Developmental Processes Associated With Longitudinal Declines in Parental Responsibility and Adherence to Type 1 Diabetes Management Across Adolescence
Developmental Processes Associated With Longitudinal Declines in Parental Responsibility and Adherence to Type 1 Diabetes Management Across Adolescence
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DOI：
10.1093/jpepsy/jsu006
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发表时间：
2014-06-01
影响因子：
3.6
通讯作者：
Berg, Cynthia A.
中科院分区：
文献类型：
--
作者：
Wiebe, Deborah J.;Chow, Chong Man;Berg, Cynthia A.
目的确定青春期状态和糖尿病管理自我效能的变化是否与父母对糖尿病责任的纵向下降有关，并确定这些因素是否会调节青春期父母责任下降和依从性恶化之间的相关性。方法青少年（N = 252; 53.6%的女性）与1型糖尿病，母亲和188名父亲参加了一项为期2.5年的纵向研究。每6个月（6个时间点）完成一次青春期状态、青少年效能、父母责任和依从性的自我报告。结果潜在生长曲线模型显示，疗效和青春期成熟的纵向增加与父母责任的纵向下降唯一相关。父母责任的下降与依从性的恶化有关，特别是当青少年没有报告自我效能的伴随增长时。结论：当青少年的独立性增加与他们不断变化的自我效能信念相联系时，青少年糖尿病管理责任的转移可能更理想。
Objective To identify whether changes in pubertal status and self-efficacy for diabetes management are associated with longitudinal declines in parental responsibility for diabetes, and to determine whether these factors moderate associations between declining parental responsibility and deteriorating adherence across adolescence. Methods Adolescents (N = 252; 53.6% females) with type 1 diabetes, mothers, and 188 fathers participated in a 2.5-year longitudinal study. Self-reports of pubertal status, adolescent efficacy, parental responsibility, and adherence were completed every 6 months (6 time points). Results Latent growth curve modeling revealed that longitudinal increases in efficacy and pubertal maturation were uniquely associated with longitudinal declines in parental responsibility. Declines in parental responsibility were related to deterioration in adherence especially when adolescents did not report concomitant growth in self-efficacy. Conclusions Transfer of responsibility for diabetes management across adolescence may be more optimal when adolescents' increased independence is titrated to their changing self-efficacy beliefs.