The role of autonomy and pubertal status in understanding age differences in maternal involvement in diabetes responsibility across adolescence
The role of autonomy and pubertal status in understanding age differences in maternal involvement in diabetes responsibility across adolescence
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DOI：
10.1093/jpepsy/jsh005
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发表时间：
2004-01-01
影响因子：
3.6
通讯作者：
Donaldson, DL
中科院分区：
文献类型：
--
作者：
Palmer, DL;Berg, CA;Donaldson, DL
目的研究自主性和青春期状态如何解释年龄下降的母亲参与1型糖尿病管理的青春期，他们如何与代谢控制，以及指导母亲参与下降的原因。方法对127名10-15岁的1型糖尿病儿童及其母亲进行研究。数据包括糖尿病管理的母亲和儿童报告，自主水平的儿童报告，青春期状态的母亲报告，糖尿病责任转移的原因的母亲报告，糖化血红蛋白（Hba（1c））值。结果自主性和青春期状态部分介导的年龄影响报告的母亲参与。母亲转移责任的理由包括对孩子的能力作出反应，促进孩子的能力和成熟，以及尽量减少麻烦和冲突。糖尿病责任从母亲转移到没有足够自主权的孩子，以及青春期状态较低时，与较高的Hba（1c）值有关。结论实际年龄对母亲参与变化的重要性表明，需要检查母亲和青少年对糖尿病管理的发展期望。将责任从母亲转移到孩子身上的原因表明了许多干预途径。
Objective To examine how autonomy and pubertal status explain age decreases in maternal involvement in type 1 diabetes management across adolescence, how they relate to metabolic control, and the reasons that guide declines in maternal involvement. Methods One hundred twenty-seven children ages 10-15 years with type 1 diabetes and their mothers participated. Data included maternal and child report of diabetes management, child report of autonomy level, maternal report of pubertal status, maternal reports of reasons for transfer of diabetes responsibility, and glycosylated hemoglobin (Hba(1c)) values. Results Autonomy and pubertal status partially mediated age effects on reports of maternal involvement. Mothers' reasons for transferring responsibility included responding to the child's competence, promoting competence and maturity in their child, and minimizing hassles and conflict. The transfer of diabetes responsibility from mother to child without sufficient autonomy and when pubertal status was low was related to higher Hba(1c) values. Conclusions The importance of chronological age for changes in maternal involvement suggests the need to examine mothers' and adolescents' developmental expectations for diabetes management. The reasons for transferring responsibility from mother to child suggest many avenues for intervention.