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

Ann Behav Med. 2018 Jan 5;52(1):29-41. doi: 10.1007/s12160-017-9922-0.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Affect / physiology
  • Diabetes Mellitus, Type 1 / therapy*
  • Disclosure
  • Fathers / psychology*
  • Female
  • Humans
  • Male
  • Mothers / psychology*
  • Parenting / psychology*
  • Patient Compliance / psychology*
  • Self-Control / psychology*
  • Self-Management / psychology*