Virginia Commonwealth University.
Eastern Michigan University.
J Pediatr Psychol. 2018 Mar 1;43(2):185-194. doi: 10.1093/jpepsy/jsx107.
Adolescents with Type 1 diabetes are at risk for poorer adherence, lower quality of life (QOL), and poorer glycemic control (HbA1c). Authoritative parenting (AP) along with youth adherence and QOL was hypothesized to relate to better HbA1c.
Parent-youth dyads (N = 257) completed baseline measures of adherence and QOL. Youth completed an AP questionnaire, and HbA1c samples were evaluated. Structural equation modeling determined relations among AP, adherence, QOL, and glycemic control.
AP indirectly linked to better HbA1c (β = -.15, p = .021) through both better adherence and higher QOL. AP also was associated directly with better adherence (β = .26, p = .001), which in turn was linked to better HbA1c (β = -.35, p = .021). In addition, adherence was associated directly with QOL (β = -.56, p = .001).
Together, better youth adherence and higher QOL are two mechanisms by which more AP indirectly relates to better glycemic control during the early adolescent years.
1 型糖尿病青少年存在依从性差、生活质量（QOL）低和血糖控制差（HbA1c）的风险。假设权威型父母教养方式（AP）以及青少年的依从性和 QOL 与更好的 HbA1c 相关。
对 257 对父母-青少年进行了依从性和 QOL 的基线测量。青少年完成了一份 AP 问卷，评估了 HbA1c 样本。结构方程模型确定了 AP、依从性、QOL 和血糖控制之间的关系。
AP 通过更好的依从性和更高的 QOL 间接与更好的 HbA1c 相关（β=-.15，p=.021）。AP 也与更好的依从性直接相关（β=26，p=.001），而这反过来又与更好的 HbA1c 相关（β=-.35，p=.021）。此外，依从性与 QOL 直接相关（β=-.56，p=.001）。
综上所述，更好的青少年依从性和更高的 QOL 是 AP 通过两种机制间接与青少年早期更好的血糖控制相关的两个机制。
