Document Type

Article

Publication Date

5-1-2017

Identifier

PMCID: PMC5505409 DOI: 10.1177/1932296816664363

Abstract

OBJECTIVE: Adherence to type 1 diabetes management declines as children enter adolescence. For youth, psychosocial variables including mood and interpersonal relationships play a large role in diabetes maintenance. The current study assessed the unique and interactive roles diabetes family conflict and depression have on insulin bolusing behaviors for youth ages 10-16 years.

METHODS: Ninety-one youth-parent dyads completed a survey assessing family conflict and depression. Mean daily blood glucose levels, mealtime insulin bolus scores ( BOLUS), and glycated hemoglobin (HbA1c) were collected from the medical record as outcome variables.

RESULTS: Parent-reported diabetes-related family conflict and youths' endorsed depression both significantly predicted insulin bolusing behavior, R

CONCLUSIONS: Among depressed youth, mealtime insulin BOLUS scores declined with greater diabetes-related family conflict, while there was no change in BOLUS scores among depressed youth living in families reporting less conflict. Findings underscore the importance of screening for depression and family conflict in youth experiencing or at risk for poor adherence to mealtime insulin and higher HbA1c levels.

Journal Title

J Diabetes Sci Technol

Volume

11

Issue

3

First Page

493

Last Page

498

MeSH Keywords

Adolescent; Blood Glucose Self-Monitoring; Child; Depression; Diabetes Mellitus, Type 1; Family Conflict; Female; Humans; Hypoglycemic Agents; Insulin; Insulin Infusion Systems; Male; Self Care

Keywords

adolescence; depression; family conflict; insulin bolus; type 1 diabetes mellitus

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