Skip Navigation



Journal of Pediatric Psychology Advance Access published online on October 20, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl037
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
32/4/427    most recent
jsl037v2
jsl037v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Lewandowski, A.
Right arrow Articles by Drotar, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lewandowski, A.
Right arrow Articles by Drotar, D.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediartic Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org
Received January 29, 2006
Revised June 6, 2006
Accepted September 21, 2006

Original Papers

The Relationship between Parent-Reported Social Support and Adherence to Medical Treatment in Families of Adolescents with Type 1 Diabetes

Amy Lewandowski MA 1 * and Dennis Drotar PhD 2

1 Department of Psychology, Case Western Reserve University
2 Department of Psychology, Case Western Reserve University; Division of Behavioral Pediatrics and Psychology, Rainbow Babies and Children's Hospital

* To whom correspondence should be addressed.
Amy Lewandowski, E-mail: asl17{at}po.cwru.edu


  Abstract

Objective To investigate the relationships between both mother-reported spousal support and social network support, and mother-adolescent diabetes-related conflict, discrepancies in decision-making autonomy (DDMA), and adolescent adherence to diabetes treatment. Method Fifty-one mothers of adolescents with IDDM completed self-report measures of social support, diabetes-related conflict, and adolescent autonomy for diabetes care. Analyses tested conflict and DDMA as mediators between mother-reported social support and adolescent adherence to treatment. Results Increased levels of mother-adolescent conflict were associated with poorer treatment adherence and both mother-reported diabetes-related conflict and DDMA predicted adolescents’ glycemic control. Higher levels of mother-reported spousal support were associated with less conflict and greater adherence to treatment. Sobel's test indicated a statistical trend for conflict as a mediator between spousal support and adolescent treatment adherence (p < .07). DDMA did not predict mother-adolescent conflict and did not emerge as a mediator between mother-reported social support and adolescent adherence. Conclusions This study highlights the role of spousal support for mothers of adolescents with IDDM and indicates that the level of spousal support mothers receive may play an important role in the health care behaviors of their adolescents.

Keywords: adherence; conflict; social support.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.