1 型糖尿病青少年及其母亲观察性养育与适应的初步研究。
A pilot study of observed parenting and adjustment in adolescents with type 1 diabetes and their mothers.
机构信息
Yale University School of Nursing, 100 Church Street South, New Haven, CT 06536, USA.
出版信息
J Pediatr Psychol. 2010 Aug;35(7):738-47. doi: 10.1093/jpepsy/jsp098. Epub 2009 Nov 4.
Abstract
OBJECTIVES
The purpose of this pilot study was to determine the association of observed parenting behaviors with adjustment in adolescents with type 1 diabetes (T1D) and their mothers.
METHODS
Adolescents with T1D (n = 30) and their mothers provided data on psychosocial adjustment and engaged in a discussion task about diabetes stress, which was coded for parenting behavior. Clinical data (i.e., HbA1c) was obtained from adolescents' medical records.
RESULTS
Mothers' symptoms of anxiety and depression were related to lower levels of child-centered parenting. Higher levels of observed child-centered parenting and positive reinforcement and lower levels of maternal hostility and parental influence were related to better psychosocial adjustment in adolescents (i.e., fewer depressive symptoms, better quality of life) and better metabolic control.
CONCLUSIONS
Results support the use of observational data in this population and provide estimates of effect sizes between parenting variables, maternal and adolescent psychosocial adjustment, and metabolic control.
摘要
目的
本初步研究旨在确定观察到的父母行为与 1 型糖尿病（T1D）青少年及其母亲的适应情况之间的关联。
方法
30 名 T1D 青少年及其母亲提供了心理社会适应数据，并参与了关于糖尿病压力的讨论任务，该任务对父母行为进行了编码。临床数据（即 HbA1c）取自青少年的病历。
结果
母亲的焦虑和抑郁症状与以儿童为中心的养育方式水平较低有关。观察到的以儿童为中心的养育方式、积极的强化以及母亲的敌意和父母的影响程度较低与青少年的心理社会适应（即抑郁症状减少、生活质量提高）和更好的代谢控制有关。
结论
研究结果支持在该人群中使用观察数据，并提供了父母行为、母亲和青少年心理社会适应以及代谢控制之间的变量、效应大小的估计值。
相似文献
1
A pilot study of observed parenting and adjustment in adolescents with type 1 diabetes and their mothers.
J Pediatr Psychol. 2010 Aug;35(7):738-47. doi: 10.1093/jpepsy/jsp098. Epub 2009 Nov 4.
2
Adolescents' and mothers' perceptions of the cognitive and relational functions of collaboration and adjustment in dealing with type 1 diabetes.
J Fam Psychol. 2008 Dec;22(6):865-74. doi: 10.1037/a0013641.
3
Effect of race and marital status on mothers' observed parenting and adolescent adjustment in youth with type 1 diabetes.
J Pediatr Psychol. 2015 Jan-Feb;40(1):132-43. doi: 10.1093/jpepsy/jsu078. Epub 2014 Sep 23.
4
Unemployment and work interruption among African American single mothers: effects on parenting and adolescent socioemotional functioning.
Child Dev. 1994 Apr;65(2 Spec No):562-89.
5
The role of coping strategies in predicting change in parenting efficacy and depressive symptoms among mothers of adolescents with developmental disabilities.
J Intellect Disabil Res. 2013 Jun;57(6):513-30. doi: 10.1111/j.1365-2788.2012.01555.x. Epub 2012 May 8.
6
Does the association between mindful parenting and adolescents' dispositional mindfulness depend on the levels of anxiety and depression symptomatology in mothers?
J Adolesc. 2018 Oct;68:22-31. doi: 10.1016/j.adolescence.2018.07.003. Epub 2018 Jul 13.
7
Families with pediatric type 1 diabetes: A comparison with the general population on child well-being, parental distress, and parenting behavior.
Pediatr Diabetes. 2020 Mar;21(2):395-408. doi: 10.1111/pedi.12942. Epub 2019 Nov 17.
8
Coping and psychological distress in mothers of adolescents with type 1 diabetes.
Matern Child Health J. 2014 Jan;18(1):101-108. doi: 10.1007/s10995-013-1239-4.
9
Maternal parenting style and adjustment in adolescents with type I diabetes.
J Pediatr Psychol. 2007 Nov-Dec;32(10):1227-37. doi: 10.1093/jpepsy/jsm065. Epub 2007 Aug 23.
10
Mediators of depressive symptoms in children with type 1 diabetes and their mothers.
J Pediatr Psychol. 2008 Jun;33(5):509-19. doi: 10.1093/jpepsy/jsm104. Epub 2007 Nov 8.
引用本文的文献
1
Impact of sociodemographic factors, stress, and communication on health-related quality of life in survivors of pediatric cancer.
Pediatr Blood Cancer. 2024 Jul;71(7):e31001. doi: 10.1002/pbc.31001. Epub 2024 Apr 21.
2
Humanistic burden of pediatric type 1 diabetes on children and informal caregivers: systematic literature reviews.
Diabetol Metab Syndr. 2024 Mar 21;16(1):73. doi: 10.1186/s13098-024-01310-2.
3
Observed collaborative and intrusive parenting behaviours associated with psychosocial outcomes of adolescents with type 1 diabetes and their maternal caregivers.
Diabet Med. 2024 May;41(5):e15300. doi: 10.1111/dme.15300. Epub 2024 Feb 2.
4
Detangling Associations Between Maternal Depressive Symptoms and Diabetes Relationship Distress With Adolescents' HbA1c.
J Pediatr Psychol. 2024 Feb 17;49(2):89-94. doi: 10.1093/jpepsy/jsad070.
5
Psychological variables and lifestyle in children with type1 diabetes and their parents: A systematic review.
Clin Child Psychol Psychiatry. 2024 Jul;29(3):1174-1194. doi: 10.1177/13591045231177115. Epub 2023 May 30.
6
Parents' perspectives of factors affecting parent-adolescent communication about type 1 diabetes and negotiation of self-management responsibilities.
J Child Health Care. 2024 Sep;28(3):514-535. doi: 10.1177/13674935221146009. Epub 2022 Dec 18.
7
Developmental Model of Parent-Child Coordination for Self-Regulation Across Childhood and Into Emerging Adulthood: Type 1 Diabetes Management as an Example.
Dev Rev. 2017 Dec;46:1-26. doi: 10.1016/j.dr.2017.09.001. Epub 2017 Sep 21.
8
Personality, Coping and Developmental Conditions in Female Adolescents and Young Adults with Type 1 Diabetes: Influence on Metabolic Control and Quality of Life.
Front Psychiatry. 2022 Mar 10;12:809015. doi: 10.3389/fpsyt.2021.809015. eCollection 2021.
9
The Synergistic Effects of a Complementary Physiotherapeutic Scheme in the Psychological and Nutritional Treatment in a Teenage Girl with Type 1 Diabetes Mellitus, Anxiety Disorder and Anorexia Nervosa.
Children (Basel). 2021 May 25;8(6):443. doi: 10.3390/children8060443.
10
Caring for caregivers: the impact of the COVID-19 pandemic on those responsible for children and adolescents with type 1 diabetes.
Sci Rep. 2021 Mar 24;11(1):6812. doi: 10.1038/s41598-021-85874-3.
本文引用的文献
1
Caregiver depressive symptoms and observed family interaction in low-income children with persistent asthma.
Fam Process. 2008 Mar;47(1):7-20. doi: 10.1111/j.1545-5300.2008.00236.x.
2
Randomized, controlled trial of Behavioral Family Systems Therapy for Diabetes: maintenance and generalization of effects on parent-adolescent communication.
Behav Ther. 2008 Mar;39(1):33-46. doi: 10.1016/j.beth.2007.04.001. Epub 2007 Oct 18.
3
Standards of medical care in diabetes--2008.
Diabetes Care. 2008 Jan;31 Suppl 1:S12-54. doi: 10.2337/dc08-S012.
4
Mediators of depressive symptoms in children with type 1 diabetes and their mothers.
J Pediatr Psychol. 2008 Jun;33(5):509-19. doi: 10.1093/jpepsy/jsm104. Epub 2007 Nov 8.
5
Evidence-based assessment in pediatric psychology: family measures.
J Pediatr Psychol. 2008 Oct;33(9):1046-61; discussion 1062-4. doi: 10.1093/jpepsy/jsm083. Epub 2007 Sep 28.
6
Maternal trait anxiety and diabetes control in adolescents with type 1 diabetes.
J Pediatr Psychol. 2007 Aug;32(7):733-44. doi: 10.1093/jpepsy/jsl053. Epub 2007 Jan 29.
7
The burden of diabetes mellitus among US youth: prevalence estimates from the SEARCH for Diabetes in Youth Study.
Pediatrics. 2006 Oct;118(4):1510-8. doi: 10.1542/peds.2006-0690.
8
The relation between family factors and metabolic control: the role of diabetes adherence.
J Pediatr Psychol. 2006 Mar;31(2):174-83. doi: 10.1093/jpepsy/jsj004. Epub 2005 Mar 3.
9
Applying the transactional stress and coping model to sickle cell disorder and insulin-dependent diabetes mellitus: identifying psychosocial variables related to adjustment and intervention.
Clin Child Fam Psychol Rev. 2005 Sep;8(3):221-46. doi: 10.1007/s10567-005-6667-2.
10
Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association.
Diabetes Care. 2005 Jan;28(1):186-212. doi: 10.2337/diacare.28.1.186.
Zotero 插件