Family environment and glycemic control: a four‐year prospective study of children and adolescents with insulin‐dependent diabetes mellitus.

  title={Family environment and glycemic control: a four‐year prospective study of children and adolescents with insulin‐dependent diabetes mellitus.},
  author={Alan M. Jacobson and Stuart T. Hauser and Philip W. Lavori and John B. Willett and C F Cole and Joseph I. Wolfsdorf and Raymonde H. Dumont and Donald Wertlieb},
  journal={Psychosomatic Medicine},
&NA; An onset cohort of children and adolescents with insulin‐dependent diabetes mellitus (IDDM) and their parents were studied. Aspects of family environment were evaluated at study inception, and their influence on the initial level of, and change in, glycemic control over 4 years was examined. Family measures of expressiveness, cohesiveness, and conflict were linked to differences in the longitudinal pattern of glycemic control. In particular, the encouragement to act openly and express… 

Diabetes management and glycemic control in youth with type 1 diabetes: test of a predictive model

Family conflict is an important, potentially clinically significant influence on glycemic control that should be considered in primary and secondary prevention in the management of type 1 diabetes in youth.

The Impact of Physiological, Therapeutic and Psychosocial Variables on Glycemic Control in Youth with Type 1 Diabetes Mellitus

Although glycemic control was not significantly worse in midpubertal and post- pubertal patients, family involvement for DM management and adherence to BGM were lower in late adolescence, suggesting interventions to optimize glycemicControl may include minimizing DM-specific conflict, increasing BGM frequency, and implementing CSII use.

Effects of diabetes-related family stress on glycemic control in young patients with type 1 diabetes: Systematic review.

Therapeutic psychological interventions and educational programs can help alleviate family diabetes-related stress and will likely improve glycemic control.

Association of Glycemic Control in Type 1 Diabetic Adolescents And Diabetes Related Distress among Their Parents

Poorer glycemic control among adolescents is associated with higher diabetes related distress among their parents, and Parenting distress is a risk factor when it comes to child’s diabetes outcome.

The Relationship Between Children's Attitude, Family Support and Glycemic Control in Type-1 Diabetes Mellitus of School Children in Alexandria City

The improvement of the quality of family support introduced to diabetic children and thequality of diabetic care by the physician and the family leading to good metabolic control and lowering of HbA1c is concluded.

Parental perception and factors associated with glycemic control in pediatric patients with type 1 diabetes.

There is a need for more educational feedback concerning HbA1c levels and recommended goals for glycemic control, as subjective parental perceptions of diabetes control in their children may not correspond to objective assessments.


The results illustrated that there was a significant relationship between childern's attitude, family support, diabetic control and adherence of diabetic children at diabetic clinic of sporting student hospital.

A pilot study of observed parenting and adjustment in adolescents with type 1 diabetes and their mothers.

Higher levels of observed child-centered parenting and positive reinforcement and lower levels of maternal hostility and parental influence were related to better psychosocial adjustment in adolescents and better metabolic control.

Child behavior problems and family functioning as predictors of adherence and glycemic control in economically disadvantaged children with type 1 diabetes: a prospective study.

A child's behavior problems and family functioning may influence both adherence to the diabetes regimen and glycemic control several years later, suggesting the potential value of interventions that address child behavior and family function.

Psychological reactions at the onset of insulin‐dependent diabetes mellitus in children and later adjustment and metabolic control

The initial psychological reactions at the onset of insulin‐dependent diabetes mellitus in a population‐based sample of 76 children were studied and initial anxiety over injections and protest but low general distress in mothers and children were associated with better metabolic control.



Family Characteristics of Diabetic Adolescents: Relationship to Metabolic Control

A complex interplay between the diabetic adolescent's psychological and physical functioning, metabolic control, and the family environment is suggested.

Family Functioning and Metabolic Control of School-Aged Children With IDDM

Neither the quality of family life nor aspects of the parents' marriage predicted the child's metabolic control over the next 3–4 mo, and they were also unrelated to current weight-adjusted insulin dosage.

Psychological Aspects of Diabetes Mellitus: A Critical Review

In this review, there have been an increasing number of studies concerning psychological aspects of diabetes mellitus, and specific issues that concern research designs and conflicting findings are focused on.

Current Status of Psychosocial Research in Diabetes

This work examines some of the research topics to assess the knowledge gained from psychosocial studies, some problems in methodology, and possible directions for research.

A conceptual model of psychosomatic illness in children. Family organization and family therapy.

An open systems family model is presented that describes three necessary (but not independently sufficient) conditions for the development and maintenance of severe psychosomatic problems in children and the results of family treatment with 48 cases of "brittle" diabetes, psychOSomatic asthma, and anorexia nervosa are reported on.

The response of diabetic retinopathy to 41 months of multiple insulin injections, insulin pumps, and conventional insulin therapy.

Transient progression of retinopathy may be related to fluctuations in blood glucose levels, although a favorable effect of long-term improved metabolic control was not documented.

A typology of family social environments.

An empirically derived taxonomy of the social environments of families may help to understand how different family environments are linked to different family outcomes.

A comparative study of three methods for analysing longitudinal pulmonary function data.

Three methods of longitudinal analysis of pulmonary function data are compared, taken from a study of exposure to toluene diisocyanate vapours in a new manufacturing plant.

Understanding correlates of change by modeling individual differences in growth

The study of correlates of change is the investigation of systematic individual differences in growth. Our representation of systematic individual differences in growth is built up in two parts: (a)