{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:17:03Z","timestamp":1791418623239,"version":"4.3.3"},"reference-count":0,"publisher":"American Diabetes Association","issue":"2","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[1996,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>Treatment of IDDM in youth emphasized balancing children's self-care autonomy with their psychological maturity. However, few data exist to guide clinicians or parents, and little is known about correlates of deviations from this ideal.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>In this cross-sectional study, IDDM self-care autonomy of 100 youth was assessed using two well-validated measures. Three measures of psychological maturity (cognitive function, social-cognitive development, and academic achievement) were also collected for each child. Composite indexes of self-care autonomy and of psychological maturity were formed, and the ratio of the self-care autonomy index to the psychological maturity index quantified each child's deviation from developmentally appropriate IDDM self-care autonomy. Based on these scores, participants were categorized as exhibiting constrained (lower tertile), appropriate (middle tertile), or excessive (higher tertile) self-care autonomy. Between-group differences in treatment adherence, diabetes knowledge, glycemic control, and hospitalization rates were explored.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Analysis of covariance controlling for age revealed that the excessive self-care autonomy group demonstrated less favorable treatment adherence, diabetes knowledge, hospitalization rates, and, marginally, glycemic control. Excessive self-care autonomy increased with age and was less common among intact two-parent families but was unrelated to other demographic factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The findings indicate caution about encouragement of maximal self-care autonomy among youth with IDDM and suggest that families who succeed in maintaining parental involvement in diabetes management may have better outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/diacare.19.2.119","type":"journal-article","created":{"date-parts":[[2007,3,5]],"date-time":"2007-03-05T22:51:27Z","timestamp":1173135087000},"page":"119-125","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":210,"title":["Deviation from Developmentally Appropriate Self-Care Autonomy: Association with diabetes outcomes"],"prefix":"10.2337","volume":"19","author":[{"given":"Tim","family":"Wysocki","sequence":"first","affiliation":[{"name":"Nemours Children's Clinic\u2008Jacksonville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Taylor","sequence":"additional","affiliation":[{"name":"Nemours Children's Clinic\u2008Jacksonville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda S","family":"Hough","sequence":"additional","affiliation":[{"name":"Michigan State University\u2008East Lansing, Michigan"},{"name":"Ohio State University\u2008Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R","family":"Linscheid","sequence":"additional","affiliation":[{"name":"Children's Hospital\u2008Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith O","family":"Yeates","sequence":"additional","affiliation":[{"name":"Children's Hospital\u2008Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack A","family":"Naglieri","sequence":"additional","affiliation":[{"name":"Ohio State University\u2008Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/19\/2\/119\/444625\/19-2-119.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/19\/2\/119\/444625\/19-2-119.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T13:51:38Z","timestamp":1647093098000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/19\/2\/119\/19800\/Deviation-from-Developmentally-Appropriate-Self"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,2,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1996,2,1]]}},"URL":"https:\/\/doi.org\/10.2337\/diacare.19.2.119","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,2,1]]}}}