The Stress and Coping Context of Type 1 Diabetes Management among Latino and Non-Latino White Early Adolescents and Their Mothers

Daniel Mello, Deborah J. Wiebe, Carolyn Barranco, Jose Barba

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective Examine ethnic differences in diabetes-related stress and coping among adolescents with type 1 diabetes and their mothers. Methods Early adolescents with type 1 diabetes (N1/4118, ages 10-15 years; 54% female; 47% Latino and 53% non-Latino White) and mothers described the adolescent's diabetes-related stressors and coping strategies, and rated stressor severity and controllability and coping competence. Surveys measured adherence; glycemic control (HbA1c) was indexed from medical records. Results Few ethnic differences in stress and coping emerged among adolescents. However, Latina mothers reported fewer diabetes-related stressors, had lower congruence with their adolescent on reports of diabetes-related stress, and appraised their adolescent as less competent in coping than non-Latino Whites. Lower dyadic stressor congruence and lower appraisals of coping competence were associated with poorer HbA1c. Conclusions Mother- A dolescent congruence in perceptions of diabetes stress, and appraisals of early adolescents' coping, may be important for understanding diabetes management in ethnically diverse samples.

Original languageEnglish (US)
Pages (from-to)647-656
Number of pages10
JournalJournal of Pediatric Psychology
Volume42
Issue number6
DOIs
StatePublished - Jul 1 2017

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Type 1 Diabetes Mellitus
Hispanic Americans
Mothers
Mental Competency
Medical Records

Keywords

  • dyadic coping
  • early adolescents
  • Latino
  • stress
  • type 1 diabetes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)
  • Developmental and Educational Psychology

Cite this

The Stress and Coping Context of Type 1 Diabetes Management among Latino and Non-Latino White Early Adolescents and Their Mothers. / Mello, Daniel; Wiebe, Deborah J.; Barranco, Carolyn; Barba, Jose.

In: Journal of Pediatric Psychology, Vol. 42, No. 6, 01.07.2017, p. 647-656.

Research output: Contribution to journalArticle

Mello, Daniel ; Wiebe, Deborah J. ; Barranco, Carolyn ; Barba, Jose. / The Stress and Coping Context of Type 1 Diabetes Management among Latino and Non-Latino White Early Adolescents and Their Mothers. In: Journal of Pediatric Psychology. 2017 ; Vol. 42, No. 6. pp. 647-656.
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N2 - Objective Examine ethnic differences in diabetes-related stress and coping among adolescents with type 1 diabetes and their mothers. Methods Early adolescents with type 1 diabetes (N1/4118, ages 10-15 years; 54% female; 47% Latino and 53% non-Latino White) and mothers described the adolescent's diabetes-related stressors and coping strategies, and rated stressor severity and controllability and coping competence. Surveys measured adherence; glycemic control (HbA1c) was indexed from medical records. Results Few ethnic differences in stress and coping emerged among adolescents. However, Latina mothers reported fewer diabetes-related stressors, had lower congruence with their adolescent on reports of diabetes-related stress, and appraised their adolescent as less competent in coping than non-Latino Whites. Lower dyadic stressor congruence and lower appraisals of coping competence were associated with poorer HbA1c. Conclusions Mother- A dolescent congruence in perceptions of diabetes stress, and appraisals of early adolescents' coping, may be important for understanding diabetes management in ethnically diverse samples.

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