Gender differences in the relationship between parental report of self-regulation skills and adolescents' management of type 1 diabetes Article

Graziano, PA, Geffken, GR, Williams, LB et al. (2011). Gender differences in the relationship between parental report of self-regulation skills and adolescents' management of type 1 diabetes . 12(4 PART 2), 410-418. 10.1111/j.1399-5448.2010.00692.x

cited authors

  • Graziano, PA; Geffken, GR; Williams, LB; Lewin, AB; Duke, DC; Storch, EA; Silverstein, JH

authors

abstract

  • Objective: To examine the extent to which self-regulation skills of adolescents with type 1 diabetes (T1D), including executive functioning and emotion regulation, relate to treatment adherence and glycemic control. Method: Participants were 109 adolescents aged 12-18 yr with TID and their primary caregiver who attended an outpatient appointment at a pediatric endocrinology clinic. Parents and adolescents completed a measure of treatment adherence. Parents completed a self-regulation measure while a glycemic control measure [i.e., hemoglobin A1c (HbA1c)] was collected. Results: For boys, executive functioning and emotion regulation deficits were significantly associated with worse treatment adherence and glycemic control. Further analyses indicated that emotion regulation was the primary self-regulation measure related to treatment adherence and glycemic control. No significant associations were found for girls. Conclusion: For adolescent boys, the ability to cope with various stressors and emotions may be as important as higher-order thinking skills for maximizing treatment adherence and diabetes control. Clinical implications and potential mechanisms by which emotion regulation skills relate to adolescent boys' diabetes treatment management are discussed. © 2011 John Wiley & Sons A/S.

publication date

  • June 1, 2011

Digital Object Identifier (DOI)

start page

  • 410

end page

  • 418

volume

  • 12

issue

  • 4 PART 2