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Journal of Pediatric Psychology Advance Access originally published online on April 10, 2007
Journal of Pediatric Psychology 2007 32(7):794-806; doi:10.1093/jpepsy/jsm020
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© The Author 2007. 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

Comparison of Adolescents with and without Diabetes on Indices of Psychosocial Functioning for Three Years

Vicki S. Helgeson, PhD1, Pamela R. Snyder, MA1, Oscar Escobar, MD2, Linda Siminerio, PhD3 and Dorothy Becker, MBBCh3

1Carnegie Mellon University, 2Children's Hospital of Pittsburgh, and 3University of Pittsburgh Medical Center

All correspondence concerning this article should be addressed Dr Vicki S. Helgeson, Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213. vh2e{at}andrew.cmu.edu.


  Abstract

Objective To determine whether diabetes is associated with psychosocial difficulties over the transition to adolescence. Methods We compared adolescents with diabetes (n = 132) with a healthy comparison group (n = 131) on indices of psychosocial functioning for 3 years. We interviewed both groups annually and had one parent complete a questionnaire. Results There were no group differences in depressive symptoms, anxiety, anger, or behavioral problems. However, adolescents with diabetes showed greater declines in social acceptance compared with healthy adolescents, and a greater rise in disturbed eating behavior. Over time, depressive symptoms and anxiety increased and self-worth decreased for females but not males; however, these differences were not qualified by group Conclusions Diabetes is not associated with indicators of psychological distress from early to middle adolescence, but may be associated with the emergence of social difficulties and eating disturbances. Gender differences in psychological distress emerged, replicating past research.

Key words: Adolescence; Case control study; Diabetes.

Received August 15, 2006; revision received March 9, 2007; accepted March 12, 2007


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