Division of Intramural Population Health Research, Social and Behavioral Sciences Branch (KWD, TRN), Biostatistics and Bioinformatics Branch (AL), Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.
J Behav Med. 2019 Oct;42(5):842-850. doi: 10.1007/s10865-019-00011-w. Epub 2019 Jan 29.
To examine cross-sectional and longitudinal associations of general parenting style and diabetes-specific parenting behaviors with depression in youth with type 1 diabetes. Participants (n = 390) completed self-report measures of depression at baseline and 2-year follow-up, general parenting style at baseline, and diabetes-specific parenting (conflict, task involvement, and collaborative involvement) at baseline and every 6 months. Logistic regression examined associations of parenting with depression at baseline and 2-year follow-up. A less authoritative parenting style, lower parent collaborative involvement, and greater diabetes-related conflict were associated with baseline depression in the model simultaneously including all parenting variables and covariates. Lower parent collaborative involvement and higher diabetes-related conflict were associated with depression at 2-year follow-up, adjusting for baseline depression and covariates. Parent task involvement was not associated with depression at either time. Findings suggest a protective role of parenting in reducing the risk of depression in youth with type 1 diabetes.
探讨一般养育方式和糖尿病特定养育行为与 1 型糖尿病青少年抑郁的横断面和纵向关联。
参与者(n=390)在基线和 2 年随访时完成了抑郁的自我报告测量,在基线时完成了一般养育方式的测量,在基线和每 6 个月时完成了糖尿病特定养育(冲突、任务参与和合作参与)的测量。逻辑回归检验了养育方式与基线和 2 年随访时抑郁的关联。在同时纳入所有养育变量和协变量的模型中,不那么权威的养育方式、较低的父母合作参与度和更高的与糖尿病相关的冲突与基线抑郁有关。在调整基线抑郁和协变量后,较低的父母合作参与度和更高的与糖尿病相关的冲突与 2 年随访时的抑郁有关。父母的任务参与度在两个时间点均与抑郁无关。研究结果表明,养育方式在降低 1 型糖尿病青少年抑郁风险方面具有保护作用。