National Center for Childhood Diabetes, Schneider Children' s Medical Center of Israel, Petach Tikva, Israel.
Diabetes Care. 2011 Aug;34(8):1735-7. doi: 10.2337/dc10-1602.
To examine the role of parenting style in achieving metabolic control and treatment adherence in adolescents with type 1 diabetes.
Parents of 100 adolescents with type 1 diabetes completed assessments of their parenting style and sense of helplessness. Parents and patients rated patient adherence to the treatment regimen. Glycemic control was evaluated by HbA(1c) values.
An authoritative paternal parenting style predicted better glycemic control and adherence in the child; a permissive maternal parenting style predicted poor adherence. A higher sense of helplessness in both parents predicted worse glycemic control and lesser adherence to treatment. Parental sense of helplessness was a significant predictor of diabetes control after correcting for other confounders (patient age, sex, and treatment method).
An authoritative nonhelpless parenting style is associated with better diabetes control in adolescents. Paternal involvement is important in adolescent diabetes management. These results have implications for psychological interventions.
探讨父母教养方式在 1 型糖尿病青少年中实现代谢控制和治疗依从性中的作用。
100 名 1 型糖尿病青少年的父母完成了对其教养方式和无助感的评估。父母和患者对患者遵守治疗方案的情况进行了评分。通过 HbA1c 值评估血糖控制情况。
父亲的权威教养方式预测儿童血糖控制和依从性更好；母亲的放任教养方式预测依从性差。父母双方的无助感更高则预示着血糖控制更差，治疗依从性更低。在纠正其他混杂因素（患者年龄、性别和治疗方法）后，父母的无助感仍然是糖尿病控制的重要预测因素。
非无助的权威教养方式与青少年糖尿病控制更好相关。父亲的参与对青少年糖尿病管理很重要。这些结果对心理干预具有重要意义。
