Department of Psychology, University at Albany, State University at New York, Albany, NY.
Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY; and.
J Dev Behav Pediatr. 2022 Dec 1;43(9):e598-e604. doi: 10.1097/DBP.0000000000001117. Epub 2022 Aug 16.
Positive parenting (e.g., parental warmth, mindful parenting) has been posited to promote effective pediatric type 1 diabetes mellitus (T1DM) management. This promotive effect may partly be conferred by fostering child self-regulatory development, such as executive function (EF). However, no research has examined whether better child EF serves as a mechanism underlying associations between positive parenting and child blood glucose levels (HbA1c). Moreover, it is unclear whether mindful parenting offers a unique benefit beyond that of parental warmth-a key pillar of effective parental involvement in T1DM management.
Primary caregivers of children with T1DM (N = 101; Mage = 12.02) reported on parenting behaviors and child EF. Children's medical information was obtained through chart review. Path analysis was used to examine direct and indirect relations in the cross-sectional data.
The path analysis indicated that only parental warmth, not mindful parenting, was significantly associated with lower HbA1c. Both parental warmth and mindful parenting were significantly related to better child EF, but child EF did not mediate the associations between parenting and HbA1c.
Parental warmth may constitute a key parenting behavior promoting effective pediatric T1DM management. Enhancing parental warmth may be an important target of interventions aiming to improve HbA1c. Although child EF was unrelated to HbA1c in this sample, given positive associations between parental warmth and mindfulness and child EF, longitudinal research is warranted to examine whether these positive parenting behaviors may confer long-term benefits for T1DM self-management through improved EF.
积极的育儿方式（例如，父母的温暖、关注型育儿）被认为可以促进有效的儿科 1 型糖尿病（T1DM）管理。这种促进作用可能部分是通过培养儿童的自我调节发展，例如执行功能（EF）。然而，目前还没有研究检验更好的儿童 EF 是否是积极育儿方式与儿童血糖水平（HbA1c）之间关联的潜在机制。此外，关注型育儿是否除了父母温暖（有效参与 T1DM 管理的关键支柱）之外还提供独特的益处尚不清楚。
T1DM 儿童的主要照顾者（N=101；平均年龄=12.02 岁）报告了育儿行为和儿童 EF。通过病历审查获取儿童的医疗信息。路径分析用于检验横断面数据中的直接和间接关系。
路径分析表明，只有父母温暖，而不是关注型育儿，与较低的 HbA1c 显著相关。父母温暖和关注型育儿都与更好的儿童 EF 显著相关，但儿童 EF 并没有介导育儿与 HbA1c 之间的关联。
父母温暖可能构成促进有效的儿科 T1DM 管理的关键育儿行为。增强父母温暖可能是改善 HbA1c 的干预措施的重要目标。尽管在本样本中，儿童 EF 与 HbA1c 无关，但鉴于父母温暖和关注型育儿与儿童 EF 之间存在积极关联，需要进行纵向研究，以检验这些积极的育儿行为是否可以通过改善 EF 为 T1DM 自我管理带来长期益处。
