Parent-Child Conflict Moderates the Relationship Between Executive Functioning and Child Disruptive Behaviors in Youth with T1D.

Document Type

Article

Publication Date

6-2022

Identifier

DOI: 10.1007/s10880-021-09838-5

Abstract

Executive function (EF) skills, parent-child conflict, and high blood glucose (BG) may impact child externalizing behaviors. We examined these child and parent factors in families of 5-9 year olds with recent-onset type 1 diabetes (T1D). Parents (N = 125) reported child EF, child externalizing behaviors, and conflict regarding T1D-specific tasks. We used self-monitoring BG uploads to calculate the percentage of time children had high BG ( > 180 mg/dl). We entered data into a moderated path analysis using MPlus8. The path analysis revealed a positive direct effect for parent-reported child EF and child externalizing behavior (p < .01). Further, T1D-specific conflict moderated the positive association between parent-reported child EF and child externalizing behaviors (p < .05). Early screening of child EF, externalizing behavior, and family conflict may be particularly important in the recent-onset period of T1D. The introduction of T1D-related conflict after diagnosis may impact child externalizing behavior and limited child EF skills that pre-date diagnosis.

Journal Title

Journal of clinical psychology in medical settings

Volume

29

Issue

2

First Page

357

Last Page

364

MeSH Keywords

Adolescent; Diabetes Mellitus, Type 1; Executive Function; Humans; Parent-Child Relations; Parents; Problem Behavior

Keywords

Blood glucose; Executive functioning; Externalizing behavior; Family conflict; Type 1 diabetes

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