Responsive parenting is associated with improved type 1 diabetes-related quality of life.
Responsive parenting is associated with improved type 1 diabetes-related quality of life.
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DOI：
10.1111/j.1365-2214.2008.00855.x
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发表时间：
2008-09
期刊：
影响因子：
--
通讯作者：
Simons-Morton B
中科院分区：
文献类型：
--
作者：
Botello-Harbaum M;Nansel T;Haynie DL;Iannotti RJ;Simons-Morton B
改善生活质量是儿童和青少年1型糖尿病的重要治疗目标。虽然之前的研究支持家庭环境和生活质量之间的关系，但很少有研究探讨父母养育方式结构与慢性病儿童生活质量的关系。本研究评估了1型糖尿病儿童和青少年中父母的反应和需求与糖尿病相关生活质量的关系。收集了81名1型糖尿病儿童的基线和12个月的随访自我报告评估，这些儿童参加了一项提高依从性的行为干预有效性试验。样本的平均年龄为13.3岁(SD=1.7)，糖尿病病程为7.7年(SD=3.7)。进行多元回归分析，以确定父母在每个时间点的反应性和需求与糖尿病相关生活质量的关系。在调整了人口统计和糖尿病特征以及特定于糖尿病的亲子行为后，父母的反应与基线糖尿病相关的生活质量显著相关(B=.23；p=.04)。在调整了基线生活质量和治疗组分配后，这种关系在12个月的随访中保持(B=.22；p=.04)，这表明父母的反应与生活质量的改善有关。研究结果表明，支持性和情感温暖的父母方式在提高1型糖尿病儿童的生活质量方面具有重要意义。适当的育儿技巧应该是糖尿病家庭管理卫生保健的一个要素。
Improved quality of life is an important treatment goal for children and adolescents with type 1 diabetes. While previous research supports a relationship between family environment and quality of life, little research has addressed the relationship of parenting style constructs to quality of life in children with chronic disease. The present investigation assesses the relationship of parent responsiveness and demandingness with diabetes-related quality of life among children and adolescents with type 1 diabetes. Baseline and 12-month follow-up self-report assessments were collected on a sample of 81 children with type 1 diabetes participating in an efficacy trial of a behavioral intervention to enhance adherence. The sample had a mean age of 13.3 years (SD = 1.7) and duration of diabetes of 7.7 years (SD = 3.7). Multiple regression analyses were conducted to determine the relationship of parent responsiveness and demandingness to diabetes-related quality of life at each time point. After adjusting for demographic and diabetes characteristics, as well as diabetes-specific parent-child behaviors, parent responsiveness was significantly associated with baseline diabetes-related quality of life (B=.23; p=.04). This relationship was sustained at 12-month follow-up (B=.22; p=.04) after adjusting for baseline quality of life and treatment group assignment, suggesting that parent responsiveness is associated with improved quality of life. Findings indicate the importance of a supportive and emotionally warm parenting style in promoting improved quality of life for children with type 1 diabetes. Appropriate parenting skills should be an element of diabetes family management health care.
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