Family Environment and the Interrelation of Family Structure, Child Behavior, and Metabolic Control for Children with Diabetes

Examined perceptions of the family environment in a cross-regional sample of 90 families who had children with diabetes and 89 controls. Families were classified as either traditional (intact) or nontraditional (single-parent or blended families). Parents of children with diabetes reported less fami...

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Bibliographic Details
Published in:Journal of pediatric psychology 1995-08, Vol.20 (4), p.435-447
Main Authors: Overstreet, Stacy, Goins, Jane, Chen, Ru San, Holmes, Clarissa S., Greer, Tammy, Dunlap, William P., Frentz, Johnette
Format: Article
Language:English
Subjects:
Adolescent
Analysis of Variance
Case-Control Studies
Child
Child Behavior - psychology
diabetes
Diabetes Mellitus, Type 1 - psychology
Family - psychology
family environment
family structure
Female
Humans
Male
Patient Compliance - psychology
Random Allocation
Regression Analysis
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Summary:Examined perceptions of the family environment in a cross-regional sample of 90 families who had children with diabetes and 89 controls. Families were classified as either traditional (intact) or nontraditional (single-parent or blended families). Parents of children with diabetes reported less family expressiveness, which was a predictor of clinically higher levels of child behavior problems than controls. Parents in nontraditional families reported lower levels of organization, less emphasis on active-recreational pursuits, and more child behavior problems than traditional families. An additive effect of diabetes and nontraditional family structure was found for children with diabetes from nontraditional families, who reported substantially less cohesion than all other groups. Nontraditional family structure was more disruptive for children with diabetes than for controls; it was the best predictor of behavior problems and was related to poorer metabolic control.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/20.4.435