Collaborative and Overinvolved Parenting Differentially Predict Outcomes in Adolescents With Type 1 Diabetes
Collaborative and Overinvolved Parenting Differentially Predict Outcomes in Adolescents With Type 1 Diabetes
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DOI：
10.1037/hea0000349
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发表时间：
2016-07-01
影响因子：
4.2
通讯作者：
Jaser, Sarah S.
中科院分区：
文献类型：
--
作者：
Gruhn, Meredith A.;Lord, Jadienne H.;Jaser, Sarah S.
目的：目前的研究探讨了合作和侵入式养育对1型糖尿病（T1 D）儿童抑郁和血糖控制的影响。在这一人群中，研究父母养育和儿童适应之间关系的研究受到主要依赖问卷数据和横断面分析的限制。为了解决这些差距，目前的研究使用了一个观察编码系统来衡量一年内养育子女对儿童适应的影响。方法：青年（10至16岁）与T1 D和他们的母亲（N = 81）从门诊儿科糖尿病门诊招募。通过自我报告评估母亲的焦虑和抑郁症状以及儿童的抑郁症状;通过使用爱荷华州家庭互动评定量表编码的视频记录观察评估养育行为;从医疗记录中获得青少年的糖化血红蛋白（HbA 1c）。结果如下：双变量相关和线性回归分析显示，较高水平的观察到的合作养育与12个月后显著较低的HbA 1c相关，较高水平的观察到的过度参与养育与12个月后显著更大的儿童抑郁症状相关。此外，年龄和治疗类型缓和过度参与养育和儿童抑郁症状之间的关系。结论：随着时间的推移，合作和过度参与的父母似乎对青少年在预测心理和健康相关的结果很重要。父母的行为可以作为一个重要的目标，为未来的干预措施，以提高这些儿童的调整。
Objective: The current study examined the impact of collaborative and intrusive parenting on depression and glycemic control in children with Type 1 diabetes (T1D). Research examining the association between parenting and child adjustment in this population has been limited by a reliance primarily on questionnaire data and cross-sectional analyses. To address these gaps, the current study used an observational coding system to measure the effects of parenting on child adjustment over a 1-year period. Method: Youth (10 to 16 years old) with T1D and their mothers (N = 81) were recruited from an outpatient pediatrics diabetes clinic. Mothers' symptoms of anxiety and depression and children's depressive symptoms were assessed by self-reports; parenting behaviors were assessed via video-recorded observations coded using the Iowa Family Interaction Rating Scales; and adolescents' glycosylated hemoglobin (HbA1c) was obtained from medical records. Results: Bivariate correlations and linear regression analyses revealed that higher levels of observed collaborative parenting were related to significantly lower HbA1c 12 months later, and higher levels of observed overinvolved parenting were related to significantly greater child depressive symptoms 12 months later. Further, age and treatment type moderated the relation between overinvolved parenting and child depressive symptoms. Conclusions: Collaborative and overinvolved parenting appears important for adolescents in predicting both psychological and health-related outcomes over time. Parenting behaviors may serve as an important target for future interventions to enhance adjustment in these children.