Self-Management as a Mediator of Family Functioning and Depressive Symptoms With Health Outcomes in Youth With Type 1 Diabetes

Robin Whittemore, Lauren Liberti, Sangchoon Jeon, Ariana Chao, Sarah S. Jaser, Margaret Grey

Research output: Contribution to journalArticlepeer-review

Abstract

This study examined the relationship of family functioning and depressive symptoms with self-management, glycemic control, and quality of life in a sample of adolescents with type 1 diabetes. It also explored whether self-management mediates family functioning, depressive symptoms, and diabetes-related outcomes. Structural equation modeling was used to estimate parameters in the conceptual causal pathway and test mediation effects. Adolescents (n = 320) were primarily female (55%), younger adolescents (58%), and self-identified as White (63%). Self-management mediated the relationship between family conflict, family warmth-caring, parent guidance-control, and youth depressive symptoms with glycosylated hemoglobin (A1C). In addition, self-management mediated the relationship between family conflict and youth depressive symptoms with quality of life. Supporting optimal family functioning and treating elevated depressive symptoms in adolescents with type 1 diabetes has the potential to improve self-management, glycemic control, and quality of life.

Original languageEnglish (US)
Pages (from-to)1254-1271
Number of pages18
JournalWestern journal of nursing research
Volume36
Issue number9
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

Keywords

  • adolescence
  • depressive symptoms
  • family functioning
  • self-management
  • type 1 diabetes

ASJC Scopus subject areas

  • General Nursing

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