Metabolic Control in Adolescent Girls

Maharaj, Sherry; Daneman, Denis; Olmsted, Marion; Rodin, Gary
March 2004
Diabetes Care;Mar2004, Vol. 27 Issue 3, p709
Academic Journal
This study investigated whether intimacy and autonomy in mother-daughter interactions and relational aspects of the self are associated with metabolic control in adolescent girls with type 1 diabetes. Self-concept in domains of perceived behavioral conduct (P = 0.003), social acceptance (P = 0.03), romantic appeal (P = 0.03), and close friendships (P = 0.04) independently predicted HbA1c levels, together accounting for 30% of the variance. Also, the experience of emotional closeness (i.e., intimacy) rather than separateness (i.e., autonomy) in mother-daughter relationships was associated with lower HbA1c (P = 0.03). Relational aspects of the self and the experience of emotional closeness in relationships are associated with metabolic control in adolescent girls. Efforts to improve metabolic control in girls should include enhancing the self-concept and the experience of relatedness in familial, peer, and patient-caregiver relationships.


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