The Contribution Of Parent Psychosocial Functioning To Parental Monitoring Youth Adherence And Glycemic Control During Adolescence

Author : Jeannette Marie Iskander
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Download or read book Parent Perception Examining the Relationship Among Stress, Executive Functioning, and Transition of Responsibility in Adolescents with Type 1 Diabetes written by Jeannette Marie Iskander and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 Diabetes (T1DM) is a life-long chronic illness often diagnosed during childhood or adolescence which requires individuals to adhere to a complex treatment regimen. Unfortunately, adherence is especially poor during adolescence. One factor which may influence adherence is treatment responsibility, or determining whether the parent or adolescent assumes treatment responsibility. Although there are no clear guidelines regarding when to transition responsibility, knowing whether the adolescent has the cognitive capacity or executive functions (EF) to successfully manage their treatment is essential. Parental stress has also been associated with treatment responsibility, suggesting that greater levels of parent responsibility are associated with greater levels of reported parental stress. However, most studies have failed to examine the effects of multiple forms of stress (i.e., general, parenting, and disease-related) on treatment responsibility. Further, little is known regarding how parent perception of adolescent general and disease related EF and various forms of parent stress are related to treatment responsibility. The present aimed to assess the contribution of various forms of stress and parent perception of general and diabetes related executive functioning on the transition of responsibility from parent to adolescent in adolescents with T1DM. The findings from the study underscore the role of parent reported diabetes distress as it relates to the transition of responsibility. Specifically, diabetes distress was a significant predictor of greater parent responsibility above and beyond the role of general and disease related executive functioning. Nonetheless, results suggest that parents transition greater responsibility to their adolescent when they perceive their adolescent to have a greater ability to remember tasks associated with their illness. General and perceived stress did not influence the transition of responsibility from parent to adolescent. The present study expanded previous research by examining the role that various forms of stress and parent perception of adolescent's executive function play in their decision to transition responsibility for diabetes management among adolescents with T1DM. Despite limitations within the present study, the findings suggest clinical implications and future directions for research. Specifically, future interventions should target decreasing parent diabetes distress, while also focusing interventions on improving adolescent's diabetes related memory for managing their disease. Future research should include a smaller age range and should be longitudinal in nature to better understand how the dynamic nature of the associations among various forms stress, executive functioning, and treatment responsibility may have an impact on treatment adherence and glycemic control.