Pediatric Diabetes

 Associations between major life events and adherence, glycemic control, and psychosocial characteristics in teens with type 1 diabetes
 
Aims This cross-sectional study assessed the type of major life events occurring in a contemporary sample of teens with type 1 diabetes and the association between event frequency and demographic, diabetes management, and psychosocial characteristics. Methods Parents of 178 teens completed the Life Events Checklist to report major events teens had experienced in the last year: 42% experienced 0 to 1 event (n?=?75), 32% experienced 2 to 3 events (n?=?57), and 26% experienced 4+ events (n?=?46). Teens and parents completed validated measures of treatment adherence, diabetes-specific self-efficacy, quality of life, and diabetes-specific family conflict. Parent-youth interview and chart review provided demographics and diabetes management data. Results Mean number of events/teen was 2.6?±?2.7 (range?=?0-15). The most common events were ?Hospitalization of a family member? (24%), ?Getting a bad report card? (20%), ?Serious arguments between parents? (19%), and ?Serious illness/injury in a family member? (19%). Compared with teens experiencing 0 to 1 event, teens experiencing 4+ events were less likely to have married parents (P?=?.01) and a parent with a college degree (P?=?.006). Teens with 4+ events had significantly poorer adherence (P?=?.002 teen, P?=?.02 parent), lower self-efficacy (P?=?.03 teen, P?