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Predicting diabetic control from competence, adherence, adjustment, and psychopathology
W B Daviss1, H Coon, P Whitehead
1Department of Psychiatry, University of Utah, Salt Lake City, USA.
Journal of the American Academy of Child and Adolescent Psychiatry
|December 1, 1995
Summary
Total competence and adherence significantly predict diabetic control in youth. Clinicians can use these factors to identify at-risk individuals for better diabetes management.
Area of Science:
- Pediatrics
- Psychology
- Endocrinology
Background:
- Diabetic control in youth is influenced by various factors.
- Understanding psychological and behavioral predictors is crucial for effective management.
Purpose of the Study:
- To identify key psychological and behavioral factors predicting diabetic control in adolescents.
- To assess the predictive power of self-esteem, anxiety, attitudes, competence, psychopathology, and adherence on glycemic control.
Main Methods:
- Cross-sectional assessment of 79 youths with diabetes.
- Utilized self-reports (self-esteem, anxiety, attitudes) and parent reports (competence, psychopathology, adherence).
- Glycosylated hemoglobin A1c (HbA1c) served as the primary measure of diabetic control.
Main Results:
- Duration of illness and family size were significant background predictors.
- Competence/Adherence, particularly Total Competence, strongly predicted diabetic control.
- Psychological adjustment and psychopathology showed weaker predictive relationships.
Conclusions:
- Total Competence emerged as a primary predictor of diabetic control in this cohort.
- Findings suggest Total Competence can help clinicians identify youth at risk for poor glycemic control.
- Highlights the importance of psychological and behavioral factors in pediatric diabetes management.