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J Pediatr Psychol. 2014 Nov-Dec;39(10):1126-37. doi: 10.1093/jpepsy/jsu070. Epub 2014 Aug 24.

Relations of behavioral autonomy to health outcomes among emerging adults with and without type 1 diabetes.

Author information

1
Psychology Department, Carnegie Mellon University, Rand Corporation, Pediatric Endocrinology, Children's Hospital of Pittsburgh, and Department of Medicine, University of Pittsburgh vh2e@andrew.cmu.edu.
2
Psychology Department, Carnegie Mellon University, Rand Corporation, Pediatric Endocrinology, Children's Hospital of Pittsburgh, and Department of Medicine, University of Pittsburgh.

Abstract

OBJECTIVE:

To examine the relation of behavioral autonomy to psychological, behavioral, and physical health among emerging adults with and without type 1 diabetes.

METHODS:

High school seniors with (n = 118) and without type 1 diabetes (n = 122) completed online questionnaires for three consecutive years. Behavioral autonomy, psychological health, risk behaviors, and diabetes outcomes were assessed. Regression analyses were conducted to predict Time 2 and 3 outcomes, controlling for Time 1 outcomes.

RESULTS:

There were no group differences in behavioral autonomy. Behavioral autonomy predicted better psychological health but only for emerging adults without diabetes. Behavioral autonomy was related to increased risk behavior for both groups. Behavioral autonomy was unrelated to self-care but predicted better glycemic control for females.

CONCLUSIONS:

Behavioral autonomy may be beneficial for psychological health, but is related to increased risk behavior. The implications of behavioral autonomy for emerging adults with type 1 diabetes require careful consideration.

KEYWORDS:

adolescent; autonomy; diabetes mellitus, emerging adults; risk-taking; type 1

PMID:
25157070
PMCID:
PMC4201767
DOI:
10.1093/jpepsy/jsu070
[Indexed for MEDLINE]
Free PMC Article

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