Am. Jacobson et al., SOCIAL RELATIONSHIPS AMONG YOUNG-ADULTS WITH INSULIN-DEPENDENT DIABETES-MELLITUS - 10-YEAR FOLLOW-UP OF AN ONSET COHORT, Diabetic medicine, 14(1), 1997, pp. 73-79
Past cross-sectional studies have suggested that young adults with ins
ulin-dependent (Type I) diabetes mellitus (IDDM) may experience proble
ms in their close peer relationships. For 10 years, we have followed a
n onset cohort of children and adolescents with IDDM (n = 57) and an a
ge-matched group who were originally recruited after an acute illness,
accident, or injury (n = 54). Now aged 19-26 years, these two groups
were compared in terms of their friendship patterns, dating and love e
xperiences, and sense of loneliness. All subjects in both groups had a
t least one friend. However, the IDDM group reported fewer friendships
overall. The difference was accounted for by the number of less intim
ate friends. The two groups had similar frequencies of current romanti
c partners (IDDM = 63 %; comparison group = 64 %). While dating attitu
de and dating assertiveness did not differ between groups, some differ
ences were found in terms of experiences of a primary love relationshi
p. IDDM patients experienced less trust and sense of intimate friendsh
ip in these love relationships. No differences in loneliness were foun
d. The preponderance of our findings indicate that the two groups had
similar patterns and experiences of close peer relationships. Thus, th
e study does not suggest that IDDM leads to serious problems in formin
g social relationships for these patients during the transition to you
ng adulthood. On the other hand, the IDDM patients' lower level of tru
st and intimacy within love relationships are consistent with other fi
ndings from this study suggesting specific areas of lowered self-worth
that appear in social relationships.