Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong

Sunita M. Stewart, Peter W H Lee, Louis C K Low, Anna Cheng, Wilson Yeung, Kwai Fun Huen, David O'Donnell

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To examine factors that influence emotional adjustment, adherence to diabetic care, and glycemic control in Hong Kong youths with insulin-dependent diabetes mellitus (IDDM). Methods: Seventy youths, their mothers, and matched controls provided information on health beliefs, authoritarian parenting style, parent-child conflict, emotional adjustment, and adherence to medical regimen. Glycosylated hemoglobin levels were obtained to measure glycemic control. Results: Predictors explained 34% of the variance in emotional adjustment and 39% of the variance in glycemic control. The data supported a pathway from emotional adjustment to self-efficacy to adherence behaviors to glycemic control. In contrast to Western culture and consistent with prediction, parenting style did not associate with negative outcomes, and even relatively low levels of parent-child conflict correlated negatively with emotional adjustment in this culture. Conclusions: Management of conflict and self-efficacy enhancing interactions are suggested interventions to enhance adherence to diabetic care in Hong Kong youths with IDDM.

Original languageEnglish (US)
Pages (from-to)393-402
Number of pages10
JournalJournal of Pediatric Psychology
Volume25
Issue number6
StatePublished - 2000

Fingerprint

Hong Kong
Parenting
Self Efficacy
Type 1 Diabetes Mellitus
Glycosylated Hemoglobin A
Mothers
Emotional Adjustment
Health
Conflict (Psychology)

Keywords

  • Childhood diabetes
  • Emotional adjustment
  • Glycemic control
  • Hong Kong

ASJC Scopus subject areas

  • Psychology(all)
  • Developmental and Educational Psychology

Cite this

Stewart, S. M., Lee, P. W. H., Low, L. C. K., Cheng, A., Yeung, W., Huen, K. F., & O'Donnell, D. (2000). Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong. Journal of Pediatric Psychology, 25(6), 393-402.

Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong. / Stewart, Sunita M.; Lee, Peter W H; Low, Louis C K; Cheng, Anna; Yeung, Wilson; Huen, Kwai Fun; O'Donnell, David.

In: Journal of Pediatric Psychology, Vol. 25, No. 6, 2000, p. 393-402.

Research output: Contribution to journalArticle

Stewart, SM, Lee, PWH, Low, LCK, Cheng, A, Yeung, W, Huen, KF & O'Donnell, D 2000, 'Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong', Journal of Pediatric Psychology, vol. 25, no. 6, pp. 393-402.
Stewart, Sunita M. ; Lee, Peter W H ; Low, Louis C K ; Cheng, Anna ; Yeung, Wilson ; Huen, Kwai Fun ; O'Donnell, David. / Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong. In: Journal of Pediatric Psychology. 2000 ; Vol. 25, No. 6. pp. 393-402.
@article{01f9cbbbc3444428a1ec2e2bb4eda0e4,
title = "Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong",
abstract = "Objective: To examine factors that influence emotional adjustment, adherence to diabetic care, and glycemic control in Hong Kong youths with insulin-dependent diabetes mellitus (IDDM). Methods: Seventy youths, their mothers, and matched controls provided information on health beliefs, authoritarian parenting style, parent-child conflict, emotional adjustment, and adherence to medical regimen. Glycosylated hemoglobin levels were obtained to measure glycemic control. Results: Predictors explained 34{\%} of the variance in emotional adjustment and 39{\%} of the variance in glycemic control. The data supported a pathway from emotional adjustment to self-efficacy to adherence behaviors to glycemic control. In contrast to Western culture and consistent with prediction, parenting style did not associate with negative outcomes, and even relatively low levels of parent-child conflict correlated negatively with emotional adjustment in this culture. Conclusions: Management of conflict and self-efficacy enhancing interactions are suggested interventions to enhance adherence to diabetic care in Hong Kong youths with IDDM.",
keywords = "Childhood diabetes, Emotional adjustment, Glycemic control, Hong Kong",
author = "Stewart, {Sunita M.} and Lee, {Peter W H} and Low, {Louis C K} and Anna Cheng and Wilson Yeung and Huen, {Kwai Fun} and David O'Donnell",
year = "2000",
language = "English (US)",
volume = "25",
pages = "393--402",
journal = "Journal of Pediatric Psychology",
issn = "0146-8693",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Pathways from emotional adjustment to glycemic control in youths with diabetes in Hong Kong

AU - Stewart, Sunita M.

AU - Lee, Peter W H

AU - Low, Louis C K

AU - Cheng, Anna

AU - Yeung, Wilson

AU - Huen, Kwai Fun

AU - O'Donnell, David

PY - 2000

Y1 - 2000

N2 - Objective: To examine factors that influence emotional adjustment, adherence to diabetic care, and glycemic control in Hong Kong youths with insulin-dependent diabetes mellitus (IDDM). Methods: Seventy youths, their mothers, and matched controls provided information on health beliefs, authoritarian parenting style, parent-child conflict, emotional adjustment, and adherence to medical regimen. Glycosylated hemoglobin levels were obtained to measure glycemic control. Results: Predictors explained 34% of the variance in emotional adjustment and 39% of the variance in glycemic control. The data supported a pathway from emotional adjustment to self-efficacy to adherence behaviors to glycemic control. In contrast to Western culture and consistent with prediction, parenting style did not associate with negative outcomes, and even relatively low levels of parent-child conflict correlated negatively with emotional adjustment in this culture. Conclusions: Management of conflict and self-efficacy enhancing interactions are suggested interventions to enhance adherence to diabetic care in Hong Kong youths with IDDM.

AB - Objective: To examine factors that influence emotional adjustment, adherence to diabetic care, and glycemic control in Hong Kong youths with insulin-dependent diabetes mellitus (IDDM). Methods: Seventy youths, their mothers, and matched controls provided information on health beliefs, authoritarian parenting style, parent-child conflict, emotional adjustment, and adherence to medical regimen. Glycosylated hemoglobin levels were obtained to measure glycemic control. Results: Predictors explained 34% of the variance in emotional adjustment and 39% of the variance in glycemic control. The data supported a pathway from emotional adjustment to self-efficacy to adherence behaviors to glycemic control. In contrast to Western culture and consistent with prediction, parenting style did not associate with negative outcomes, and even relatively low levels of parent-child conflict correlated negatively with emotional adjustment in this culture. Conclusions: Management of conflict and self-efficacy enhancing interactions are suggested interventions to enhance adherence to diabetic care in Hong Kong youths with IDDM.

KW - Childhood diabetes

KW - Emotional adjustment

KW - Glycemic control

KW - Hong Kong

UR - http://www.scopus.com/inward/record.url?scp=0033805389&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033805389&partnerID=8YFLogxK

M3 - Article

VL - 25

SP - 393

EP - 402

JO - Journal of Pediatric Psychology

JF - Journal of Pediatric Psychology

SN - 0146-8693

IS - 6

ER -