University of Mainz, Department of Psychology, Wallstrasse 3-6, 55112, Mainz, Germany.
J Pediatr Psychol. 2013 Jun;38(5):518-30. doi: 10.1093/jpepsy/jst006. Epub 2013 Apr 5.
Background For children with diabetes, metabolic control typically declines across the adolescent years.
The longitudinal interplay between supportive relationships with parents and metabolic control were investigated in families that differ in parents' restrictiveness.
The time-dependent links between perceived parental social support and metabolic control were investigated in a sample of 109 German adolescents with diabetes. 3 waves of data were collected at annual intervals; metabolic control (indexed by HbA1c) was assayed by physicians annually.
Family restrictiveness moderated longitudinal associations between metabolic control and perceived social support. For adolescents reporting high family restrictiveness, poorer initial metabolic control predicted greater subsequent declines in perceived parent social support, and lower initial perceived parental social support predicted greater subsequent deterioration in metabolic control.
The findings add to the growing body of work suggesting that restrictiveness is a risk factor that exacerbates problems associated with low perceived parental support.
对于糖尿病患儿，代谢控制通常在青少年时期下降。
在父母限制程度不同的家庭中，研究了与父母的支持性关系与代谢控制之间的纵向相互作用。
在一个由 109 名德国糖尿病青少年组成的样本中，研究了感知到的父母社会支持与代谢控制之间的时变关系。每年收集 3 次数据；每年由医生检测代谢控制（以 HbA1c 为指标）。
家庭限制度调节了代谢控制和感知社会支持之间的纵向关联。对于报告家庭限制度高的青少年，较差的初始代谢控制预示着随后感知到的父母社会支持的更大下降，而较低的初始感知父母社会支持则预示着随后代谢控制的更大恶化。
这些发现增加了越来越多的工作，表明限制是一个加剧与低感知父母支持相关的问题的风险因素。
