Landers Sara E, Friedrich Elizabeth A, Jawad Abbas F, Miller Victoria A
Department of Pediatrics, The Children's Hospital of Philadelphia.
Fam Syst Health. 2016 Mar;34(1):41-50. doi: 10.1037/fsh0000183. Epub 2016 Feb 11.
This study examined whether aspects of parenting style (specifically, warmth, autonomy support, and coercion) moderated the association between parental involvement and adherence in youth with type 1 diabetes.
Children ages 8 to 16 years with type 1 diabetes and a parent completed assessments of parental involvement, parenting style, and adherence.
Parent autonomy support and coercion were associated with adherence but warmth was not. Child report of more parental involvement was associated with better adherence. Warmth, autonomy support, and coercion were not moderators.
The findings underscore the importance of parental involvement, operationalized as responsibility for diabetes tasks, and parenting style, specifically coercion and autonomy support, for adherence in pediatric chronic illness management. Longitudinal research is needed to better understand how and why dimensions of involvement (e.g., responsibility, monitoring, support) vary over time and whether they impact outcomes differentially.
本研究探讨了养育方式的各个方面(具体而言,温暖、自主支持和强制)是否调节了1型糖尿病青少年中父母参与度与依从性之间的关联。
8至16岁的1型糖尿病儿童及其父母完成了对父母参与度、养育方式和依从性的评估。
父母的自主支持和强制与依从性相关,但温暖与依从性无关。儿童报告的更多父母参与与更好的依从性相关。温暖、自主支持和强制不是调节因素。
研究结果强调了父母参与(具体化为对糖尿病任务的责任)以及养育方式,特别是强制和自主支持,在儿科慢性病管理中对依从性的重要性。需要进行纵向研究,以更好地了解参与维度(如责任、监督、支持)如何以及为何随时间变化,以及它们是否对结果产生不同影响。