Social Support and Personal Models of Diabetes as Predictors of Self-Care and Well-Being: A Longitudinal Study of Adolescents With Diabetes

Objectives: To examine whether peer support and illness representation mediate the link between family support, self-management and well-being. Method: Fifty-two adolescents (12-18 years old) with Type I diabetes were recruited and followed over 6 months, completing assessments of self-management, w...

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Bibliographic Details
Published in:Journal of pediatric psychology 2000-06, Vol.25 (4), p.257-267
Main Authors: Skinner, T. Chas, John, Mary, Hampson, Sarah E.
Format: Article
Language:English
Subjects:
adherence
Adolescent
adolescents
anxiety
Anxiety - complications
Attitude to Health
depression
Depression - complications
diabetes
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
family
Female
friends
Humans
illness representations
Longitudinal Studies
Male
peers
personal models
Psychology, Adolescent
Self Care
Social Support
well-being
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Summary:Objectives: To examine whether peer support and illness representation mediate the link between family support, self-management and well-being. Method: Fifty-two adolescents (12-18 years old) with Type I diabetes were recruited and followed over 6 months, completing assessments of self-management, well-being, and social support. Results: Perceived impact of diabetes and supportive family and friends were prospectively predictive of participants' well-being measures. Although support from family and friends was predictive of better dietary self-care, this relationship was mediated by personal model beliefs. In particular, beliefs about the effectiveness of the diabetes treatment regimen to control diabetes was predictive of better dietary self-care. Conclusions: Both friends and family are important to support adolescents as they live with and manage their diabetes. Personal models of diabetes are important determinants of both dietary self-care and well-being. In addition, personal models may serve to mediate the relationship between social support and dietary behavior.
ISSN:0146-8693
1465-735X
1465-735X
DOI:10.1093/jpepsy/25.4.257