The relationship of two aspects of family life to metabolic control wereexamined as part of a longitudinal study of school-aged children with newly diagnosed insulin-dependent diabetes mellitus (IDDM). Glycosylated hemoglobin level was the primary index of metabolic control; weight-adjusted insulin dosage served as an indirect index. Neither the quality of family life nor aspects of the parents' marriage predicted the child's metabolic control over the next 3–4 mo, and they were also unrelated toconcurrent weight-adjusted insulin dosage. Longitudinal data spanning a 6-yr period of the child's diabetes also failed to reveal an association between aspects of family life and metabolic control. The significance ofthe findings are discussed in light of the sample's characteristics and possible methodological constraints.
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Original Articles|
June 01 1989
Family Functioning and Metabolic Control of School-Aged Children With IDDM
Maria Kovacs, Phd;
Maria Kovacs, Phd
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic; the Children's Hospital of Pittsburgh;and the Department of Statistics, Carnegie-Mellon University
Pittsburgh, Pennsylvania
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Robert E Kass, PhD;
Robert E Kass, PhD
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic; the Children's Hospital of Pittsburgh;and the Department of Statistics, Carnegie-Mellon University
Pittsburgh, Pennsylvania
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Theresa M Schnell, MSW, MPA;
Theresa M Schnell, MSW, MPA
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic; the Children's Hospital of Pittsburgh;and the Department of Statistics, Carnegie-Mellon University
Pittsburgh, Pennsylvania
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David Goldston, PhD;
David Goldston, PhD
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic; the Children's Hospital of Pittsburgh;and the Department of Statistics, Carnegie-Mellon University
Pittsburgh, Pennsylvania
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Judith Marsh, PhD
Judith Marsh, PhD
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic; the Children's Hospital of Pittsburgh;and the Department of Statistics, Carnegie-Mellon University
Pittsburgh, Pennsylvania
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Address correspondence and reprint requests to Maria Kovacs, PhD, Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213.
Citation
Maria Kovacs, Robert E Kass, Theresa M Schnell, David Goldston, Judith Marsh; Family Functioning and Metabolic Control of School-Aged Children With IDDM. Diabetes Care 1 June 1989; 12 (6): 409–414. https://doi.org/10.2337/diacare.12.6.409
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