Psychosocial factors. Psychosocial factors are important to consider in the
adaptation to and treatment of childhood diabetes
(98 - 100)
. Family conflict and
communication have also been associated with HRQoL in youth with T1D
(101)
and
with poorer metabolic control
(102)
. In addition, a higher level of parental fear of
hypoglycemia was associated with poorer glycemic control in their child
(103)
. From
SEARCH, youth from racial and ethnic minority groups had a higher rate of
depressed mood than did NHWs
(104)
. Depressed mood was associated with higher
HbA
1c
(104)
and among youth with T1D, poor glycemic control was associated with
lower generic
(105)
and diabetes-related health-related quality of life (HRQoL)
(106)
.
The SEARCH Cohort Study will provide urgently needed longitudinal studies in
large and diverse cohort regarding the impact of psychosocial factors on the health of
youth with diabetes.
