Journal of Pediatric Psychology, Vol. 25, No. 4, 2000, pp. 257-267
© 2000 Society of Pediatric Psychology
Social Support and Personal Models of Diabetes as Predictors of Self-Care and Well-Being: A Longitudinal Study of Adolescents With Diabetes
University of Surrey
All correspondence should be sent to T. C. Skinner, Research & Development Unit, University Hospital Lewisham, Lewisham High Street, London SE13 6LH England. E-mail: chas.skinner{at}uhl.nhs.uk .
Objectives: To examine whether peer support and illness representation mediate the link between family support, self-management and well-being.
Method: Fifty-two adolescents (12-18 years old) with Type I diabetes were recruited and followed over 6 months, completing assessments of self-management, well-being, and social support.
Results: Perceived impact of diabetes and supportive family and friends were prospectively predictive of participants' well-being measures. Although support from family and friends was predictive of better dietary self-care, this relationship was mediated by personal model beliefs. In particular, beliefs about the effectiveness of the diabetes treatment regimen to control diabetes was predictive of better dietary self-care.
Conclusions: Both friends and family are important to support adolescents as they live with and manage their diabetes. Personal models of diabetes are important determinants of both dietary self-care and well-being. In addition, personal models may serve to mediate the relationship between social support and dietary behavior.
Key words: diabetes; adolescents; depression; anxiety; well-being; self-care; adherence; social support; illness representations; family; friends; peers; personal models.
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