Côté‐Olijnyk, Marianne;
Fonagy, Peter;
Zeng, Yixiao;
Greenwood, Celia MT;
Schiffrin, Alicia;
Qureshi, Mona;
Atsaidis, Zoe;
(2025)
Global Assessment of Relational Functioning: A Dynamic Family Measure Predicting Outcome in Children With Diabetes.
Family Process
, 64
(3)
, Article e70063. 10.1111/famp.70063.
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Abstract
While the prevalence of type 1 diabetes (T1D) in the pediatric population has been increasing dramatically in recent years, most youths with T1D do not meet the treatment targets recommended by the American Diabetes Association. The multiple self‐report scales for parents and adolescents that have been investigated in relation to treatment adherence and glycemic control in pediatric T1D show limited predictive abilities. This longitudinal observational study investigates whether the Global Assessment of Relational Functioning (GARF) can predict the medical outcome for newly diagnosed youths with T1D. The GARF is a brief structured interview assessing important areas of family functioning. The GARF assesses three main areas of family functioning: The organization, the emotional climate, and the problem‐solving attributes of the family. Fifty‐one youths recently diagnosed with diabetes and their families were recruited from a care facility in Canada. The age of the youths ranged from 1 to 16 years (M = 8.89; SD = 4.2), comprising 13 preschoolers, 28 school‐aged children, and 10 teenagers. Including family members, a total of 139 people participated in the assessments. Correlations were sought between GARF scores, patients' serum glycosylated hemoglobin (HbA1c) and the frequency of ER visits, hospitalizations, episodes of ketoacidosis, severe hypoglycemia, insulin resistance, and mental health referrals over 21 months. The GARF score was significantly inversely correlated with outcome HbA1c scores (r = −0.61, p < 0.001), indicating that higher family functioning is associated with better metabolic control. These results suggest the GARF could be administered at diagnosis to predict diabetes outcome among a pediatric population.
| Type: | Article |
|---|---|
| Title: | Global Assessment of Relational Functioning: A Dynamic Family Measure Predicting Outcome in Children With Diabetes |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/famp.70063 |
| Publisher version: | https://doi.org/10.1111/famp.70063 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | diabetes mellitus type 1 | family relations | glycated hemoglobin a | parent–child relations | prognosis | treatment outcome |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10213063 |
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