Abstract
Executive function (EF) skills, parent–child conflict, and high blood glucose (BG) may impact child externalizing behaviors. We examined these child and parent factors in families of 5–9 year olds with recent-onset type 1 diabetes (T1D). Parents (N = 125) reported child EF, child externalizing behaviors, and conflict regarding T1D-specific tasks. We used self-monitoring BG uploads to calculate the percentage of time children had high BG (> 180 mg/dl). We entered data into a moderated path analysis using MPlus8. The path analysis revealed a positive direct effect for parent-reported child EF and child externalizing behavior (p < .01). Further, T1D-specific conflict moderated the positive association between parent-reported child EF and child externalizing behaviors (p < .05). Early screening of child EF, externalizing behavior, and family conflict may be particularly important in the recent-onset period of T1D. The introduction of T1D-related conflict after diagnosis may impact child externalizing behavior and limited child EF skills that pre-date diagnosis.
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This research was supported by a Grant R01-DK100779 from the National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases.
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All authors contributed to the concept of study design and preparing the manuscript. ADM performed the statistical analyses.
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No conflict of interests exist for authors ADM, CCC, and SRP. MAC is the chief medical officer for Glooko, has consulted with Medtronic Diabetes, Eli Lilly, and receives research support from Abbott Diabetes.
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The authors conducted the study with the understanding and written consent of all parents. The study conforms with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The authors obtained Institutional Review Board approval from Children’s Mercy-Kansas City and the University of Colorado Anschutz Medical Campus prior to launching the study. The study does not include any methods or procedures involving animals.
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Monzon, A.D., Cushing, C.C., Clements, M.A. et al. Parent–Child Conflict Moderates the Relationship Between Executive Functioning and Child Disruptive Behaviors in Youth with T1D. J Clin Psychol Med Settings 29, 357–364 (2022). https://doi.org/10.1007/s10880-021-09838-5
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DOI: https://doi.org/10.1007/s10880-021-09838-5