The Diabetes Social Support Questionnaire-Family Version: Evaluating adolescents' diabetes-specific support from family members
The Diabetes Social Support Questionnaire-Family Version: Evaluating adolescents' diabetes-specific support from family members
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DOI：
10.1093/jpepsy/27.8.665
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发表时间：
2002-12-01
影响因子：
3.6
通讯作者：
Bearman, KJ
中科院分区：
文献类型：
--
作者：
La Greca, AM;Bearman, KJ
目的：目的：开发和评价适用于青少年1型糖尿病患者的糖尿病社会支持量表-家庭版（DSSQ-Family）。还研究了糖尿病特异性家庭支持与青少年年龄、疾病持续时间、性别、家人和朋友的情感支持以及治疗依从性之间的关系。最支持的家庭行为也被确定。青少年（n = 74）评定了58 DSSQ-家庭行为的持续性和频率，并完成了来自家人和朋友的情感支持和治疗依从性的测量。在排除非支持性项目后，对DSSQ-家庭总量表和糖尿病护理的五个方面（胰岛素、血液检测、膳食、运动、情绪）的频率（规范方法）和频率x支持（个体化方法）进行评分。DSSQ-家庭项目的上四分位数被确定为最支持。更高的频率和个性化的评级与青少年的年龄和更多的家庭情感支持和凝聚力，但不朋友的支持或家庭冲突（一般）。个性化的评级是显着的预测青少年的依从性，即使在控制年龄和家庭支持的一般水平。最支持的家庭行为反映了情感支持diabetes.Conclusions：DSSQ-家庭是一个有用的临床和研究工具，用于测量青少年的糖尿病特异性家庭支持的看法。未来的干预措施应强调家庭支持的管理任务，考虑到青少年的支持行为的看法。需要对文化多样性的青少年和其他慢性儿科疾病进行更多的研究。
Objective: To develop and evaluate the Diabetes Social Support Questionnaire-Family Version (DSSQ-Family) for adolescents with type 1 diabetes.Methods: Normative and individualized approaches to scoring were examined. Also examined were associations between diabetes-specific family support and adolescents' age, disease duration, gender, emotional support from family and friends, and treatment adherence. The most supportive family behaviors were identified as well. Adolescents (n = 74) rated 58 DSSQ-Family behaviors on their supportiveness and frequency and completed measures of emotional support from family and friends and treatment adherence. After eliminating nonsupportive items, the Total DSSQ-Family and five areas of diabetes care (insulin, blood testing, meals, exercise, emotions) were scored for frequency (normative approach) and frequency x support (individualized approach). The upper quartile of the DSSQ-Family items was identified as most supportive.Results: Scores from the DSSQ-Family had high internal consistency. Higher frequency and individualized ratings were related to younger adolescent age and to more family emotional support and cohesion, but not to friend support or family conflict (in general). The individualized ratings were significant predictors of adolescents' adherence, even when controlling for age and general levels of family support. The most supportive family behaviors reflected emotional support for diabetes.Conclusions: The DSSQ-Family is a useful clinical and research tool for measuring adolescents' perceptions of diabetes-specific family support. Future interventions should stress family support for management tasks, taking into account the adolescent's perceptions of supportive behaviors. Additional research is needed with culturally diverse adolescents and with other chronic pediatric conditions.