Parent and adolescent distribution of responsibility for diabetes self-care: Links to health outcomes
Parent and adolescent distribution of responsibility for diabetes self-care: Links to health outcomes
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DOI：
10.1093/jpepsy/jsm081
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发表时间：
2008-06-01
影响因子：
3.6
通讯作者：
Becker, Dorothy
中科院分区：
文献类型：
--
作者：
Helgeson, Vicki S.;Reynolds, Kerry A.;Becker, Dorothy
目的探讨青少年和家长对糖尿病自我护理的责任分配与身心健康的关系。方法连续3年对平均年龄12岁的儿童进行为期3年的访谈，并由家长填写问卷。两人都报告了糖尿病自我护理在家庭中的分布情况。计算了仅由子代、仅父代以及在子代和父代之间分担的责任额。结果在横断面和纵向(滞后)分析中，多水平模型显示，分担责任与更好的心理健康、良好的自我护理行为和良好的代谢控制一致相关，而儿童和父母的责任则不是。在某些情况下，分担责任与健康结果的联系在年龄较大的青少年中更强。结论这些发现强调了在青春期早期到中期分担糖尿病自我护理责任的重要性。
ObjectiveTo examine the relation of adolescent and parent responsibility distribution for diabetes self-care to psychological and physical health.MethodsWe interviewed children (mean age 12 years) annually for 3 years and asked parents to complete a questionnaire. Both reported how diabetes self-care was distributed in the family. Amount of responsibility held by the child only, the parent only, and shared between child and parent was calculated. Psychological distress, competence, and diabetes outcomes were assessed at each wave.ResultsIn both cross-sectional and longitudinal (lagged) analyses, multilevel modeling showed that shared responsibility was consistently associated with better psychological health, good self-care behavior, and good metabolic control, whereas child and parent responsibility were not. In some cases, links of shared responsibility to health outcomes were stronger among older adolescents.ConclusionsThese findings highlight the importance of shared responsibility for diabetes self-care through early to middle adolescence.