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Journal of Pediatric Psychology Advance Access published online on January 23, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn141
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© The Author 2009. 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

Brief Report: Hope, Perceived Maternal Empathy, Medical Regimen Adherence, and Glycemic Control in Adolescents with Type 1 Diabetes

Sarah M. Lloyd, BSc1, Marja Cantell, PhD2,3,4, Danièle Pacaud, MD3, Susan Crawford, MSc2 and Deborah Dewey, PhD2,3,4

1Department of Psychology, University of Calgary, 2Behavioural Research Unit, Alberta Children's Hospital, 3Department of Pediatrics, University of Calgary and 4Department of Community Health Sciences, University of Calgary

All correspondence concerning this article should be addressed to Deborah Dewey, PhD, Behavioural Research Unit, Alberta Children's Hospital, 2888 Shaganappi Trail N.W., Calgary, Alberta, Canada, T3B 6A8. E-mail: deborah.dewey{at}albertahealthservices.ca


  Abstract

Objective The relationships among hope, perceived maternal empathy, medical regimen adherence, and glycemic control in adolescents with type 1 diabetes were examined. Method Twenty-nine girls and 21 boys with type 1 diabetes completed measures of hope, perceived maternal empathy, and medical regimen adherence. Each participant's most recent hemoglobin A1c, a measure of glycemic control, was obtained from the diabetes clinic database. Results Significant correlations were found among hope, perceived maternal empathy, and medical regimen adherence. Significant correlations were also found among hope, perceived maternal empathy, and glycemic control. Adolescents’ perceptions of maternal empathy were positively correlated with level of hope. Hope appeared to mediate the relationship between perceived maternal empathy and adherence, as well as between perceived maternal empathy and glycemic control. Conclusions The results of this study affirm the need for longitudinal research that examines the associations among hope, perceived maternal empathy, medical regimen adherence, and glycemic control.

Key words: adherence; adolescents; glycemic control; hope; perceived maternal empathy; type 1 diabetes.

Received July 3, 2008; revision received December 8, 2008; accepted December 10, 2008


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