Department of Psychology, The University of Memphis, Memphis, TN, USA.
Department of Pediatrics, University of Tennessee Health Science Center-Memphis, Memphis, TN, USA.
J Pediatr Psychol. 2017 Jan 1;42(1):40-51. doi: 10.1093/jpepsy/jsw071.
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.
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.
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.
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.
一般和糖尿病特有的家庭功能可能与青少年对 1 型糖尿病（T1D）的适应有关；然而，尚未针对 T1D 适应探讨过青少年中经验性得出的家庭功能模式和糖尿病特定冲突模式。
患有 T1D 的青少年（N=161，年龄 12-18 岁）及其照顾者完成了家庭功能和糖尿病特定冲突的测量，这些测量作为潜在剖面分析中的指标。根据概况，比较了血糖控制（通过血红蛋白 A1c[HbA1c]和健康相关生活质量[HRQoL]衡量）的差异。
出现了四个在家庭功能、糖尿病特定冲突以及青少年和照顾者观点之间的一致性水平上有所不同的概况，并且以不同的方式与 T1D 适应相关。照顾者和青少年之间的一致性更高，糖尿病特定冲突更低，与 HbA1c 更低和 HRQoL 更高相关。
以个体为中心的方法有助于量化有多少人符合特定模式，并确定在与 T1D 适应相关的特定家庭动态如何在不同人群亚组中以不同的方式共同起作用。
