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The relationship between parent-reported social support and adherence to medical treatment in families of adolescents with type 1 diabetes.
J Pediatr Psychol. 2007 May; 32(4):427-36.JP

Abstract

OBJECTIVE

To investigate the relationships between both mother-reported spousal support and social network support, and mother-adolescent diabetes-related conflict, discrepancies in decision-making autonomy (DDMA), and adolescent adherence to diabetes treatment.

METHOD

Fifty-one mothers of adolescents with IDDM completed self-report measures of social support, diabetes-related conflict, and adolescent autonomy for diabetes care. Analyses tested conflict and DDMA as mediators between mother-reported social support and adolescent adherence to treatment.

RESULTS

Increased levels of mother-adolescent conflict were associated with poorer treatment adherence and both mother-reported diabetes-related conflict and DDMA predicted adolescents' glycemic control. Higher levels of mother-reported spousal support were associated with less conflict and greater adherence to treatment. Sobel's test indicated a statistical trend for conflict as a mediator between spousal support and adolescent treatment adherence (p < .07). DDMA did not predict mother-adolescent conflict and did not emerge as a mediator between mother-reported social support and adolescent adherence.

CONCLUSIONS

This study highlights the role of spousal support for mothers of adolescents with IDDM and indicates that the level of spousal support mothers receive may play an important role in the health care behaviors of their adolescents.

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Authors+Show Affiliations

Lewandowski A
Department of Psychology, Case Western Reserve University, 1090 Euclid Avenue, Cleveland, OH 44106-7123, USA. asl17@po.cwru.edu
Drotar D
No affiliation info available

MeSH

AdolescentConflict, PsychologicalDiabetes Mellitus, Type 1FemaleHumansMaleMother-Child RelationsPatient ComplianceProfessional-Family RelationsSocial SupportSurveys and Questionnaires

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17056638

Citation

Lewandowski, Amy, and Dennis Drotar. "The Relationship Between Parent-reported Social Support and Adherence to Medical Treatment in Families of Adolescents With Type 1 Diabetes." Journal of Pediatric Psychology, vol. 32, no. 4, 2007, pp. 427-36.
Lewandowski A, Drotar D. The relationship between parent-reported social support and adherence to medical treatment in families of adolescents with type 1 diabetes. J Pediatr Psychol. 2007;32(4):427-36.
Lewandowski, A., & Drotar, D. (2007). The relationship between parent-reported social support and adherence to medical treatment in families of adolescents with type 1 diabetes. Journal of Pediatric Psychology, 32(4), 427-36.
Lewandowski A, Drotar D. The Relationship Between Parent-reported Social Support and Adherence to Medical Treatment in Families of Adolescents With Type 1 Diabetes. J Pediatr Psychol. 2007;32(4):427-36. PubMed PMID: 17056638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The relationship between parent-reported social support and adherence to medical treatment in families of adolescents with type 1 diabetes. AU - Lewandowski,Amy, AU - Drotar,Dennis, Y1 - 2006/10/20/ PY - 2006/10/24/pubmed PY - 2007/7/4/medline PY - 2006/10/24/entrez SP - 427 EP - 36 JF - Journal of pediatric psychology JO - J Pediatr Psychol VL - 32 IS - 4 N2 - OBJECTIVE: To investigate the relationships between both mother-reported spousal support and social network support, and mother-adolescent diabetes-related conflict, discrepancies in decision-making autonomy (DDMA), and adolescent adherence to diabetes treatment. METHOD: Fifty-one mothers of adolescents with IDDM completed self-report measures of social support, diabetes-related conflict, and adolescent autonomy for diabetes care. Analyses tested conflict and DDMA as mediators between mother-reported social support and adolescent adherence to treatment. RESULTS: Increased levels of mother-adolescent conflict were associated with poorer treatment adherence and both mother-reported diabetes-related conflict and DDMA predicted adolescents' glycemic control. Higher levels of mother-reported spousal support were associated with less conflict and greater adherence to treatment. Sobel's test indicated a statistical trend for conflict as a mediator between spousal support and adolescent treatment adherence (p < .07). DDMA did not predict mother-adolescent conflict and did not emerge as a mediator between mother-reported social support and adolescent adherence. CONCLUSIONS: This study highlights the role of spousal support for mothers of adolescents with IDDM and indicates that the level of spousal support mothers receive may play an important role in the health care behaviors of their adolescents. SN - 0146-8693 UR - https://www.unboundmedicine.com/medline/citation/17056638/The_relationship_between_parent_reported_social_support_and_adherence_to_medical_treatment_in_families_of_adolescents_with_type_1_diabetes_ L2 - https://academic.oup.com/jpepsy/article-lookup/doi/10.1093/jpepsy/jsl037 DB - PRIME DP - Unbound Medicine ER -