Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.
Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.
复制标题
家庭系统变量与青少年胰岛素依赖型糖尿病的健康状况。
DOI：
10.1037//0278-6133.8.2.239
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
Moore,M
中科院分区：
文献类型：
--
作者：
Hanson,CL;Henggeler,SW;Harris,MA;Burghen,GA;Moore,M
本研究调查了家庭关系的重要维度与患有胰岛素依赖型糖尿病(IDDM)的青少年代谢控制之间的关系。参与者是94个完整的青少年IDDM家庭(母亲、父亲和青少年)。代谢控制由青少年的HbA1c水平决定，家庭关系采用婚姻适应评定量表和家庭亲密度评定量表-II进行评估。虽然零级相关表明良好的代谢控制与高家庭凝聚力、家庭灵活性和高婚姻满意度相关，但分层回归分析表明，当参与者的人口统计变量，特别是IDDM的持续时间得到控制时，这些关联显著减弱。随访分析表明，家庭关系和代谢控制之间的联系是通过IDDM的病程来调节的。在短期条件下，家庭关系与代谢控制之间存在较强的相关性。然而，随着持续时间的延长，这些联系大幅减少。这些结果表明，在这个患有IDDM的青少年样本中，家庭关系和健康之间的联系相对复杂。
This study investigated the associations between important dimensions of family relations and the metabolic control of adolescents with insulin-dependent diabetes mellitus (IDDM). Participants were 94 intact families (mother, father, and adolescent) of adolescents with IDDM. Metabolic control was determined by the adolescents’ level of HbA 1c, and family relations were assessed with the Marital Adjustment Scale and the Family Adaptability and Cohesion Evaluation Scales-II. Although zero-order correlations showed that good metabolic control was associated with high family cohesion, family flexibility, and high marital satisfaction, hierarchical regression analyses revealed that these associations were considerably attenuated when participant demographic variables, especially the duration of IDDM, were controlled. Follow-up analyses showed that the associations between family relations and metabolic control were mediated by the duration of IDDM. Under conditions of short duration, there were strong associations between family relations and metabolic control. As duration lengthened, however, these associations decreased substantially. These results suggest that the associations between family relations and health are relatively complex in this sample of adolescents with IDDM.