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05.06.2017 | Original Article

Coordination of Self- and Parental-Regulation Surrounding Type I Diabetes Management in Late Adolescence

Zeitschrift:
Annals of Behavioral Medicine
Autoren:
PhD Jonathan E. Butner, PhD Cynthia A. Berg, A. K. Munion, MA Sara L. Turner, PhD Amy Hughes-Lansing, PhD Joel B. Winnick, PhD Deborah J. Wiebe
Wichtige Hinweise
This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health (grant number R01 DK092939).

Abstract

Background

Type 1 diabetes management involves self- and social-regulation, with past research examining components through individual differences unable to capture daily processes.

Purpose

Dynamical systems modeling was used to examine the coordinative structure of self- and social-regulation (operationalized as parental-regulation) related to daily diabetes management during late adolescence.

Methods

Two hundred and thirty-six late adolescents with type 1 diabetes (M age = 17.77 years, SD = .39) completed a 14-day diary reporting aspects of self- (e.g., adherence behaviors, cognitive self-regulation failures, and positive and negative affect) and parental-regulation (disclosure to parents, knowledge parents have, and help parents provide).

Results

Self-regulation functioned as one coordinative structure that was separate from parental-regulation, where mothers and fathers were coordinated separately from each other. Mothers’ perceived helpfulness served as a driver of returning adolescents back to homeostasis.

Conclusions

The results illustrate a dynamic process whereby numerous facets of self- and social-regulation are coordinated in order to return diabetes management to a stable state.

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