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Friend and Peer Relationships Among Youth with Type 1 Diabetes

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Abstract

Adolescence is an important developmental period associated with greater prominence of peer relationships and poorer glycemic control among youth with type 1 diabetes. In this chapter, we summarize the literature on friend and peer support, conflict during this period, and their links to psychological well-being and diabetes outcomes. We identified 34 articles on this topic from a previous review and literature searches in PsycINFO and MEDLINE. Overall, studies revealed general friend support was linked with greater psychological well-being and (to a lesser extent) better self-care but was unrelated to glycemic control. Research focused on diabetes-specific friend support was inconclusive. General friend conflict was associated with poorer psychological well-being, but findings were mixed for diabetes outcomes. Research examining links between diabetes-specific friend conflict and psychological and diabetes outcomes was inconsistent. In sum, the literature on friend and peer relationships and their links to psychological well-being and diabetes outcomes is mixed. Future research can benefit from making finer distinctions in the conceptualization and measurement of friend and peer relationships, examining potential moderator variables, and probing mechanisms underlying links between friend and peer relationships and outcomes and by considering the broader social context (family relationships) in which such relationships are situated.

This research was supported by grants from the National Institutes of Health (DP3 DK103999 and R01 DK095780).

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References

  • Allen, J. P., & Land, D. (1999). Attachment in adolescence. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 319–335). New York, NY: Guilford Press.

    Google Scholar 

  • Barry, C. M., Madsen, S. D., Nelson, L. J., Carroll, J. S., & Badger, S. (2009). Friendship and romantic relationship qualities in emerging adulthood: Differential associations with identity development and achieved adulthood criteria. Journal of Adult Development, 16, 209–222.

    Article  Google Scholar 

  • Bauminger, N., Finzi-Dottan, R., Chason, S., & Har-Even, D. (2008). Intimacy in adolescent friendship: The roles of attachment, coherence, and self-disclosure. Journal of Social and Personal Relationships, 25, 409–428.

    Article  Google Scholar 

  • Bearman, K. J., & La Greca, A. M. (2002). Assessing friend support of adolescents’ diabetes care: The diabetes social support questionnaire-friends version. Journal of Pediatric Psychology, 27(5), 417–428.

    Article  PubMed  Google Scholar 

  • Berlin, K. S., Davies, W. H., Jastrowski, K. E., Hains, A. A., Partin, E. A., & Alemzadeh, R. (2006). Contextual assessment of problematic situations identified by insulin pump using adolescents and their parents. Families, Systems & Health, 24, 33–44.

    Article  Google Scholar 

  • Berlin, K. S., Rabideau, E. M., & Hains, A. A. (2012). Empirically derived patterns of perceived stress among youth with type 1 diabetes and relationships to metabolic control. Journal of Pediatric Psychology, 37, 990–998.

    Article  PubMed  Google Scholar 

  • Berndt, T. J., & Keefe, K. (1995). Friends’ influence on adolescents’ adjustment to school. Child Development, 66, 1312–1329.

    Article  PubMed  Google Scholar 

  • Boogerd, E. A., Noordam, C., Kremer, J. A. M., Prins, J. B., & Verhaak, C. M. (2014). Teaming up: Feasibility of an online treatment environment for adolescents with type 1 diabetes. Pediatric Diabetes, 15, 394–402.

    Article  PubMed  Google Scholar 

  • Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.

    Article  PubMed  Google Scholar 

  • Collins, W. A., Gleason, T., & Sesma, A. (1997). Internalization, autonomy, and relationships: Development during adolescence. In J. E. Grusec & L. Kuczynski (Eds.), Parent and children’s internalization of values: A handbook of contemporary theory. New York, NY: Wiley.

    Google Scholar 

  • Commissariat, P. V., Kenowitz, J. R., Trast, J., Heptulla, R. A., & Gonzalez, J. S. (2016). Developing a personal and social identity with type 1 diabetes during adolescence: A hypothesis generative study. Qualitative Health Research, 26(5), 672–684.

    Article  PubMed  Google Scholar 

  • Cox, E. D., Fritz, K. A., Hansen, K. W., Brown, R. L., Rajamanickam, V., Wiles, K. E., … Moreno, M. A. (2014). Development and validation of PRISM: A survey tool to identify diabetes self-management barriers. Diabetes Research and Clinical Practice, 104, 126–135.

    Article  PubMed  PubMed Central  Google Scholar 

  • DCCT. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine, 329(14), 977–986.

    Article  Google Scholar 

  • de Dios, C., Avedillo, C., Palao, A., Ortiz, A., & Agud, J. L. (2003). Family and social factors related to emotional well-being in adolescents with diabetes mellitus type I. European Journal of Psychiatry, 17(3), 182–192.

    Google Scholar 

  • Drew, L. M., Berg, C. A., & Wiebe, D. J. (2010). The mediating role of extreme peer orientation in the relationships between adolescent-parent relationship and diabetes management. Journal of Family Psychology, 24(3), 299–306.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goran, M. I., & Gower, B. A. (2001). Longitudinal study on pubertal insulin resistance. Diabetes, 50(11), 2444–2450.

    Article  PubMed  Google Scholar 

  • Greco, P., Pendley, J. S., McDonell, K., & Reeves, G. (2001). A peer group intervention for adolescents with type 1 diabetes and their best friends. Journal of Pediatric Psychology, 26(8), 485–490.

    Article  PubMed  Google Scholar 

  • Greening, L., Stoppelbein, L., Konishi, C., Jordan, S., & Moll, G. (2007). Child routines and youths’ adherence to treatment for type 1 diabetes. Journal of Pediatric Psychology, 32, 437–447.

    Article  PubMed  Google Scholar 

  • Guo, J., Whittemore, R., Grey, M., Wang, J., Zhou, Z., & He, G. (2012). Diabetes self-management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China. Journal of Clinical Nursing, 22, 69–79.

    Article  PubMed  Google Scholar 

  • Hains, A. A., Berlin, K. S., Davies, W. H., Smothers, M. K., Sato, A. F., & Alemzadeh, R. (2007). Attributions of adolescents with type 1 diabetes related to performing diabetes care around friends and peers: The moderating role of friend support. Journal of Pediatric Psychology, 32(5), 561–570.

    Article  PubMed  Google Scholar 

  • Hanberger, L., Ludvigsson, J., & Nordfeldt, S. (2013). Use of a web 2.0 portal to improve education and communication in young patients in families: Randomized controlled trial. Journal of Medical Internet Research, 15, e175.

    Article  PubMed  PubMed Central  Google Scholar 

  • Helgeson, V. S., Lopez, L. C., & Kamarck, T. (2009). Peer relationships and diabetes: Retrospective and ecological momentary assessment approaches. Health Psychology, 28(3), 273–282.

    Article  PubMed  PubMed Central  Google Scholar 

  • Helgeson, V. S., Mascatelli, K., Reynolds, K. A., Becker, D., Escobar, O., & Siminerio, L. (2015). Friendship and romantic relationships among emerging adults with and without type 1 diabetes. Journal of Pediatric Psychology, 40, 359–372.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., & Palladino, D. K. (2012). Agentic and communal traits and health: Adolescents with and without diabetes. Personality and Social Psychology Bulletin, 38, 415–428.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Palladino, D. K., Reynolds, K. A., Becker, D., Escobar, O., & Siminerio, L. (2014a). Relationships and health among emerging adults with and without type 1 diabetes. Health Psychology, 33, 1125–1133.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Palladino, D. K., Reynolds, K. A., Becker, D., Escobar, O., & Siminerio, L. (2014b). Early adolescent relationship predictors of emerging adulthood outcomes: Youth with and without type 1 diabetes. Annals of Behavioral Medicine, 47, 270–279.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Reynolds, K. A., Escobar, O., Siminerio, L., & Becker, D. (2007). The role of friendship in the lives of male and female adolescents: Does diabetes make a difference? Journal of Adolescent Health, 40, 36–43.

    Article  Google Scholar 

  • Helgeson, V. S., Reynolds, K. A., Siminerio, L., Escobar, O., & Becker, D. (2008). Parent and adolescent distribution of responsibility for diabetes self-care: Links to health outcomes. Journal of Pediatric Psychology, 33(5), 497–508.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Siminerio, L., Escobar, O., & Becker, D. (2009). Predictors of metabolic control among adolescents with diabetes: A 4-year longitudinal study. Journal of Pediatric Psychology, 34(3), 254–270.

    Article  PubMed  Google Scholar 

  • Holmes, C. S., Chen, R., Streisand, R., Marschall, D., Souter, S., & Swift, E. E. (2006). Predictors of youth diabetes care behaviors and metabolic control: A structural equation modeling approach. Journal of Pediatric Psychology, 31, 770–784.

    Article  PubMed  Google Scholar 

  • Hood, K., Peterson, C. M., Rohan, J. M., & Drotar, D. (2009). Association between adherence and glycemic control in pediatric type 1 diabetes: A meta-analysis. Pediatrics, 124(6), e1171–e1179.

    Article  PubMed  Google Scholar 

  • Kager, V. A., & Holden, E. W. (1992). Preliminary investigation of the direct and moderating effects of family and individual variables on the adjustment of children and adolescents with diabetes. Journal of Pediatric Psychology, 17(4), 491–502.

    Article  PubMed  Google Scholar 

  • Karlsson, A., Arman, M., & Wikblad, K. (2008). Teenagers with type 1 diabetes- A phenomenological study of the transition towards autonomy in self-management. International Journal of Nursing Studies, 45, 562–570.

    Article  PubMed  Google Scholar 

  • Kichler, J. C., Kaugars, A. S., Marik, P., Nabors, L., & Alemzadeh, R. (2013). Effectiveness of groups for adolescents with type 1 diabetes mellitus and their parents. Families, Systems & Health, 31, 280–293.

    Article  Google Scholar 

  • Kyngas, H., Hentinen, M., & Barlow, J. H. (1998). Adolescents’ perceptions of physicians, nurses, parents and friends: Help or hindrance in compliance with diabetes self-care? Journal of Advanced Nursing, 27, 760–769.

    Article  PubMed  Google Scholar 

  • Kyngas, H., & Rissanen, M. (2001). Support as a crucial predictor of good compliance of adolescents with a chronic disease. Journal of Clinical Nursing, 10, 767–774.

    Article  PubMed  Google Scholar 

  • La Greca, A. M., Auslander, W. F., Greco, P., Spetter, D., Fisher, E. B., & Santiago, J. V. (1995). I get by with a little help from my family and friends: Adolescents’ support for diabetes care. Journal of Pediatric Psychology, 20(4), 449–476.

    Article  PubMed  Google Scholar 

  • La Greca, A. M., Swales, T., Klemp, S., Madigan, S., & Skyler, J. (1995). Adolescents with diabetes: Gender differences in psychosocial functioning and glycemic control. Children’s Health Care, 24(1), 61–78.

    Article  Google Scholar 

  • Lansing, A. H., & Berg, C. A. (2014). Adolescent self-regulation as a foundation for chronic illness self-management. Journal of Pediatric Psychology, 39(10), 1091–1096.

    Article  PubMed  PubMed Central  Google Scholar 

  • Larson, R. W., & Verma, S. (1999). How children and adolescents spend time across the world: Work, play, and developmental opportunities. Psychological Bulletin, 125, 701–736.

    Article  PubMed  Google Scholar 

  • Lehmkuhl, H., Merlo, L. J., Devine, K., Gaines, J., Storch, E. A., Silverstein, J. H., & Geffken, G. (2009). Perceptions of type 1 diabetes among affected youth and their peers. Journal of Clinical Psychology in Medical Setting, 16(3), 209–215.

    Article  Google Scholar 

  • Lehmkuhl, H., & Nabors, L. (2008). Children with diabetes: Satisfaction with school support, illness perceptions and HbA1C levels. Journal of Developmental and Physical Disabilities, 20, 101–114.

    Article  Google Scholar 

  • Linden-Andersen, S., Markiewicz, D., & Doyle, A.-B. (2009). Perceived similarity among adolescent friends: The role of reciprocity, friendship quality, and gender. Journal of Early Adolescence, 29, 617–637.

    Article  Google Scholar 

  • Lu, Y., Pyatak, E. A., Peters, A. L., Wood, J. R., Kipke, M., Cohen, M., & Sequeira, P. A. (2015). Patient perspectives on peer mentoring: Type 1 diabetes management in adolescents and young adults. The Diabetes Educator, 41, 59–68.

    Article  PubMed  Google Scholar 

  • Markowitz, J. T., & Laffel, L. M. B. (2011). Transitions in care: Support group for young adults with type 1 diabetes. Diabetic Medicine, 29, 522–525.

    Article  Google Scholar 

  • Masten, A. S., Morison, P., & Pellegrini, D. S. (1985). A revised class play method of peer assessment. Developmental Psychology, 21, 523–533.

    Article  Google Scholar 

  • McKelvey, J., Waller, D. A., North, A. J., Marks, J. F., Schreiner, B., Travis, L. B., & Murphy, J. (1993). Reliability and validity of the diabetes family behavior scale (DFBS). The Diabetes Educator, 19(2), 125–132.

    Article  PubMed  Google Scholar 

  • Naar-King, S., Podolski, C.-L., Ellis, D. A., Frey, M. A., & Templin, T. (2006). Social ecological model of illness management in high-risk youths with type 1 diabetes. Journal of Consulting and Clinical Psychology, 74(4), 785–789.

    Article  PubMed  Google Scholar 

  • Norbeck, J. S., Lindsey, A. M., & Carrieri, V. L. (1983). Further development of the Norbeck social support questionnaire: Normative data and validity testing. Nursing Research, 32(1), 4-9.

    Article  PubMed  Google Scholar 

  • Nordfeldt, S., Hanberger, L., & Bertero, C. (2010). Patient and parent views on a web 2.0 diabetes portal—The management tool, the generator, and the gatekeeper: Qualitative study. Journal of Medical Internet Research, 12, e17.

    Article  PubMed  PubMed Central  Google Scholar 

  • Palladino, D. K., & Helgeson, V. S. (2012). Friends or foes? A review of peer influence on self-care and glycemic control in adolescents with type 1 diabetes. Journal of Pediatric Psychology, 37(5), 591–603.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pendley, J. S., Kasmen, L. J., Miller, D. L., Donze, J., Swenson, C., & Reeves, G. (2002). Peer and family support in children and adolescents with type 1 diabetes. Journal of Pediatric Psychology, 27(5), 429–438.

    Article  PubMed  Google Scholar 

  • Procidano, M. E., & Heller, K. (1983). Measures of perceived social support from friends and from family: Three validation studies. American Journal of Community Psychology, 11, 1–24.

    Article  PubMed  Google Scholar 

  • Ruehlman, L. S., & Karoly, P. (1991). With a little flak from my friends: Development and preliminary validation of the test of negativity social exchange (TENSE). Psychological Assessment, 3, 97–104.

    Article  Google Scholar 

  • Schafer, L. C., McCaul, K. D., & Glasgow, R. E. (1986). Supportive and nonsupportive family behaviors: Relationships to adherence and metabolic control in persons with type 1 diabetes. Diabetes Care, 9(2), 179.

    Article  PubMed  Google Scholar 

  • Schlundt, D. G., Pichert, J. W., Rea, M. R., Puryear, W., Penha, M. L. I., & Kline, S. S. (1994). Situational obstacles to adherence for adolescents with diabetes. The Diabetes Educator, 20(3), 207–211.

    Article  PubMed  Google Scholar 

  • Skinner, T. C., & Hampson, S. E. (1998). Social support and personal models of diabetes in relation to self-care and well-being in adolescents with type I diabetes mellitus. Journal of Adolescence, 21, 703–715.

    Article  PubMed  Google Scholar 

  • Skinner, T. C., & Hampson, S. E. (2000). Social support and personal models of diabetes as predictors of self-care and well-being: A longitudinal study of adolescents with diabetes. Journal of Pediatric Psychology, 25(4), 257–267.

    Article  PubMed  Google Scholar 

  • Skinner, T. C., John, M., & Hampson, S. E. (2000). Social support and personal models of diabetes as predictors of self-care and well-being: A longitudinal study of adolescents with diabetes. Journal of Pediatric Psychology, 25(4), 257–267.

    Article  PubMed  Google Scholar 

  • Swenson, L. P., & Rose, A. J. (2009). Friends’ knowledge of youth internalizing and externalizing adjustment: Accuracy, bias, and the influences of gender, grade, positive friendship quality, and self-disclosure. Journal of Abnormal Child Psychology, 37, 887–901.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thomas, A. M. (1997). Self-disclosure and peer support in adolescents with insulin-dependent diabetes mellitus (Unpublished doctoral dissertation). University of California, Irvine.

    Google Scholar 

  • Thomas, A. M., Peterson, L., & Goldstein, D. (1997). Problem-solving and diabetes regimen adherence by children and adolescents with IDDM in social pressure situations: A reflection of normal development. Journal of Pediatric Psychology, 22(4), 541–561.

    Article  PubMed  Google Scholar 

  • Varni, J. W., Babini, L., Wallander, J. L., Roe, T. F., & Frasier, S. D. (1989). Social support and self-esteem effects on psychological adjustment in children and adolescents with insulin-dependent diabetes mellitus. Child and Family Behavior Therapy, 11, 1–17.

    Article  Google Scholar 

  • Wu, H.-R., Liu, P.-L., & Meng, H. (2006). Norm, reliability and validity of children and adolescents’ QOL scale. Chinese Journal of School Health, 27, 18–21.

    Google Scholar 

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Correspondence to Vicki S. Helgeson .

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Van Vleet, M., Helgeson, V.S. (2020). Friend and Peer Relationships Among Youth with Type 1 Diabetes. In: Delamater, A., Marrero, D. (eds) Behavioral Diabetes. Springer, Cham. https://doi.org/10.1007/978-3-030-33286-0_10

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