Patterns of Family Functioning and Diabetes-Specific Conflict in Relation to Glycemic Control and Health-Related Quality of Life Among Youth With Type 1 Diabetes.
Objectives
General and diabetes-specific family functioning may be associated with youth’s adaptation to type 1 diabetes (T1D); however, empirically derived patterns of family functioning and diabetes-specific conflict among youth have not been explored in relation to T1D adaptation.


Methods
Youth (N = 161, aged 12–18) with T1D and caregivers completed measures of family functioning and diabetes-specific conflict that served as indicators in latent profile analyses. Differences in glycemic control (measured by hemoglobin A1cs [HbA1c] and health-related quality of life [HRQoL]) were compared across profiles.


Results
Four profiles that varied by levels of family functioning, diabetes-specific conflict, and congruence between youth and caregiver perspectives emerged and related to T1D adaptation differently. Greater agreement between caregiver and youth and lower diabetes-specific conflict was associated with lower HbA1c and greater HRQoL.


Conclusions
Person-centered approaches are useful to quantify how many individuals fit into a particular pattern and determine how specific family dynamics may function together differently in relation to T1D adaptation for various subgroups of the population.
['Rybak|Tiffany M|TM|', 'Ali|Jeanelle S|JS|', 'Berlin|Kristoffer S|KS|', 'Klages|Kimberly L|KL|', 'Banks|Gabrielle G|GG|', 'Kamody|Rebecca C|RC|', 'Ferry|Robert J|RJ|', 'Alemzadeh|Ramin|R|', 'Diaz-Thomas|Alicia M|AM|', '|||']
D000293:Adolescent D001786:Blood Glucose D015190:Blood Glucose Self-Monitoring D017028:Caregivers D002648:Child D003922:Diabetes Mellitus, Type 1 D054541:Family Conflict D005195:Family Relations D005260:Female D006442:Glycated Hemoglobin A D006304:Health Status D006801:Humans D008297:Male D011788:Quality of Life
family functioning conflict quality of life type 1 diabetes adolescence chronic illness latent profile analysis