Associations of parent-adolescent relationship quality with type 1 diabetes management and depressive symptoms in Latino and Caucasian youth

Alexandra Main, Deborah J. Wiebe, Andrea R. Croom, Katie Sardone, Elida Godbey, Christy Tucker, Perrin C. White

Research output: Contribution to journalArticle

16 Scopus citations


Objective To examine associations of parent-adolescent relationship quality (parental acceptance and parent-adolescent conflict) with adolescent type 1 diabetes management (adherence and metabolic control) and depressive symptoms in Latinos and Caucasians. Methods In all, 118 adolescents and their mothers (56=Latino, 62=Caucasian) completed survey measures of parental acceptance, diabetes conflict, adolescent adherence, and adolescent depressive symptoms. Glycemic control was obtained from medical records. Results Across ethnic groups, adolescent-reported mother and father acceptance were associated with better diabetes management, whereas mother-reported conflict was associated with poorer diabetes management and more depressive symptoms. Independent of socioeconomic status, Latinos reported lower parental acceptance and higher diabetes conflict with mothers than Caucasians. Ethnicity moderated some associations between relationship quality and outcomes. Specifically, diabetes conflicts with mothers (mother and adolescent report) and fathers (adolescent report) were associated with poorer mother-reported adherence among Caucasians, but not among Latinos. Conclusions Parent-adolescent relationship quality differs and may have different relations with diabetes management across Latinos and Caucasians.

Original languageEnglish (US)
Pages (from-to)1104-1114
Number of pages11
JournalJournal of pediatric psychology
Issue number10
StatePublished - Jan 1 2014



  • Acceptance
  • Adolescence
  • Conflict
  • Latino
  • Relationship quality
  • Type 1 diabetes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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