The goal of the proposed research is to examine the impact of insulin-dependent diabetes on quality of life over the transition through adolescence. The focus is on the implications of a set of gender-related traits for psychological and physical well-being. Gender-related issues are important during the transition to adolescence because gender-role norms become salient. The gender-related factors addressed in the proposed research are important because they have been linked to psychological and physical health. These traits are: communion, unmitigated communion, agency, unmitigated agency. We hypothesize that unmitigated communion and unmitigated agency will be associated with poor psychological and physical well- being, agency will be associated with good health outcomes, and communion will be related to a supportive environment. Children (ages 10-12) with diabetes and sex, age, race, and family structure matched healthy controls will be enrolled in the study and followed for four years. The longitudinal design will enable us to determine when and if the traits have implications for health. Among the children with diabetes, these traits also will be linked to self-care behaviors and a set of diabetes-related complications (e.g., poor metabolic control, early stage retinopathy). Children with and without diabetes will be interviewed in-person on an annual basis on five occasions. At each wave, parents will complete a set of brief questionnaires. Children and parents also will respond to 24-hour recall phone interviews to assess self-care behavior and aspects of the social environment once a month for three consecutive months each year. These methods will determine whether: (a) gender-related traits change over the course of adolescence to influence health or (b) whether the relation of gender-related traits to health becomes stronger over the transition to adolescence. These methods also will help to identify the personal (e.g., self-efficacy), interpersonal (e.g., social support), and behavioral processes (self-care behavior) that link gender-related traits to psychological and physical well-being.

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Research Project (R01)
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Special Emphasis Panel (ZRG1 (01))
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Garfield, Sanford A
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Carnegie-Mellon University
Schools of Arts and Sciences
United States
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Helgeson, Vicki S; Vaughn, Abigail Kunz; Seltman, Howard et al. (2018) Relation of parent knowledge to glycemic control among emerging adults with type 1 diabetes: a mediational model. J Behav Med 41:186-194
Helgeson, Vicki S (2017) Young Adults With Type 1 Diabetes: Romantic Relationships and Implications for Well-Being. Diabetes Spectr 30:108-116
Martire, Lynn M; Helgeson, Vicki S (2017) Close relationships and the management of chronic illness: Associations and interventions. Am Psychol 72:601-612
Wiebe, Deborah J; Helgeson, Vicki; Berg, Cynthia A (2016) The social context of managing diabetes across the life span. Am Psychol 71:526-538
Monaghan, Maureen; Helgeson, Vicki; Wiebe, Deborah (2015) Type 1 diabetes in young adulthood. Curr Diabetes Rev 11:239-50
Lyons, Sarah K; Helgeson, Vicki S; Witchel, Selma F et al. (2015) PHYSICIANS' SELF-PERCEPTIONS OF CARE FOR EMERGING ADULTS WITH TYPE 1 DIABETES. Endocr Pract 21:903-9
Helgeson, Vicki S; Mascatelli, Katilyn; Reynolds, Kerry A et al. (2015) Friendship and romantic relationships among emerging adults with and without type 1 diabetes. J Pediatr Psychol 40:359-72
Helgeson, Vicki S; Holmbeck, Grayson N (2015) An introduction to the special issue on peer relations in youth with chronic illness. J Pediatr Psychol 40:267-71
Helgeson, Vicki S; Palladino, Dianne K; Reynolds, Kerry A et al. (2014) Relationships and health among emerging adults with and without Type 1 diabetes. Health Psychol 33:1125-33
Helgeson, Vicki S; Reynolds, Kerry A; Siminerio, Linda M et al. (2014) Cognitive adaptation theory as a predictor of adjustment to emerging adulthood for youth with and without type 1 diabetes. J Psychosom Res 77:484-91

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