{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:07:18Z","timestamp":1790064438612,"version":"4.0.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Office of Sponsored Programs and Research"},{"DOI":"10.13039\/100010062","name":"Towson University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The transition to adulthood presents challenges for families managing type 1 diabetes (T1D), yet maternal well-being during this period remains understudied. Guided by family systems theory and the transactional stress and coping model, this study examined relationships among diabetes-related distress, perceived social support, and quality of life (QoL) in mothers of adolescents and young adults (AYAs; ages 15\u201325) with T1D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a cross-sectional, descriptive correlational design, 72 mothers (M age\u2009=\u200948.6\u2009years, 91.7% White, 87.5% married) of AYAs with T1D (M age\u2009=\u200919.4\u2009years) completed validated measures of T1D-specific QoL, diabetes-related distress, and perceived social support. Kendall\u2019s tau-b correlations analyzed associations among study variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Maternal personal distress demonstrated the strongest negative association with T1D-specific QoL (\u03c4b\u2009=\u2009\u22120.69, p &amp;lt; .001), followed by mother\/AYA relationship distress (\u03c4b\u2009=\u2009\u22120.58, p &amp;lt; .001) and management distress (\u03c4b\u2009=\u2009\u22120.56, p &amp;lt; .001). All forms of distress showed large negative associations with emotional well-being and moderate to large negative associations with relationship quality. Overall perceived social support was not significantly associated with T1D-related QoL (\u03c4b\u2009=\u20090.15, p = .127), though family (\u03c4b\u2009=\u20090.18, p = .036) and friend support (\u03c4b\u2009=\u20090.21, p = .015) showed small positive associations with emotional well-being and daily activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings demonstrate that maternal diabetes-related distress, particularly personal distress, was significantly negatively associated with QoL during the AYA period. Results highlight the need for routine distress screening, family-based interventions targeting diabetes-specific conflict, and diabetes-specific support resources tailored to this developmental period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsag038","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:27:36Z","timestamp":1777638456000},"page":"757-765","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes-related distress and quality of life in mothers during the adolescent to young adult transition in type 1 diabetes"],"prefix":"10.1093","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5435-6932","authenticated-orcid":false,"given":"Michelle M","family":"Ness","sequence":"first","affiliation":[{"name":"Department of Nursing, Towson University , Towson, MD,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L","family":"Saylor","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Delaware , Newark, DE,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"2026092203545189200_jsag038-B1","doi-asserted-by":"publisher","first-page":"S258","DOI":"10.2337\/dc24-S014","article-title":"14. 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