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Journal of Pediatric Psychology Advance Access originally published online on November 7, 2006
Journal of Pediatric Psychology 2007 32(5):561-570; doi:10.1093/jpepsy/jsl040
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Attributions of Adolescents with Type 1 Diabetes Related to Performing Diabetes Care around Friends and Peers: The Moderating Role of Friend Support

Anthony A. Hains, PhD, Kristoffer S. Berlin, MS, W. Hobart Davies, PhD, Melissa K. Smothers, MS, Amy F. Sato, MS and Ramin Alemzadeh, MD

University of Wisconsin-Milwaukee, Medical College of Wisconsin

All correspondence concerning this article should be addressed to Anthony A. Hains, Department of Educational Psychology, PO Box 413, University of Wisconsin-Milwaukee, Milwaukee, WI 53201. E-mail: aahains{at}uwm.edu.


  Abstract

Objective To examine the relationships among negative attributions of friend and peer reactions to diabetes management in social situations, anticipated adherence difficulties, friend support, diabetes stress, and metabolic control. Methods A sample of 102 adolescents with Type 1 diabetes completed instruments measuring attribution of friend and peer reactions, anticipated adherence, friend support, and diabetes stress. Metabolic control was measured by the percentage of hemoglobin A1c. Results Structural equation modeling demonstrated an excellent fit of two models depicting the mediating role of anticipated adherence difficulties and diabetes stress on the relationship between negative attributions of friend (first model) and peer (second model) reactions and metabolic control. Friend support was found to moderate the path between diabetes stress and metabolic control in an unexpected manner. That is, as friend support increased, so did the relationship between stress and metabolic control. Conclusions Adolescents who make negative attributions about reactions of friends and/or non friend peers are likely to find adherence difficult in social situations and have increased stress, with the latter associated with metabolic control. Results are discussed in terms of a social information processing model of adjustment.

Key words: adherence; adolescents; attributions; diabetes; friends.

Received March 31, 2006; revision received July 18, 2006; revision received September 28, 2006; accepted October 6, 2006


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A. A. Hains, K. S. Berlin, W. H. Davies, A. F. Sato, M. K. Smothers, L. C. Clifford, and R. Alemzadeh
Attributions of Teacher Reactions to Diabetes Self-care Behaviors
J. Pediatr. Psychol., April 29, 2008; (2008) jsn041v1.
[Abstract] [Full Text] [PDF]


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