Anderson B J, Miller J P, Auslander W F, Santiago J V
Diabetes Care. 1981 Nov-Dec;4(6):586-94. doi: 10.2337/diacare.4.6.586.
This research compares the family environments of diabetic adolescents in good (HbA1c less than 10), fair (10 greater than or equal to HbA1c less than or equal to 14), and poor (HbA1c greater than 14) control. Fifty-eight adolescents diagnosed with type 1 diabetes and their parents (mothers) were independently assessed with structured interviews, the Moos Family Environment Scale, and adolescents also completed the Piers-Harris Children's Self-Concept Scale. As compared with adolescents in poor control, those in good control reported fewer diabetes-related symptoms and had less anxiety and a more positive self-concept. Well-controlled youths also reported more cohesion and less conflict among family members. More parents of well-controlled youths stated that family members were encouraged to behave independently. In addition, more parents of poorly controlled adolescents believed that diabetes had negatively affected the child's personality, physical well-being, schooling, and participation in activities away from home. These findings suggest a complex interplay between the diabetic adolescent's psychological and physical functioning, metabolic control, and the family environment.
本研究比较了血糖控制良好（糖化血红蛋白低于10）、中等（糖化血红蛋白大于等于10且小于等于14）和较差（糖化血红蛋白大于14）的糖尿病青少年的家庭环境。58名被诊断为1型糖尿病的青少年及其父母（母亲）通过结构化访谈、莫斯家庭环境量表进行了独立评估，青少年还完成了皮尔斯-哈里斯儿童自我概念量表。与血糖控制较差的青少年相比，血糖控制良好的青少年报告的糖尿病相关症状较少，焦虑程度较低，自我概念更积极。血糖控制良好的青少年还报告家庭成员之间的凝聚力更强，冲突更少。更多血糖控制良好的青少年的父母表示，家庭成员被鼓励独立行事。此外，更多血糖控制较差的青少年的父母认为，糖尿病对孩子的性格、身体健康、学业以及参与家庭以外活动产生了负面影响。这些发现表明，糖尿病青少年的心理和身体功能、代谢控制与家庭环境之间存在复杂的相互作用。
