In this cross-sectional pilot study, we collected questionnaire (i.e. self-report measures of depression and anxiety), clinical (i.e., HbA1c), and observational data from adolescents with T1D (ages 10-16) and their mothers. Adolescents (n=30, 52% girls, mean age=12.6, 74% White) and their mothers engaged in a 15-minute discussion of diabetes-related stress, which was coded for parenting behaviors. In our sample, 23% of mothers were above the clinical cutoff for depression, and 13% for anxiety. Bivariate correlations indicated that maternal symptoms of anxiety were related to lower levels of observed child-centered behavior (displays of sensitivity) (r=−.50, p=.005) and listener responsiveness ( Psychological distress is a major factor in musculoskeletal pain.