期刊
FAMILIES SYSTEMS & HEALTH
卷 29, 期 4, 页码 314-326出版社
EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
DOI: 10.1037/a0026589
关键词
adolescent strengths; family cohesion; resilience; disease management; Type 1 diabetes
资金
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases [5R01DK070917-04]
We examined the association of youths' positive qualities, family cohesion, disease management, and metabolic control in Type I diabetes. Two-hundred fifty-seven youth parent dyads completed the Family Cohesion subscale of the Family Environment Scale, the Diabetes Behavior Rating Scale, 24-hour diabetes interview, and youth completed the Positive Qualities subscale of the Youth Self Report (YSR-PQ). Structural equation modeling demonstrated that YSR-PQ scores were associated with metabolic control mediated by associations with more family cohesion and better disease management. That is, youth with higher YSR-PQ scores had more cohesive families, better disease management, and, indirectly, better metabolic control. Family cohesion was indirectly associated with better metabolic control mediated by its association with better disease management, but not mediated by its association with YSR-PQ scores. Youth who reported more positive qualities, as measured by the YSR-PQ subscale, had better disease management and metabolic control through the association with more family cohesion. However, the current results did not support an alternative hypothesis that cohesive families display better diabetes management mediated by higher YSR-PQ scores.
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