Coping, Self-Management, and Adaptation in Adolescents with Type 1 Diabetes
- First Online:
- 1.5k Downloads
Adolescents with type 1 diabetes experience stress related to treatment management, feeling different from peers, and deciding to tell others about their diabetes.
This study examined the relationship of stress reactivity and coping with self-management, quality of life, and metabolic control in an ethnically diverse sample of adolescents with type 1 diabetes.
Adolescents (n = 327) completed measures of coping and stress reactivity, self-management, and quality of life. Glycosylated hemoglobin data were collected from medical records.
Low-income and minority status were related to lower levels of primary control coping (e.g., problem solving) and secondary control coping (e.g., acceptance), and higher levels of disengagement coping (e.g., avoidance). Self-management mediated the relationship between coping and stress reactivity with quality of life and metabolic control. Race/ethnicity and income moderated the relationship between coping and self-management goals.
Results indicate differences in coping related to income and race/ethnicity and demonstrate the impact of coping on self-management and health outcomes in adolescents with type 1 diabetes.
KeywordsCoping Diabetes Self-management
- 2.ADA. Standards of medical care in diabetes - 2010. Diabetes Care. 2010; 33:S11–S61.Google Scholar
- 9.Jacobson AM, Hauser ST, Lavori P, Wofsdorf JI, Herskowitz RD, Milley JE, et al. Adherence among children with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: I. The influence of patient coping and adjustment. J Pediatr Psychol. 1990; 15:511–26.PubMedCrossRefGoogle Scholar
- 16.Wiebe DJ, Berg CA, Korbel C, Palmer DL, Beveridge RM, Upchurch R, et al. Children’s appraisals of maternal involvement in coping with diabetes: Enhancing our understanding of adherence, metabolic control, and quality of life across adolescence. J Pediatr Psychol. 2005; 30:167–78.PubMedCrossRefGoogle Scholar
- 22.Compas BE, Boyer MC, Stanger C, Colletti RB, Thomsen AH, Dufton LM, et al. Latent variable analysis of coping, anxiety/depression, and somatic symptoms in adolescents with chronic pain. J Consult Clin Psychol. 2006; 56:1132–42.Google Scholar
- 23.Kline RB. Principles and Practice of Structural Equation Modeling. 3 rd Ed. Guilford Press, New York, NY, 2011.Google Scholar
- 26.Varni JW, Seid M, Kurtin PS. Pediatric health-related quality of life measurement technology: A guide for health care decision makers. J Clin Outcomes Manage. 1999; 6:33–40.Google Scholar
- 27.Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Bollen KA, Long JS, (eds). Testing structural equation models. Sage, Newbury Park, CA, 1993, pp. 136–62.Google Scholar
- 28.Faulkner MS, Fritschi C, Quinn L, Hepworth JT. Cardiovascular risks in adolescents with diabetes from vulnerable populations. Home Health Care Manage Prac. 22:123–30.Google Scholar