and maintaining their perceptions of competence in the
context of a complicated medical regimen. Managing an
illness in the presence of emotional changes is a challenge
that adolescents will face throughout their lives, and
adolescents develop views of their competence that remain
influential throughout adulthood. Learning to manage
illness behaviors in the presence of negative emotions,
and learning to recognize and harness positive emotions for
optimal diabetes management, are skills that may have
implications for maintaining long-term health when living
with diabetes. It will be important to understand factors that
may help adolescents to regulate their behavior in the
context of emotions as well as to understand what leads
adolescents to experience more positive or negative
emotions in the context of diabetes. Helping adolescents
to optimally manage their emotions in the context of
diabetes may have imp ortant implications for clinical
interventions and lifelong diabetes control.
Acknowledgements This research was supported by grant
51000821 from the Primary Children’s Medical Center Research
Foundation awarded to Deborah J. Wiebe and Cynthia A. Berg and by
a University of Utah Research Foundation grant awarded to Deborah
J. Wiebe. Portions of this research were presented at the 2006 annual
conference of the Society for Behavioral Medicine. We thank the
patients and staff of the Utah Diabetes Center and Kathy Free, Monica
Foresman, Gary King, Rebecca Young, Devin Donaldson, and
Marejka Shaevitz for their help with data collection and entry.
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