Friend and Peer Relationships Among Youth with Type 1 Diabetes

Vleet, Meredith Van; Helgeson, Vicki S.

doi:10.1007/978-3-030-33286-0_10

Cited by 13 publications

(15 citation statements)

References 58 publications

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“…In a previous report on this sample, survey measures of friend support and conflict were measured once in the Fall and once in the Spring (Helgeson et al, 2023). Consistent with the previous literature review (Van Vleet & Helgeson, 2020), that report showed relations of friend conflict were more consistently linked to psychological and diabetes health than friend support in both cross-sectional and longitudinal analyses. Relations of friend support to outcomes were inconsistent.…”

supporting

confidence: 90%

“…A review of the literature on peer relationships and health among youth with T1D revealed more evidence that conflictual friendships are related to poor health than that supportive friendships are related to good health (Van Vleet & Helgeson, 2020). For example, in an ecological momentary assessment (EMA) study (Helgeson et al, 2009), adolescents between the ages of 13 and 16 first completed baseline measures of friend support and friend conflict and then reported every 2 hr over the course of 4 days whether they interacted with a friend and the extent to which the interaction was enjoyable or upsetting.…”

mentioning

confidence: 99%

“…Moderator variables—gender, in particular—may explain some of the inconsistencies in this work. A number of studies in the review showed that links of peer relationship variables to health were stronger for females than males (Van Vleet & Helgeson, 2020). For example, the study described above of adolescents ages 13–16 (Helgeson et al, 2009) showed that survey measures of peer conflict were more strongly related to higher depression and to higher hemoglobin A1c (HbA1c) (indicator of blood glucose instability) for females than males and that an aggregate measure of enjoyable interactions was more strongly linked to fewer depressive symptoms and better self-care for females than males.…”

mentioning

confidence: 99%

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Peer interactions and health among youth with diabetes: An ecological momentary assessment.

Helgeson,

Horner,

Reis

et al. 2024

Health Psychology

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Objective: We examined the links of supportive and conflictual peer interactions to mood and self-care via ecological momentary assessment. Method: Adolescents with Type 1 diabetes (n = 167, 49% female) recruited between 2018 and 2021 were prompted 8 times a day for 8 days to complete brief surveys that measured perceived social interactions, affect, and self-care. Results: Cross-sectional analyses revealed between-and within-person (WP) links of peer support to positive mood and conflict to negative mood. Between-person peer support was linked to healthy self-care, but WP support was not. Lagged analyses showed conflictual interactions were associated with self-care decline. There was some evidence that females did not benefit as much from support and were more bothered by conflict than others. Conclusions: Results underscore differences in between-and WP links of social interactions to health. Individual differences in support were more influential than conflict, but conflictual interactions had more momentary effects than supportive interactions. Public Significance StatementSubstantive contributions to research on Type 1 diabetes are made by focusing on peer relationships, examining both support and conflict, testing gender moderation, and employing a design that examines proximal links of social interactions to health. Between-person and within-person support and conflict were related to mood, but only between-person support was related to self-care. A key longitudinal finding showed within-person peer conflict was linked to declines in self-care over time.

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supporting

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Peer interactions and health among youth with diabetes: An ecological momentary assessment.

Helgeson,

Horner,

Reis

et al. 2024

Health Psychology

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“…However, quantitative research is lagging behind and there is no consensus in the literature on when and how exactly peers may affect self-care and well-being. Developing a better understanding of linkages is important for both theory and clinical practice; hence, more research is needed on the role of peers for youth with Type 1 diabetes [12].…”

Section: Abstract Type 1 Diabetes • Youth • Peers • Emotional Support • Extreme Peer Orientation • Person-centeredmentioning

confidence: 99%

A Person-Centered Perspective on the Role of Peer Support and Extreme Peer Orientation in Youth with Type 1 Diabetes: A Longitudinal Study

Raymaekers

Prikken

Oris

et al. 2020

Annals of Behavioral Medicine

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Background Despite clear evidence that peers are crucial for youth development, research on the role of peers for youth with Type 1 diabetes (T1D) is scarce. Purpose The present study identified trajectory classes of perceived peer functioning in youth with T1D, based on peer support and extreme peer orientation (EPO). Further, classes were compared with respect to their trajectories of depressive symptoms, diabetes-specific distress, treatment adherence, and HbA1c values. Methods Five hundred and fifty-nine youth (14–25 years) with T1D completed questionnaires at baseline, 1, 2, and 3 years later. Latent class growth analysis identified classes of perceived peer functioning. Multigroup latent growth curve modelling assessed whether these classes were characterized by different trajectories of general and diabetes-specific functioning. Results A socially normative class (48%) was characterized by trajectories of high support and low EPO over time. A socially reserved class (29%) was characterized by low support and EPO, and a socially oriented class (17%) by high support and EPO. Finally, a socially vulnerable class (6%) was characterized by low support and high EPO. The normative class functioned significantly better over time than the other classes. The vulnerable class functioned significantly worse compared to the reserved class, despite experiencing equally low levels of support. Conclusions The results underscore the need to take youths’ orientation toward the peer context into account alongside support when tapping into the role of peers, because individuals with low levels of support and EPO functioned substantially better than individuals with similar low levels of support but high levels of EPO.

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“…Yet far fewer studies examine peer compared to family relationships. Friend support has been linked to greater psychological well-being, but links to diabetes outcomes are equivocal (Van Vleet & Helgeson, in press). By contrast, more conflictual friend relationships have been linked to poor diabetes outcomes.…”

Section: Psychosocial Predictors Of Diabetes Outcomesmentioning

confidence: 99%

Psychosocial predictors of diabetes risk factors and complications: An 11-year follow-up.

Helgeson¹,

Orchard²,

Seltman³

et al. 2019

Health Psychology

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Objective:The goal of this study was to use the risk and resistance framework to examine whether a set of psychosocial variables measured at age 12 in youth with Type 1 diabetes would predict the emergence of diabetes risk and complication variables 11 years and 13 years later. Method: We interviewed youth with Type 1 diabetes when they were average age 12 and followed them for 11 years until they were average age 23 and then average age 25. At age 12, we measured personality traits (unmitigated communion, unmitigated agency), relationship variables (parent relationship quality, friend support, friend conflict), indicators of psychological well-being (depressive symptoms, bulimic symptoms, self-worth), and self-care behavior. We used these psychosocial variables assessed at age 12 to predict diabetes risk factors, glycemic control, and the emergence of diabetes complications at follow-up. Results: Higher unmitigated agency, poor quality parent relationships, higher friend conflict, bulimic symptoms, and lower self-worth predicted one or more diabetes outcomes. When statistical controls for age 12 glycemic control were employed, unmitigated agency emerged as the most robust predictor of diabetes outcomes. Conclusion: Unmitigated agency, which involves an overly inflated view of the self and a cynical view of others, predicted poor diabetes outcomes over an 11-year and 13-year period. The processes by which unmitigated agency could influence health are discussed.

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Friend and Peer Relationships Among Youth with Type 1 Diabetes

Cited by 13 publications

References 58 publications

Peer interactions and health among youth with diabetes: An ecological momentary assessment.

Peer interactions and health among youth with diabetes: An ecological momentary assessment.

A Person-Centered Perspective on the Role of Peer Support and Extreme Peer Orientation in Youth with Type 1 Diabetes: A Longitudinal Study

Psychosocial predictors of diabetes risk factors and complications: An 11-year follow-up.

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