PARENT-CHILD RELATIONSHIPS AND THE MANAGEMENT OF INSULIN-DEPENDENT DIABETES-MELLITUS
PARENT-CHILD RELATIONSHIPS AND THE MANAGEMENT OF INSULIN-DEPENDENT DIABETES-MELLITUS
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DOI：
10.1037/0022-006x.62.3.603
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发表时间：
1994-06-01
影响因子：
5.9
通讯作者：
MARTIN, M
中科院分区：
文献类型：
--
作者：
MILLERJOHNSON, S;EMERY, RE;MARTIN, M
在一项多信息研究中，对从 2 个内分泌诊所招募的 88 名患有胰岛素依赖型糖尿病的儿童和青少年进行了一项多信息研究，将亲子关系的多个维度作为对治疗依从性和代谢控制的预测因素进行了检查。亲子纪律、温暖和行为支持的评分与糖尿病结局没有显着相关，但亲子冲突与依从性和代谢控制始终相关。在公立医院子样本中，冲突与父母、儿童和护士的依从性评级以及代谢控制的生理指标有关。这些结果在私人诊所样本中得到了部分重复，其中冲突与父母的依从性评级和代谢控制显着相关。冲突导致了糖尿病结果的独特差异，超出了与亲子关系的其他衡量标准相关的差异，但当首先将依从性评级输入回归方程时，冲突和代谢控制之间的关系不再显着。
Several dimensions of parent-child relationships were examined as predictors of adherence to treatment and metabolic control in a multi-informant study of 88 children and adolescents with insulin-dependent diabetes mellitus who were recruited from 2 endocrinology clinics. Ratings of parent-child discipline, warmth, and behavioral support were not significantly associated with diabetes outcome, but parent-child conflict was a consistent correlate of both adherence and metabolic control. Within a public hospital subsample, conflict was related to parent, child, and nurse ratings of adherence and to a physiological index of metabolic control. These results were partially replicated in a private practice sample where conflict was significantly related to parents' ratings of adherence and to metabolic control. Conflict accounted for unique variance in diabetes outcome beyond that associated with other measures of the parent-child relationship, but the relation between conflict and metabolic control was no longer significant when adherence ratings were entered into regression equations first.