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Journal of Family Nursing, Vol. 11, No. 2, 102-121 (2005)
DOI: 10.1177/1074840705275152
© 2005 SAGE Publications

Adolescents With Type 1 Diabetes: Family Functioning and Metabolic Control

Barbara J. Leonard, Ph.D., R.N., F.A.A.N.

University of Minnesota School of Nursing, leona001{at}umn.edu

Yuh-Pyng Jang, Ph.D., R.N.

University of Minnesota School of Nursing

Kay Savik, M.S.

University of Minnesota School of Nursing

Margaret A. Plumbo, R.N., M.S., C.N.M.

University of Minnesota School of Nursing

Families play central roles in the care of their adolescents with chronic illnesses. This study examined the relationship between family functioning and metabolic control in adolescents with Type 1 diabetes. The McMaster Family Assessment Device (FAD) measured family functioning; the Youth Self-Report Form (YSR) measured adolescent behavior. Older adolescents reported increased family dysfunction. Adolescents who reported family dysfunction on affective responsiveness had HbA1c levels greater than 9. Older adolescents, males, and adolescents who reported a greater number of behavior problems were significantly more likely to have HbA1c levels greater than 9. Considered together, older age and greater attention problems were most significantly associated with higher HbA1c levels. These findings suggest the importance of the relationship between the adolescent’s perception of family functioning and metabolic control in the adolescents with Type 1 diabetes.

Key Words: family • diabetes • adolescents • metabolic control


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