The Fit Between Stress Appraisal and Dyadic Coping in Understanding Perceived Coping Effectiveness for Adolescents With Type 1 Diabetes

Cynthia A. Berg, Michelle Skinner, Kelly Ko, Jorie M. Butler, Debra L. Palmer, Jonathan Butner, Deborah J. Wiebe

Research output: Contribution to journalArticle

30 Scopus citations


This study examined whether perceived coping effectiveness (PCE) was associated with better diabetes management and was higher when adolescents' dyadic coping was matched to shared stress appraisals. There were 252 adolescents with Type 1 diabetes who completed stress and coping interviews where they appraised mothers' and fathers' involvement in stress ownership (mine, indirectly shared, directly shared with parent), in coping (uninvolved, supportive, collaborative, or controlling), and rated their effectiveness in coping. Adolescents completed assessments of depressive symptoms (Children's Depression Inventory), self-care behaviors (Self-Care Inventory), and efficacy of disease management (Diabetes Self-Efficacy). Glycosylated hemoglobin levels were obtained from medical records. Higher PCE was associated with fewer depressive symptoms, self-care behaviors, and efficacy across age and, more strongly for older adolescents' metabolic control. Appraisals of support or collaboration from parents were more frequent when stressors were appraised as shared. PCE was enhanced when dyadic coping with mothers (but not fathers) was consistent with stress appraisals (e.g., shared stressors together with collaborative coping). Stress and coping is embedded within a relational context and this context is useful in understanding the coping effectiveness of adolescents.

Original languageEnglish (US)
Pages (from-to)521-530
Number of pages10
JournalJournal of Family Psychology
Issue number4
StatePublished - Aug 2009



  • adolescence
  • diabetes
  • dyadic coping
  • parental involvement
  • stress and coping

ASJC Scopus subject areas

  • Psychology(all)

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