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The Long Branch of Phase-Environment Fit

Concurrent and Longitudinal Implications of Match and Mismatch Among Diabetic and Nondiabetic Youth

Stuart T. Hauser

Harvard Medical School

Alan M. Jacobson

Joslin Diabetes Center

Based on the stage-environment fit perspective (Eccles & Midgley), we hypothesized that diabetic adolescents who experience a developmental match would be more likely to experience optimal psychosocial outcomes. Three questions were addressed: Are there links between developmental match and adolescents’psychosocial outcomes, and if so, do such links differ by diabetic status? What are the long-term implications for later psychosocial outcomes of developmental match, and do such links differ by diabetic status? Do adolescents differentially perceive community support as a function of their developmental match and diabetic status? We assessed diabetic and nondiabetic adolescent boys and girls from a larger longitudinal study of chronic illness. Family characteristics were observed in a revealed difference task. Results suggested that even after controlling for psychosocial factors during adolescence, the benefits of developmental match (and the costs of developmental mismatch) could be observed during young adulthood. In addition, preadolescents with diabetes perceived their community as more supportive than any other group of adolescents. Results are discussed within a developmental contextual perspective, with particular attention to the experiences of diabetic adolescents.

Journal of Adolescent Research, Vol. 14, No. 1, 95-121 (1999)
DOI: 10.1177/0743558499141006


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