Relationships and health among emerging adults with and without Type 1 diabetes.

  • Helgeson V
  • Palladino D
  • Reynolds K
 et al. 
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OBJECTIVE: The study's goal was to examine the impact of parent and peer relationships on health behaviors and psychological well-being of those with and without Type 1 diabetes over the transition to emerging adulthood. Emerging adulthood is an understudied developmental period and a high-risk period--especially for those with Type 1 diabetes. METHOD: Youth with (n = 117) and without Type 1 diabetes (n = 122) completed questionnaires during their senior year of high school and 1 year later. Measures included supportive and problematic aspects of parent and peer relationships, health behaviors, psychological well-being, and, for those with diabetes, self-care behavior and glycemic control. RESULTS: Prospective multiple and logistic regression analysis revealed that friend conflict was a more potent predictor than friend support of changes in health behaviors and psychological well-being. Parent support was associated with positive changes in psychological well-being and decreases in smoking, whereas parent control was related to increases in smoking and depressive symptoms. There was some evidence of cross-domain buffering such that supportive relationships in one domain buffered adverse effects of problematic relationships in the other domain on health outcomes. CONCLUSIONS: This longitudinal study showed that parent relationships remain an important influence on, and peer relationships continue to influence, the health behaviors and psychological well-being of emerging adults with and without Type 1 diabetes. Parent relationships also have the potential to buffer the adverse effects of difficulties with peers.

Author-supplied keywords

  • Adolescent
  • Alcohol Drinking
  • Blood Glucose Self-Monitoring
  • Depression
  • Diabetes Mellitus, Type 1
  • Feeding and Eating Disorders
  • Female
  • Health Behavior
  • Humans
  • Logistic Models
  • Male
  • Parent-Child Relations
  • Peer Group
  • Prospective Studies
  • Self Care
  • Smoking
  • Social Support
  • Surveys and Questionnaires
  • Young Adult
  • blood
  • epidemiology
  • psychology
  • standards
  • therapy

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  • Vicki S Helgeson

  • Dianne K Palladino

  • Kerry A Reynolds

  • Dorothy J Becker

  • Oscar Escobar

  • Linda Siminerio

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