Department of Communication.
School of Nursing.
J Fam Psychol. 2020 Sep;34(6):709-720. doi: 10.1037/fam0000634. Epub 2020 Mar 12.
Having an adolescent with Type 1 diabetes (T1D) can be stressful for the entire family. This study examined the impact of parents' relationship maintenance on their ability to manage the conflict associated with their child's T1D, the parents' physiological health (inflammation), and the relationships within the family. Sixty couples and their adolescent children with T1D participated. The couples engaged in a stressful conversation about their child's T1D in their home, followed by random assignment to a 2-week intervention designed to increase the relationship maintenance in the marriage. Results from the home visit revealed that when husbands and wives received greater maintenance from each other the past month, they perceived less conflict when talking about their adolescent's T1D, which was associated with less relational load and lower levels of C-reactive protein (CRP). For wives, greater relationship maintenance was also directly associated with less relational load and lower CRP levels. In addition, the relationship maintenance received was directly and positively associated with parent-child relationship quality for fathers, but this association was mediated by interparental conflict for mothers. Finally, the 2-week intervention reduced parents' relational load and the number of stressful conversations and improved the mother-adolescent relationship but did not significantly reduce parents' CRP. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
父母与青少年 1 型糖尿病患儿的关系维护对其管理冲突的能力、父母的生理健康（炎症）以及家庭关系具有重要影响。本研究共纳入 60 对父母及其青少年 1 型糖尿病患儿，这些家庭在其家中参与了一场关于孩子 1 型糖尿病的压力谈话，随后根据随机分配进入为期 2 周的干预组，旨在增加婚姻中的关系维护。家庭访问结果显示，过去一个月，当夫妻彼此之间的关系维护程度更高时，他们在谈论孩子的 1 型糖尿病时，感知到的冲突就越少，这与较低的关系负担和较低的 C 反应蛋白（CRP）水平有关。对于妻子来说，更高的关系维护程度也与较低的关系负担和 CRP 水平直接相关。此外，父母收到的关系维护与父母与子女的关系质量呈直接正相关，而对于母亲来说，这种关系是通过父母间的冲突来介导的。最后，为期 2 周的干预措施降低了父母的关系负担和有压力的谈话次数，改善了母子关系，但对父母的 CRP 没有显著影响。
