Lansing Amy Hughes, Crochiere Rebecca, Cueto Carrie, Wiebe Deborah J, Berg Cynthia A
Department of Psychology, University of Utah.
Geisel School of Medicine at Dartmouth College.
J Fam Psychol. 2017 Jun;31(4):495-503. doi: 10.1037/fam0000292. Epub 2017 Jan 12.
This study explored whether shared self-control across a family system, including adolescent, mother, and father self-control, as well as the interaction of mother and father self-control, was associated with ease of completing adherence tasks and the completion of adherence behaviors related to the Type 1 diabetes (T1D) regimen. One hundred thirty-seven adolescents (M = 13.48 years), mothers, and fathers completed a self-report measure of self-control, while adolescents also self-reported on ease of completing adherence tasks and the frequency with which they completed adherence tasks. Higher adolescent, mother, father, and the interaction of mother and father self-control were each associated with greater adolescent perceptions of ease of completing adherence tasks. Also, greater adolescent perception of ease of adherence mediated the association of higher adolescent, father, and the interaction of mother and father self-control on more frequent adherence behaviors. The results are consistent with the idea that family members may share the load of self-control within the family system. The results point to the importance of assessing and intervening within the entire family system to support improved quality of life and better adherence to the medical regimen in adolescents with Type 1 diabetes. (PsycINFO Database Record
本研究探讨了家庭系统中共享的自我控制，包括青少年、母亲和父亲的自我控制，以及母亲和父亲自我控制的相互作用，是否与完成依从性任务的难易程度以及与1型糖尿病（T1D）治疗方案相关的依从性行为的完成情况有关。137名青少年（平均年龄13.48岁）、母亲和父亲完成了一项自我控制的自我报告测量，同时青少年也自我报告了完成依从性任务的难易程度以及他们完成依从性任务的频率。较高的青少年、母亲、父亲以及母亲和父亲自我控制的相互作用，均与青少年对完成依从性任务的更高易感性相关。此外，青少年对依从性更高的易感性介导了较高的青少年、父亲以及母亲和父亲自我控制的相互作用与更频繁的依从性行为之间的关联。研究结果与家庭成员可能在家庭系统内分担自我控制负担的观点一致。研究结果指出了评估和干预整个家庭系统以支持改善1型糖尿病青少年的生活质量和更好地坚持医疗方案的重要性。（PsycINFO数据库记录）
