Department of Psychology, Carnegie Mellon University, Pittsburgh, PA, 15213, USA.
University of Pittsburgh, Pittsburgh, PA, USA.
J Behav Med. 2018 Apr;41(2):186-194. doi: 10.1007/s10865-017-9886-3. Epub 2017 Sep 16.
The study goal was to examine the links of parent knowledge of children's behavior to diabetes outcomes and to test a mediational model that focused on psychological distress and self-care behavior. We recruited 132 adolescents (average age 12) and followed them to average age 23. At age 23 (n = 107), we conducted in-person interviews with these emerging adults to measure parent knowledge, psychological distress, self-care behavior and glycemic control. We used structural equation modeling to test our hypotheses with these cross-sectional data. Higher levels of parent knowledge were linked to better glycemic control, and this path was mediated by reduced psychological distress and enhanced self-care behavior. Parents remain an important influence in the lives of emerging adults with type 1 diabetes. When emerging adults have a relationship with their parents in which they share general information, psychological distress may be reduced which then facilitates self-care and, ultimately, glycemic control.
研究目的是检验父母对子女行为的了解与糖尿病结果之间的联系，并检验一个关注心理困扰和自我护理行为的中介模型。我们招募了 132 名青少年（平均年龄 12 岁），并随访至平均年龄 23 岁。在 23 岁时（n=107），我们对这些即将成年的年轻人进行了面对面访谈，以测量父母的知识、心理困扰、自我护理行为和血糖控制情况。我们使用结构方程模型来检验我们的假设，这些数据是横截面数据。父母的知识水平越高，血糖控制越好，这一途径是通过减轻心理困扰和增强自我护理行为来实现的。父母仍然是 1 型糖尿病成年子女生活中的重要影响因素。当成年子女与父母建立起分享一般信息的关系时，他们的心理困扰可能会减轻，从而促进自我护理，最终控制血糖。
