Serkel-Schrama Inge J P, de Vries Jolanda, Nieuwesteeg Anke M, Pouwer Frans, Nyklíček Ivan, Speight Jane, de Bruin Esther I, Bögels Susan M, Hartman Esther E
Department of Child and Adolescent Psychiatry, St. Elisabeth Hospital, Tilburg, The Netherlands.
Department of Medical Psychology, St. Elisabeth Hospital, Tilburg, The Netherlands ; Center of Research on Psychology in Somatic diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.
Mindfulness (N Y). 2016;7(5):1227-1237. doi: 10.1007/s12671-016-0565-1. Epub 2016 Jul 13.
The objective of this study was to examine associations between the mindful parenting style of parents of adolescents (aged 12-18) with type 1 diabetes mellitus (T1DM), and the glycaemic control and quality of life (QoL) of the adolescents. Chronic health conditions, such as T1DM, that require demanding treatment regimens, can negatively impact adolescents' quality of life. Therefore, it is important to determine whether mindful parenting may have a positive impact in these adolescents. Age, sex and duration of T1DM were examined as potential moderators. Parents ( = 215) reported on their own mindful parenting style (IM-P-NL) and the adolescents' glycaemic control. Parents and the adolescents with T1DM ( = 129) both reported on adolescents' generic and diabetes-specific QoL (PedsQL™). The results showed that a more mindful parenting style was associated with more optimal hemoglobin A (HbA) values for boys. For girls, a more mindful parenting style was associated with not having been hospitalized for ketoacidosis. For both boys and girls, a more mindful parenting style was associated with better generic and diabetes-specific proxy-reported QoL. In conclusion, mindful parenting style may be a factor in helping adolescents manage their T1DM. Mindful parenting intervention studies for parents of adolescents with T1DM are needed to examine the effects on adolescents' glycaemic control and their quality of life.
本研究的目的是探讨1型糖尿病（T1DM）青少年（12 - 18岁）的父母的正念养育方式与青少年的血糖控制及生活质量（QoL）之间的关联。诸如T1DM这类需要严格治疗方案的慢性健康状况会对青少年的生活质量产生负面影响。因此，确定正念养育是否可能对这些青少年产生积极影响很重要。研究将年龄、性别和T1DM病程作为潜在调节因素进行了考察。215名父母报告了他们自己的正念养育方式（IM - P - NL）以及青少年的血糖控制情况。患有T1DM的129名父母和青少年均报告了青少年的一般及糖尿病特异性生活质量（儿童生活质量量表™）。结果显示，更正念的养育方式与男孩更理想的糖化血红蛋白（HbA）值相关。对于女孩而言，更正念的养育方式与未因酮症酸中毒住院相关。对于男孩和女孩来说，更正念的养育方式都与更好的一般及糖尿病特异性代理报告的生活质量相关。总之，正念养育方式可能是帮助青少年管理其T1DM的一个因素。需要针对患有T1DM的青少年的父母开展正念养育干预研究，以考察其对青少年血糖控制及其生活质量的影响。
