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Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes
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Journal Article
Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes
1998
Overview
Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes.
P M Trief ,
W Grant ,
K Elbert and
R S Weinstock
Department of Psychiatry, SUNY Health Science Center, Syracuse, NY 13210, USA. triefp@vax.cs.hscsyears.edu
Abstract
OBJECTIVE: To evaluate whether the family system variables of adults with diabetes relate to the adequacy of metabolic control
or the psychosocial adaptation to the illness. RESEARCH DESIGN AND METHODS: A total of 150 insulin-requiring adults were assessed
on a single occasion. They completed two family system measures (the Family Environment Scale [FES] and the Diabetes Family
Behavior Checklist [DFBC]), two quality-of-life measures (the Diabetes Quality of Life Scale and the Medical Outcomes Study
Health Survey-36), and one measure of cognitive appraisal (the Appraisal of Diabetes Scale). Glycemic control was assessed
using HbA1c results. Demographic data (age, sex, diabetes type, duration of diabetes, and number of diabetes-related medical
complications) were gathered from the patients' charts. RESULTS: Concerning glycemic control, none of the family system measures
were significant predictors of HbA1c. Older age and longer duration of diabetes predicted higher HbA1c values. For psychosocial
adaptation, when family members behaved in ways that supported the diabetes care regimen (measured by the DFBC), the individual
with diabetes was more satisfied with his or her adaptation to the illness and reported less interference in role function
due to emotional problems. Family cohesion (measured by the FES) also related to better physical function. Women reported
higher levels of diabetes satisfaction. The Appraisal of Diabetes Scale predicted glycemic control and psychosocial adaptation.
CONCLUSIONS: For insulin-treated adults with diabetes, family system variables do not relate to glycemic control, but they
do relate to psychosocial adaptation. Future work should explore the impact of family-centered interventions on adaptation,
sex differences in adaptation, and the use of the Appraisal of Diabetes Scale as a first-line clinical screening tool.
Publisher
American Diabetes Association
Subject
/ Adult
/ ADULTE
/ ADULTOS
/ ADULTS
/ Aged
/ Behavior
/ Biological and medical sciences
/ Data Interpretation, Statistical
/ DIABETE
/ DIABETES
/ Diabetes Mellitus - psychology
/ FAMILIA
/ FAMILIES
/ FAMILLE
/ Family
/ Family environment. Family history
/ Female
/ FEMME
/ HOMBRES
/ HOMME
/ Humans
/ Hyperglycemia - prevention & control
/ Insulin
/ Male
/ MEN
/ MUJERES
/ PATIENTS
/ Psychology. Psychoanalysis. Psychiatry
/ Social psychiatry. Ethnopsychiatry
/ therapy
/ Validity
/ WOMEN
