Judge Baker Children's Center, Harvard Medical School, 53 Parker Hill Avenue, Boston, MA 02120-3225, USA.
J Pediatr Psychol. 2010 May;35(4):426-35. doi: 10.1093/jpepsy/jsp068. Epub 2009 Aug 26.
Examine relationships between parental depressive symptoms, affective and instrumental parenting practices, youth depressive symptoms and glycemic control in a diverse, urban sample of adolescents with diabetes.
Sixty-one parents and youth aged 10-17 completed self-report questionnaires. HbA1c assays were obtained to assess metabolic control. Path analysis was used to test a model where parenting variables mediated the relationship between parental and youth depressive symptoms and had effects on metabolic control.
Parental depressive symptoms had a significant indirect effect on youth depressive symptoms through parental involvement. Youth depressive symptoms were significantly related to metabolic control. While instrumental aspects of parenting such as monitoring or discipline were unrelated to youth depressive symptoms, parental depression had a significant indirect effect on metabolic control through parental monitoring.
The presence of parental depressive symptoms influences both youth depression and poor metabolic control through problematic parenting practices such as low involvement and monitoring.
在一个多样化的城市青少年糖尿病样本中,研究父母抑郁症状、情感和工具性养育实践、青少年抑郁症状与血糖控制之间的关系。
61 名父母和 10-17 岁的青少年完成了自我报告问卷。通过糖化血红蛋白检测评估代谢控制情况。路径分析用于检验一个模型,其中养育变量在父母和青少年抑郁症状之间的关系中起中介作用,并对代谢控制产生影响。
父母的抑郁症状通过父母的参与对青少年的抑郁症状有显著的间接影响。青少年的抑郁症状与代谢控制显著相关。虽然养育的工具性方面,如监督或纪律与青少年的抑郁症状无关,但父母的抑郁通过父母的监督对代谢控制有显著的间接影响。
父母抑郁症状的存在通过低参与和监督等有问题的养育方式影响青少年的抑郁和不良的代谢控制。