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. 2023 Feb;12(1):108-118.
doi: 10.1002/pchj.591. Epub 2022 Sep 13.

Diabetes representations on adherence and quality of life: Do parents and adolescents differ?

Ana C Almeida  1 , M Engrácia Leandro  2 , M Graça Pereira  1
Affiliations

Diabetes representations on adherence and quality of life: Do parents and adolescents differ?

Ana C Almeida et al. Psych J. 2023 Feb.

Abstract

Type 1 diabetes is one of the most frequent chronic diseases in adolescents. To manage diabetes and prevent complications, a set of self-care behaviors needs to be implemented into family daily routines. This study analyzed diabetes representations in adolescents and their parents, the dissimilarities between them, and the relationship between illness dissimilarities and adherence/quality of life (QoL) in adolescents with type 1 diabetes. The sample included 200 participants: 100 adolescents with type 1 diabetes and 100 parents who accompanied the adolescents. Adolescents were assessed on adherence (Self-Care Inventory-Revised), quality of life (Diabetes QoL) and family support (Diabetes Family Behavior Scale). Both adolescents and parents were assessed on illness representations (Brief-Illness Perception Questionnaire). Dissimilarities in illness representations between parents and adolescents were performed using Olsen et al's proposal. Parents showed a more negative representation of diabetes than adolescents. Adolescents' illness representations, the dissimilarities between adolescents' and parents' illness representations, and family support were associated with adolescents' adherence and QoL. Higher family support moderated the relationship between the dissimilarity in timeline representations and QoL, explaining 17.8% of the variance on QoL. Adolescent's gender (male) was a moderator in the relationship between adolescent's coherence and QoL, explaining 18.6% of the variance on QoL. Adolescent's gender (female) was a moderator in the relationship between timeline and QoL, explaining 11.9% of the variance on QoL. Being a male parent was a moderator in the relationship between adolescent's concerns and QoL, explaining 13.5% of the variance on QoL. Intervention programs should focus on illness representations, particularly on the dissimilarities between adolescents and parents, as well as on family support in order to promote adolescents' adherence and QoL.

Keywords: adherence; dissimilarity; family support; illness representations; quality of life.

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References

REFERENCES

    1. Almeida, A. C., Leandro, E., & Pereira, M. G. (2017). The role of parental illness representations and parental coping in metabolic control of adolescents with type 1 diabetes. Pediatric Neonatal Biology Open Access, 2, 1-7. https://doi.org/10.23880/PNBOA-16000108
    1. Almeida, A. C., Leandro, M. E., & Pereira, M. G. (2020). Adherence and glycemic control in adolescents with type 1 diabetes: The moderating role of age, gender, and family support. Journal of Clinical Psychology in Medical Settings, 27, 247-255. https://doi.org/10.1007/s10880-019-09662-y
    1. Almeida, A. C., Pereira, M. G., & Leandro, M. E. (2013). The influence of family support, parental coping and school support on adherence to type 1 Diabetes' self-Care in Adolescents. In A. P. Escher & A. Li (Eds.), Type 1 Diabetes (pp. 445-468). IntechOpen.
    1. Almeida, P., & Pereira, M. G. (2008). Questionário de Avaliação da Qualidade de Vida para adolescentes com Diabetes tipo 1: estudo de validação do DQOL. Análise Psicológica, 2, 295-307. https://doi.org/10.14417/ap.495
    1. Almeida, P., & Pereira, M. G. (2011). Escala Comportamental de Suporte Social e Familiar para Adolescentes com Diabetes (DFBS). Psicologia, Saúde e Doenças, 12, 55-75.

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