Abstract

ALMEIDA, J. Paulo; PEREIRA, M. Graça  and  FONTOURA, M.. Individual and family variables on adherence to treatment, metabolic control and quality of life in adolescents with type 1 diabetes. Rev. SBPH [online]. 2012, vol.15, n.1, pp. 59-82. ISSN 1516-0858.

Diabetes is a chronic disease that has a great impact on adolescent's life. The influence of psychological factors on diabetes is well known. Literature shows the importance of psychological and psychosocial on adherence and metabolic control. However, very few studies articulate family variables (family environment, family social support) with psychological variables (anxiety, self efficacy) with adherence, metabolic control and quality of life. This study attempted to research the influence of family environment, family social support, self-efficacy and stress towards diabetes on adolescent's adherence, quality of life and metabolic control. Results showed that all these family variables have a great impact on stress toward diabetes and self-efficacy. In particular social support and family conflict seem to be very important on determination of adherence behavior and quality of life. Those psychosocial factors are of great importance if one wants to design interventions to increase adherence to treatment and quality of life among adolescents.

Keywords : Adherence; Quality of life; Family environment; Social support; Type 1 diabetes.

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