Self-Management as a Mediator of Family Functioning and Depressive Symptoms With Health Outcomes in Youth With Type 1 Diabetes

被引：17
作者：
Whittemore, Robin [1 ]
Liberti, Lauren [1 ]
Jeon, Sangchoon [1 ]
Chao, Ariana [1 ]
Jaser, Sarah S. [2 ]
Grey, Margaret [1 ]
机构：
[1] Yale Univ, Sch Nursing, Orange, CT 06477 USA
[2] Vanderbilt Univ, Nashville, TN 37235 USA
来源：
WESTERN JOURNAL OF NURSING RESEARCH | 2014年 / 36卷 / 09期
基金：
美国国家卫生研究院;
关键词：
type; 1; diabetes; adolescence; family functioning; depressive symptoms; self-management; QUALITY-OF-LIFE; METABOLIC-CONTROL; GLYCEMIC CONTROL; ADOLESCENTS; ADHERENCE; INVOLVEMENT; CONFLICT; CHILDREN; ADAPTATION; PREDICTORS;
D O I：
10.1177/0193945913516546
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
This study examined the relationship of family functioning and depressive symptoms with self-management, glycemic control, and quality of life in a sample of adolescents with type 1 diabetes. It also explored whether self-management mediates family functioning, depressive symptoms, and diabetes-related outcomes. Structural equation modeling was used to estimate parameters in the conceptual causal pathway and test mediation effects. Adolescents (n = 320) were primarily female (55%), younger adolescents (58%), and self-identified as White (63%). Self-management mediated the relationship between family conflict, family warmth-caring, parent guidance-control, and youth depressive symptoms with glycosylated hemoglobin (A1C). In addition, self-management mediated the relationship between family conflict and youth depressive symptoms with quality of life. Supporting optimal family functioning and treating elevated depressive symptoms in adolescents with type 1 diabetes has the potential to improve self-management, glycemic control, and quality of life.
引用
收藏
页码：1254 / 1271
页数：18
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