International articleCoping with everyday stress and links to medical and psychosocial adaptation in diabetic adolescents
Section snippets
Sample
Subjects for the present study were participants in the German Longitudinal Study on Juvenile Diabetes [5]. The adolescents with IDDM were recruited from their regular source of pediatric health care services. The study received full Institutional Review Board approval. Eighty-eight percent of the families approached agreed to participate. All physical examinations were done in full accordance with the declaration of Helsinki [21]. Ninety-eight 14-year-old adolescents with diabetes (46 females
Results
Of the 81 possible cell combinations (i.e., 3 × 3 × 3 × 3), only 41 were realized; the remaining cells were empty. Because of the relatively sparse data, a bootstrap on 500 samples was conducted to generate meaningful support for the fit statistics [28]. All three fit statistics (i.e., likelihood ratio (LR), Chi-square, and Read Cressie) were significant (see Table 1). The excellent fit of the three-class latent class model suggested that there was no significant movement or transition among
Discussion
This study explores the links between medical adaptation and psychosocial adaptation in adolescents with diabetes with a focus on coping with non-illness-specific everyday stress. Up to 30% of those diabetic adolescents whose medical adaptation, measured via metabolic control, is poor over an extended period of time develop health damages such as retinopathy and nephropathy [30]. A first aim of this study was, therefore, to analyze whether adolescents with diabetes can be assigned to stable
Acknowledgements
The research was supported by the German Bundesministerium für Forschung und Technologie (No. 0706567). Our thanks to Anton K. Formann for his helpful comments on the latent class analyses.
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