Patterns of family functioning and diabetes-specific conflict in relation to glycemic control and health-related quality of life among youth with type 1 diabetes
Objective General and diabetes-specific family functioning may be associated with youth's adaptation to type 1 diabetes (T1D); however, empirically derived patterns of family functioning and diabetes-specific conflict among youth have not been explored in relation to T1D adaptation. Methods Youth (N=161, aged 12-18) with T1D and caregivers completed measures of family functioning and diabetes-specific conflict that served as indicators in latent profile analyses. Differences in glycemic control (measured by hemoglobin A1cs [HbA1c] and health-related quality of life [HRQoL]) were compared across profiles. Results Four profiles that varied by levels of family functioning, diabetes-specific conflict, and congruence between youth and caregiver perspectives emerged and related to T1D adaptation differently. Greater agreement between caregiver and youth and lower diabetes-specific conflict was associated with lower HbA1c and greater HRQoL. Conclusions Person-centered approaches are useful to quantify how many individuals fit into a particular pattern and determine how specific family dynamics may function together differently in relation to T1D adaptation for various subgroups of the population.
Journal of Pediatric Psychology
Rybak, T., Ali, J., Berlin, K., Klages, K., Banks, G., Kamody, R., Ferry, R., & Alemzadeh, R. (2017). Patterns of family functioning and diabetes-specific conflict in relation to glycemic control and health-related quality of life among youth with type 1 diabetes. Journal of Pediatric Psychology, 42 (1), 40-51. https://doi.org/10.1093/jpepsy/jsw071