@article{ref1,
title="How Peer Conflict Profiles and Socio-Demographic Factors Influence Type 1 diabetes Adaptation",
journal="Journal of pediatric psychology",
year="2020",
author="Banks, Gabrielle G. and Berlin, Kristoffer S. and Keenan, Mary E. and Cook, Jessica and Klages, Kimberly L. and Rybak, Tiffany M. and Ankney, Rachel and Semenkovich, Katherine and Cohen, Robert and Thurston, Idia and Diaz-Thomas, Alicia and Alemzadeh, Ramin and Eddington, Angelica",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: This study aimed to (a) validate the factor structure for a measure of peer conflict in youth with type 1 diabetes (T1D); (b) determine empirical patterns of peer conflict in terms of context (friend vs. nonfriend) and content (diabetes-specific vs. general) within a broader context of socio-demographic factors; and (c) examine how these patterns and socio-demographic factors relate to adolescents' T1D adherence, quality of life, and glycemic control (HbA1c).   METHODS: Youth with T1D (N = 178), ages 12-18, reported demographic variables, illness duration, adherence, quality of life, and peer conflict. HbA1c was extracted from medical records. Confirmatory factor analysis validated a factor structure for the Diabetes Peer Conflict Scale (DPCS) and latent profile analysis (LPA) determined profiles of peer conflict.   RESULTS: A four-factor structure emerged for the DPCS: general friend conflict, general nonfriend conflict, T1D friend conflict, and T1D nonfriend conflict. Using these factors as indicators in LPA, four profiles were confirmed: (a) Low Overall Conflict (LOC) and (b) Moderate Overall Conflict (MOC), (c) a Nonfriend Conflict (NFC), and (d) a Friend Conflict (FC) profile. Differences were not identified between diabetes specific versus general conflict. Socio-demographic variables did not predict class membership. The LOC profile reported the highest quality of life and best glycemic control, whereas the FC profile reported the lowest adherence behaviors. <br><br>CONCLUSIONS: Peer conflict uniquely contributes to diabetes adaptation above and beyond socio-demographic and illness factors.<p /> <p>Language: en</p>",
language="en",
issn="0146-8693",
doi="10.1093/jpepsy/jsaa036",
url="http://dx.doi.org/10.1093/jpepsy/jsaa036"
}