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Journal of Pediatric Psychology, Vol. 28, No. 7, 2003, pp. 485-493
© 2003 Society of Pediatric Psychology

Illness Representations and Coping as Predictors of Emotional Well-being in Adolescents with Type 1 Diabetes

K. A. Edgar, DClin Psychol and T. C. Skinner, PhD

Brownhill Centre, Cheltenham, and University of Southampton, UK

All correspondence should be addressed to Dr. T. C. Skinner, Department of Psychology, University of Southampton, Highfield, Southampton SO17 1BJ, United Kingdom. E-mail: t.c.skinner{at}soton.ac.uk.

Objectives To test whether coping acts to mediate the relationships between illness representations and emotional well-being in adolescents with diabetes. Methods Seventy adolescents between 11 and 18 years of age were asked to complete the Diabetes Illness Representations Questionnaire (DIRQ), the Well-being Questionnaire, and the Kidcope. Results Perceived impact, identity, and cognitive restructuring were significant independent predictors for depressive symptomatology. For anxiety, perceived impact and identity were significant predictors, and for positive emotional well-being, treatment effectiveness to control diabetes was the only significant predictor. Multiple regression analyses indicated that coping did not mediate the association between illness representations and positive emotional well-being. Conclusions Perceived impact was consistently associated with participants' indices of negative emotional well-being. Contrary to the hypothesized model, coping did not mediate the association between illness representations and emotional well-being in this sample.

Key words: diabetes; adolescents; coping; well-being; illness representations.


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