagged) analyses, multilevel modeling showed that shared responsibility was consistently associated with better psychological health, good self-care behavior, and good metabolic control, whereas child and parent responsibility were not. In some cases, links of shared responsibility to health outcomes were stronger among older adolescents.


These findings highlight the importance of shared responsibility for diabetes self-care through early to middle adolescence.

[PubMed - indexed for MEDLINE]
Free PMC Article

Images from this publication.See all images (3)Free text

Figure 1.
Figure 2.
Figure 3.
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk