Display Settings:

Format

Send to:

Choose Destination
J Pediatr Psychol. 2009 Apr;34(3):254-70. doi: 10.1093/jpepsy/jsn079. Epub 2008 Jul 30.

Predictors of metabolic control among adolescents with diabetes: a 4-year longitudinal study.

Author information

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

Abstract

OBJECTIVE:

To employ a risk and resistance framework to examine changes in metabolic control over early to middle adolescence.

METHODS:

We interviewed 70 girls and 62 boys (mean age 12 years) annually for 4 years. Risk and resistance factors, including demographics, disease-related variables, self-care behavior, and psychosocial variables were assessed. Hemoglobin A1c was obtained from medical records.

RESULTS:

Multilevel modeling showed metabolic control deteriorated with age. Self-care behavior interacted with age to predict the decline, such that self-care was more strongly related to poor metabolic control for older adolescents. Eating disturbances, depression, and peer relations were related to poor metabolic control, whereas good family relations were related to better metabolic control for girls.

CONCLUSIONS:

Independent risk factors for poor metabolic control included poor self-care, disturbed eating behavior, depression, and peer relations; parental support was an independent resistance factor for girls. Future research should examine mechanisms by which these relations emerge.

PMID:
18667479
[PubMed - indexed for MEDLINE]
PMCID:
PMC2657034
Free PMC Article

Images from this publication.See all images (1)Free text

Figure 1.
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

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