Insulin Dependent Diabetes Mellitus In Cuban-American Youths: Psychosocial Factors Related To Metabolic Control

Date of Award




Degree Name

Doctor of Philosophy (Ph.D.)




The present study investigated the relationship between diabetic control and several self-care and family variables in Cuban-American adolescents with Insulin Dependent Diabetes Mellitus (IDDM). Specifically, the study was concerned with the relationship between the adolescents' metabolic control and (a) the adolescent's perception of his/her mother's and father's degree of supportive and controlling parenting style, (b) the apportionment of responsibility for the daily diabetes care regimen between parents and the adolescent and (c) the cultural differences between the mother and the adolescent. Forty seven adolescents with IDDM and their mothers participated. Both completed questionnaires regarding their own cultural preferences (The Biculturalism Scale); the mothers rated the degree of sharing of responsibility for diabetes care (Responsibility Scale); and the adolescents completed separate questionnaires for their perception of their mothers' and the fathers' parenting styles (Deveraux Parenting Questionnaire). The adolescents' glycosylated hemoglobin (HbA(,1)) levels were used in conjunction with the number of diabetes-related hospitalizations in the past year to generate an index of metabolic control. This index was used as the criterion variable. Relative to those in poor metabolic control, adolescents in good control perceived their mothers as more supportive. In addition, the adolescents in good control shared the responsibility for their daily regimen more equally with a parent or parents. The cultural differences between the two generations were not found to be related to metabolic control. The implications of these findings were discussed in terms of the suggested need for counseling Cuban-American families and their adolescents with IDDM as to the importance of sharing the daily diabetes care regimen between parents and youngsters, and for promoting those parenting styles which were found to be associated with better metabolic control.


Psychology, General

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