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Consistent with the broader developmental literature Smetana et al. Alternatively, secrecy and disclosure may interact such that disclosure to parents is most beneficial when adolescents simultaneously keep few secrets from their parents. They also thank the physicians and staff at the Utah Diabetes Center and Mountain Vista Medicine, as well as the adolescents and their families who participated in this study. These two constructs are not simply opposites along a single continuum, as youth can disclose while also keeping secrets about their lives. Because mothers are most often the parent involved in helping to manage and solve diabetes problems, keeping secrets about certain aspects of management e. These findings were predicted for parent reports of knowledge, as parents likely do not have access to information adolescents keep secret from them. Thus, at lower levels of secrecy, adolescents with higher disclosure reported better adherence; however, higher levels of secrecy diminished the positive relationship between disclosure and adherence.

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