Department of Psychology.
Psychological Sciences and Health Sciences Research Institute.
J Fam Psychol. 2019 Oct;33(7):809-818. doi: 10.1037/fam0000565. Epub 2019 Jul 29.
Emerging adults with Type 1 diabetes benefit when parents remain knowledgeable of their self-management. Yet how early emerging adults remain connected with parents while they experience normative declines in involvement and move out of the parental home is unclear. The present study examined how disclosure to, and solicitation from, parents may (a) be a way that emerging adults and parents remain connected, (b) occur with different methods of contact (i.e., face-to-face; non-face-to-face), and (c) associate with diabetes management differently for those living in versus outside of the parental home. Early emerging adults with Type 1 diabetes (N = 202; Mage = 18.81 years; 66% female) completed measures of their methods of contact with parents; diabetes-related disclosure to, and solicitation from, parents; and diabetes management as part of a 14-day daily diary. General linear models found that face-to-face contact was associated with greater disclosure to parents, for both those living in and out of the parental home. Individuals who lived outside the parental home used more non-face-to-face contact (e.g., texting) than those in the parental home. Multilevel models revealed that higher disclosure to mothers on a daily basis (within-persons) and to mothers and fathers overall (between-persons) was associated with better diabetes management similarly for those living in versus out of the parental home. Results suggest that face-to-face contact may be most effective for keeping parents "in the know" about diabetes management. Moreover, disclosure and solicitation continue to support diabetes management even as individuals move out of the parental home. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
青少年 1 型糖尿病患者的父母如果了解他们的自我管理情况,将从中受益。然而,当青少年经历与父母关系的正常疏远并搬离父母家时,他们与父母的联系仍能保持多久尚不清楚。本研究考察了向父母透露信息和向父母寻求帮助的情况(a)是否是青少年和父母保持联系的一种方式,(b)是否通过不同的联系方式(即面对面;非面对面)发生,以及(c)对于那些居住在父母家内外的人,与糖尿病管理的关联方式有何不同。202 名青少年 1 型糖尿病患者(Mage = 18.81 岁;66%为女性)完成了与父母联系方式、向父母透露的与糖尿病相关的信息、向父母寻求帮助的情况以及糖尿病管理的测量,作为为期 14 天的日常日记的一部分。一般线性模型发现,面对面接触与父母双方(居住在和不在父母家的个体)的信息披露更多有关。居住在父母家外的个体比居住在父母家内的个体更多地使用非面对面的联系方式(如发短信)。多层次模型显示,每天向母亲(个体内)和父母双方(个体间)更多地披露信息与更好的糖尿病管理有关,无论个体是否居住在父母家。研究结果表明,面对面接触可能是让父母了解糖尿病管理情况的最有效方式。此外,即使个人搬离父母家,信息披露和寻求帮助仍能继续支持糖尿病管理。