Secrecy From Parents and Type 1 Diabetes Management in Late Adolescence.
Secrecy From Parents and Type 1 Diabetes Management in Late Adolescence.
复制标题
父母保密和青春期后期 1 型糖尿病管理。
DOI：
10.1093/jpepsy/jsv060
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发表时间：
2015
影响因子：
3.6
通讯作者：
Berg,CynthiaA
中科院分区：
文献类型：
--
作者：
Main,Alexandra;Wiebe,DeborahJ;VanBogart,Karina;Turner,SaraL;Tucker,Christy;Butner,JonathanE;Berg,CynthiaA
ObjectivesThis study examined (a) associations of parent–adolescent relationship characteristics and adolescent problem behavior with late adolescents’ secrecy from parents about type 1 diabetes management, and (b) whether secrecy was associated with diabetes and psychological outcomes independently of these factors.MethodsAdolescents (N= 247,Mage= 17.76 years) completed survey measures of diabetes-related secrecy from parents, disclosure, parental acceptance, parental knowledge, and conduct problems. Mothers and adolescents reported on adolescent adherence to diabetes regimens and adolescents reported their depressive symptoms. Glycemic control was obtained from HbA1c test kits.ResultsAdolescent-reported disclosure to parents was uniquely negatively associated with secrecy from parents. Controlling for relationship variables, conduct problems, and sociodemographic and illness-related variables, secrecy from mothers was uniquely associated with poorer glycemic control and secrecy from both parents was associated with lower adherence.ConclusionsSecrecy about type 1 diabetes management is uniquely associated with diabetes outcomes independent of other relationship characteristics and problem behaviors.
