青少年晚期 I 型糖尿病管理中自我调节和父母调节的协调。
Coordination of Self- and Parental-Regulation Surrounding Type I Diabetes Management in Late Adolescence.
机构信息
Department of Psychology, University of Utah, Salt Lake City, UT, USA.
Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
出版信息
Ann Behav Med. 2018 Jan 5;52(1):29-41. doi: 10.1007/s12160-017-9922-0.
BACKGROUND
Type 1 diabetes management involves self- and social-regulation, with past research examining components through individual differences unable to capture daily processes.
PURPOSE
Dynamical systems modeling was used to examine the coordinative structure of self- and social-regulation (operationalized as parental-regulation) related to daily diabetes management during late adolescence.
METHODS
Two hundred and thirty-six late adolescents with type 1 diabetes (M age = 17.77 years, SD = .39) completed a 14-day diary reporting aspects of self- (e.g., adherence behaviors, cognitive self-regulation failures, and positive and negative affect) and parental-regulation (disclosure to parents, knowledge parents have, and help parents provide).
RESULTS
Self-regulation functioned as one coordinative structure that was separate from parental-regulation, where mothers and fathers were coordinated separately from each other. Mothers' perceived helpfulness served as a driver of returning adolescents back to homeostasis.
CONCLUSIONS
The results illustrate a dynamic process whereby numerous facets of self- and social-regulation are coordinated in order to return diabetes management to a stable state.
背景
1 型糖尿病的管理涉及自我和社会调节，过去的研究通过个体差异来考察各组成部分，而无法捕捉到日常的处理过程。
目的
动态系统建模用于研究与青少年晚期日常糖尿病管理相关的自我调节和社会调节（表现为父母调节）的协调结构。
方法
236 名患有 1 型糖尿病的青少年（M 年龄=17.77 岁，SD=.39）完成了为期 14 天的日记，记录了自我调节的各个方面（例如，依从性行为、认知自我调节失败、积极和消极情绪）和父母调节（向父母透露情况、父母了解的知识以及父母提供的帮助）。
结果
自我调节作为一个协调结构，与父母调节是分开的，母亲和父亲彼此分开协调。母亲感知到的帮助是促使青少年回归稳定状态的动力。
结论
结果表明了一个动态过程，在这个过程中，为了使糖尿病管理恢复到稳定状态，自我调节和社会调节的众多方面被协调起来。
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