Journal
JOURNAL OF PEDIATRIC PSYCHOLOGY
Volume 34, Issue 9, Pages 977-988Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/jpepsy/jsp003
Keywords
family conflict; family interactions; parent-child behavior; quality of life; type 1 diabetes
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Objective To evaluate associations among parent-child behaviors and generic and diabetes-specific health-related quality of life (HRQOL) in a multi-site sample of youth with type 1 diabetes. Method One hundred and twenty-one youth and their primary caregivers completed measures of parent-child behaviors, child HRQOL, and participated in an observed family interaction task. Results Diabetes-specific parent-child variables were associated significantly with both generic and diabetes-specific HRQOL above and beyond the contributions of demographic and generic parent-child variables, accounting for between 13% and 31% of the variance in HRQOL. Diabetes-specific family conflict and negative diabetes-specific family communication were associated with lower HRQOL. Collaborative parent involvement in diabetes care was associated with higher levels of HRQOL. Conclusions Interventions that target diabetes-specific family interactions will be beneficial to the quality of life of children with type 1 diabetes.
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