Journal of Pediatric Psychology 17(5) pp. 555-572, 1992
© 1992 Society of Pediatric Psychology
research-article |
Comparing Social Learning and Family Systems Correlates of Adaptation in Youths with IDDM1
Medical University of South Carolina, University of Tennessee Memphis
2All correspondence should be addressed to Cindy L. Hanson, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425
Evaluated social learning and family systems theoretical models to determine (a) whether illness-specific family relations (based on social learning theory) and general family behaviors (based on family systems theory) relate uniquely to the youths' illness-specific and psychosocial adaptation, and (b) whether these types of family relations covary or whether they represent distinct aspects of family functioning. Participants included 95 youths with insulin-dependent diabetes mellitus (IDDM) and their parents. Positive and supportive family relations (illness-specific family support, general family affection, general family adaptability) as well as conflictual and nonsupportive relations (i.e., illnessspecific family nonsupport, general family conflict) were assessed. Results suggest that both illness-specific and general family relations uniquely predict the youths' dietary adherence and general psychosocial adaptation. Because illness specific and general family relations also covary, broad-based models that include both types of family functioning seem warranted.
Key words: adolescents; adaptation; diabetes; social learning; family systems.
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