Gender Differences in Adherence to Type 1 Diabetes Management Across Adolescence: The Mediating Role of Depression

Korbel, Carolyn; Wiebe, Deborah J.; Berg, Cynthia A.; Palmer, Debra L.

doi:10.1080/02739610701316936

Cited by 49 publications

(42 citation statements)

References 37 publications

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“…This 27-item scale has high internal consistency and test-retest reliability, > .71, and is related to difficulties in managing diabetes (Korbel et al, 2007); present reliability was strong ( α =.84)…”

Section: Methodsmentioning

confidence: 95%

Benefit finding, affective reactions to diabetes stress, and diabetes management among early adolescents.

Tran¹,

Wiebe²,

Fortenberry³

et al. 2011

Health Psychology

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Objective To examine whether benefit finding was associated with better adjustment among adolescents with diabetes by buffering negative affective reactions to diabetes stress and by promoting positive affective reactions. Design Early adolescents aged 10-14 with type 1 diabetes (n=252) described recent diabetes stressors, affective reactions, and perceived coping effectiveness. They also completed measures of benefit finding, depressive symptoms, and adherence. Metabolic control (i.e., HbA1c) was obtained from medical records. Main Outcome Measures The main outcome measures were perceived coping effectiveness, depressive symptoms, adherence, and HbA1c. Results Benefit finding was associated with lower depressive symptoms, higher perceived coping effectiveness and better adherence, and with higher positive as well as negative affective reactions to diabetes stress. Benefit finding interacted with negative affective reactions to predict depressive symptoms and HbA1c. Negative affective reactions to stress were associated with poorer adjustment among those with low benefit finding, but were unrelated or more weakly related to poor adjustment among those with high benefit finding. Positive affective reactions did not mediate associations between benefit finding and any outcome. Conclusions Consistent with a stress-buffering process, benefit finding may be a resource that buffers the disruptive aspects of negative affective reactions to stress for adolescents’ diabetes management.

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Section: Methodsmentioning

confidence: 95%

Benefit finding, affective reactions to diabetes stress, and diabetes management among early adolescents.

Tran¹,

Wiebe²,

Fortenberry³

et al. 2011

Health Psychology

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“…These perceptions of competence may reflect a combination of actual diabetes management behaviors and adolescents' developing perceptions of the effectiveness of those behaviors. Negative emotions are associated with adolescent reports of poorer diabetes management across a number of studies [20,21]. In a sample of adolescents with type 1 diabetes, Stewart and colleagues found evidence supporting a pathway leading from overall emotional distress to poorer glycemic control via lower self-efficacy and reports of poorer diabetes management [22], and this pathway was supported longitudinally in a 1-to 2-year follow-up [23].…”

Section: Introductionmentioning

confidence: 97%

Perceived Diabetes Task Competence Mediates the Relationship of both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes

Fortenberry¹,

Butler²,

Butner³

et al. 2009

ann. behav. med.

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“…In the diabetes literature, high quality relationships are associated with an array of positive adolescent processes including reduced risk of externalizing and internalizing behaviors (Paley, Conger, & Gordon, 2000). Studies from the developmental literature reveal high quality parent-adolescent relationships are associated with lower internalizing behaviors (Beveridge & Berg, 2007) and lower internalizing behaviors predict better adherence in young adolescents with diabetes (Korbel, Wiebe, Berg, & Palmer, 2007). Parental monitoring of general adolescent behaviors (e.g., knowing who your child's friends are) may reduce risky behaviors such as externalizing behaviors, which can indirectly affect positive diabetes outcomes (Horton, Berg, & Wiebe, 2009).…”

mentioning

confidence: 99%

Parental Involvement and Adolescents' Diabetes Management: The Mediating Role of Self-Efficacy and Externalizing and Internalizing Behaviors

Berg

King

Butler

et al. 2010

Journal of Pediatric Psychology

110

106

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Objective To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence. Methods A total of 252 young adolescents (M age ¼ 12.49 years, SD ¼ 1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records. Results SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control. Conclusions Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy.

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Gender Differences in Adherence to Type 1 Diabetes Management Across Adolescence: The Mediating Role of Depression

Cited by 49 publications

References 37 publications

Benefit finding, affective reactions to diabetes stress, and diabetes management among early adolescents.

Benefit finding, affective reactions to diabetes stress, and diabetes management among early adolescents.

Perceived Diabetes Task Competence Mediates the Relationship of both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes

Parental Involvement and Adolescents' Diabetes Management: The Mediating Role of Self-Efficacy and Externalizing and Internalizing Behaviors

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