Adolescent and parent diabetes distress in type 1 diabetes: the role of self-efficacy, perceived consequences, family responsibility and adolescent-parent discrepancies

Law, Gary Urquhart, Walsh, Jennifer, Queralt, Victoria and Nouwen, Arie ORCID: https://orcid.org/0000-0002-0609-4082 (2013) Adolescent and parent diabetes distress in type 1 diabetes: the role of self-efficacy, perceived consequences, family responsibility and adolescent-parent discrepancies. Journal of Psychosomatic Research, 74 (4) . pp. 334-339. ISSN 0022-3999 [Article] (doi:10.1016/j.jpsychores.2012.12.009)

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Abstract

OBJECTIVE:
To examine the association of adolescent and parent diabetes distress with perceived consequences, dietary self-efficacy, and discrepancies in diabetes family responsibility, in type 1 diabetes (T1D).
METHODS:
203 adolescents with T1D, aged 12-18, and their parents completed self-report questionnaires cross-sectionally.
RESULTS:
Higher HbA1c, greater perceived negative consequences of diabetes, and reduced self-efficacy predicted adolescent diabetes distress. Higher HbA1c predicted parental diabetes distress, as did diabetes family responsibility disagreements when both family members claimed responsibility, and parents' perception of reduced adolescent self-efficacy.
CONCLUSION:
Dietary self-efficacy and perceived negative consequences of diabetes are important factors to consider in assessing and managing adolescent diabetes distress. Perceptions of family responsibility for self-care tasks and parental confidence in adolescents' self-management have implications for parental diabetes distress. Clinical implications support long-held recommendations of taking a family-perspective of T1D care.

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