Communication and problem-solving skills in families of children with
diabetes (n = 20) and families of healthy children (n = 20) were compa
red. Families completed paper-pencil measures and engaged in simulated
problem-solving situations while being videotaped. In terms of raw be
havior frequencies, diabetes families talked less than comparison fami
lies and used less of some problem-solving skills. When overall verbos
ity was controlled for, however, fewer differences emerged in terms of
problem-solving and communication skills. For diabetes families, sign
ificant relationships were found among behavior, adjustment, and illne
ss variables. The importance of understanding the specific influence o
f diabetes-related stress on family functioning is discussed.