Coordination of Self- and Parental-Regulation Surrounding Type I Diabetes Management in Late Adolescence

Jonathan E. Butner, Cynthia A. Berg, A. K. Munion, Sara L. Turner, Amy Hughes-Lansing, Joel B. Winnick, Deborah J. Wiebe

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Background: Type 1 diabetes management involves self- and social-regulation, with past research examining components through individual differences unable to capture daily processes. Purpose: Dynamical systems modeling was used to examine the coordinative structure of self- and social-regulation (operationalized as parental-regulation) related to daily diabetes management during late adolescence. Methods: Two hundred and thirty-six late adolescents with type 1 diabetes (M age = 17.77 years, SD = .39) completed a 14-day diary reporting aspects of self- (e.g., adherence behaviors, cognitive self-regulation failures, and positive and negative affect) and parental-regulation (disclosure to parents, knowledge parents have, and help parents provide). Results: Self-regulation functioned as one coordinative structure that was separate from parental-regulation, where mothers and fathers were coordinated separately from each other. Mothers’ perceived helpfulness served as a driver of returning adolescents back to homeostasis. Conclusions: The results illustrate a dynamic process whereby numerous facets of self- and social-regulation are coordinated in order to return diabetes management to a stable state.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalAnnals of Behavioral Medicine
StateAccepted/In press - Jun 5 2017


  • Adherence
  • Dynamical systems
  • Parental-regulation
  • Self-regulation
  • Type 1 diabetes

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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