Popis: |
Objective: The purpose of the study was to test interactive models that examined the moderating effects of diabetes-specific family conflict on the relationship between parental involvement in type 1 diabetes mellitus (T1DM) care and illness-specific psychosocial outcomes for youth in poor metabolic control and their parents. Methods: Youth (N=72) ages 10-18 years with poorly controlled diabetes (A1c >8.5%) and one parent/caregiver completed measures assessing parental involvement in T1DM care, family conflict, youth diabetes-specific quality of life, and pediatric parenting stress. Results: Low shared treatment responsibility between parent and youth for T1DM treatment tasks and high levels of diabetes-specific family conflict interacted to predict poorer youth and parent psychosocial outcomes. Conclusions: Interventions targeting both family sharing of treatment responsibility and family conflict about diabetes-related issues may foster improvements in youth diabetes-specific QOL and pediatric parenting stress. |