Psychosocial predictors of acute complications of XXXX in youth.

@entity1 @entity1270 @entity6 @entity4053
In this paper we determine whether individual and family psychosocial functioning predicts the risk for recurrent acute @entity6 complications. An onset-cohort of 61 @entity1 and adolescents with Type 1 @entity6 received conventional @entity6 care. Episodes of @entity1270 and of severe @entity4053 were recorded for 8 years, and glycaemic control was measured by glycohaemoglobin. Measures of psychosocial functioning of the @entity1 and parents were obtained during the first year. Over 8 years, 28% of subjects had at least one episode of @entity1270 , and 21% had at least one episode of hypoglycaemia. The odds of observing recurrent hypoglycaemia versus recurrent @entity1270 was 14 times greater in @entity1 than in @entity1 (Fisher's exact test p < 0.05). @entity1 with recurrent @entity1270 had more behaviour problems and lower social competence, they reported higher levels of family conflict, and their parents reported lower levels of family cohesion, expressiveness and organization in year one. These relationships were independent of any association with poor glycaemic control. Recurrent hypoglycaemia in @entity1 was generally unrelated to individual and family functioning or glycohaemoglobin. Despite our small sample size, our findings are suggestive of relationships that may lead to early identification of @entity1 who are prone to recurrent @entity1270 , and to the development of early intervention strategies.
