This request for an RCDA is a companion grant to R01HD13820, """"""""Compliance and Control in Childhood Diabetes."""""""" The goal of both proposals is to better understand what psychological factors are important to health status in IDDM (insulin dependent diabetes mellitus) populations. The objective of the RCDA is to more intensively study psychological factors predictive of health in three populations who are """"""""high risk"""""""" for change in health status: 1) youngsters with IDDM entering adolescence; 2) newly diagnosed youngsters entering the total diabetic stage; and 3) nondiabetic individuals with islet cell autoantibodies (ICA), a marker considered to be predictive of diabetes onset. In the adolescent population, the extent to which the following variables are predictive of adherence behavior and health status will be assessed: a) patient/parent responsibility for diabetes management tasks; b) family eating and exercise habits; c) barriers to adherence; d) stress as indicated by parent/child conflict, daily hassles, and major """"""""life events""""""""; e) style of coping with stress; and f) parent/child communication about problem areas. Participants will be intensively studied for two 3-month intervals, 2 years apart. The same procedures and methods will be used to study the newly diagnosed group as well. However, the impact of the patient's developmental status (e.g. adolescence vs. pre-adolescence) during the """"""""honeymoon"""""""" phase will also be evaluated. In the population of individuals """"""""high risk"""""""" for developing diabetes, the following psychological variable will be considered as possible predictors of diabetes onset: a) dietary and exercise habits; b) stress as indicated by parent/child conflict or marital conflict, daily hassles, and major """"""""life events""""""""; and c) coping-with-stress style. Participants will be evaluated at 6-month intervals with phone contact during intervening months. Individuals may be followed for as long as 2-3 years. All the projects will involve measurement development/modification and/or the testing of the adequacy of available measures with these particular populations. Hopefully, the result will be the further development of adequate psychological measures appropriate for this population and useful to other investigators/clinicians in the field.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Modified Research Career Development Award (K04)
Project #
1K04HD000686-01
Application #
3073285
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1985-08-01
Project End
1990-07-31
Budget Start
1985-08-01
Budget End
1986-07-31
Support Year
1
Fiscal Year
1985
Total Cost
Indirect Cost
Name
University of Florida
Department
Type
Schools of Medicine
DUNS #
073130411
City
Gainesville
State
FL
Country
United States
Zip Code
32611
Hood, Korey K; Johnson, Suzanne Bennett; Baughcum, Amy E et al. (2006) Maternal understanding of infant diabetes risk: differential effects of maternal anxiety and depression. Genet Med 8:665-70
Hood, Korey K; Bennett Johnson, Suzanne; Carmichael, Stacy K et al. (2005) Depressive symptoms in mothers of infants identified as genetically at risk for type 1 diabetes. Diabetes Care 28:1898-903
Baughcum, Amy E; Johnson, Suzanne Bennett; Carmichael, Stacy K et al. (2005) Maternal efforts to prevent type 1 diabetes in at-risk children. Diabetes Care 28:916-21
Bennett Johnson, Suzanne; Baughcum, Amy E; Carmichael, Stacy K et al. (2004) Maternal anxiety associated with newborn genetic screening for type 1 diabetes. Diabetes Care 27:392-7
Carmichael, Stacy K; Johnson, Suzanne Bennett; Baughcum, Amy et al. (2003) Prospective assessment in newborns of diabetes autoimmunity (PANDA): maternal understanding of infant diabetes risk. Genet Med 5:77-83
Johnson, S B (2001) Screening programs to identify children at risk for diabetes mellitus: psychological impact on children and parents. J Pediatr Endocrinol Metab 14 Suppl 1:653-9
Bennett Johnson, S; Tercyak Jr, K P (1995) Psychological impact of islet cell antibody screening for IDDM on children, adults, and their family members. Diabetes Care 18:1370-2
Johnson, S B; Kelly, M; Henretta, J C et al. (1992) A longitudinal analysis of adherence and health status in childhood diabetes. J Pediatr Psychol 17:537-53
Nurick, M A; Johnson, S B (1991) Enhancing blood glucose awareness in adolescents and young adults with IDDM. Diabetes Care 14:1-7
Freund, A; Johnson, S B; Silverstein, J et al. (1991) Assessing daily management of childhood diabetes using 24-hour recall interviews: reliability and stability. Health Psychol 10:200-8

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