Although communication practices could predict satisfaction to some extent for some couples, the lack of a definitive causal relationship calls for
additional attention to other factors that influence marital satisfaction, such as
environmental stressors, what activities and interactions a couple has, and the personality traits of the individual partners.
Additional factors that must be considered include, but are not limited to, genetic risk,
environmental risk, contextual
stressors and trauma, parental psychopathology and substance use, and peer influences, with all of these factors interacting with emotion regulation to predict outcomes.
There are a number of factors which make managing A1C particularly difficult for teens including: Social pressures and responsibilities, motivation, personality, nutrition, substance use, sleep habits, brain re-structuring, defence mechanisms (such as denial and avoidance), social justice issues (oppresion — racism), diabetes education, individuation, future - oriented culture, access to health services, family structure and dynamic issues, marital conflict between parents, family and friendship conflict with teen, mental health stigma, academic pressure and responsibility, limited mindfulness and somatic awareness, spirituality (especially concerning death), an under - developed ability to conceptualize long - term cause and effect (this is developmentally normal for teens), co-parenting discrepencies, emotional inteligence, individuation, hormonal changes, the tendency for co-morbidity (people with diabetes can be more prone to
additional physical and mental health diagnosis), and many other life /
environmental stressors (poverty, grief etc.).