Rydén O, Johnsson P, Nevander L, Sjöblad S, Westbom L
Department of Applied Psychology, University of Lund, Sweden.
Diabetes Res Clin Pract. 1993 Jun;20(3):223-9. doi: 10.1016/0168-8227(93)90082-g.
Aspects of parental interaction were assessed in 20 families with diabetic, insulin-dependent children, using hour-long video-taped interviews, the children being in optimal (O, n = 10) or poor (P, n = 10) metabolic control and showing optimal or poor psychological adaptation. In comparison with the O-group parents, the P-group parents were less appreciative of one another, were less congruent in their attitudes to diabetes care, and appeared not to respect their childrens' independence and integrity; the mothers were discontented with the support given them by their husbands; the children assumed less responsibility for managing their diabetes and seemed less confident during the interview. The results are interpreted in light of an earlier finding that the P-group fathers are more field-dependent (FD) than their wives while the opposite is true for the O-group fathers. With reference to evidence from the cognitive style literature, we suggest that the relatively FD P-group fathers have difficulties in acting as autonomous sources of support to their wives resulting in marital discord and a delayed transition from maternal to self care in their children.
通过长达一小时的录像访谈，对20个患有胰岛素依赖型糖尿病儿童的家庭中的父母互动情况进行了评估。这些孩子的代谢控制处于最佳状态（O组，n = 10）或较差状态（P组，n = 10），并且心理适应情况也处于最佳或较差状态。与O组父母相比，P组父母之间的相互欣赏较少，在糖尿病护理态度上缺乏一致性，似乎不尊重孩子的独立性和完整性；母亲们对丈夫给予她们的支持不满意；孩子们在管理自己的糖尿病方面承担的责任较少，并且在访谈中显得缺乏自信。根据早期的一项发现对结果进行了解释，即P组父亲比他们的妻子更依赖场依存性（FD），而O组父亲则相反。参照认知风格文献中的证据，我们认为相对依赖场依存性的P组父亲难以成为妻子自主的支持来源，从而导致婚姻不和以及孩子从母亲照顾向自我照顾的过渡延迟。
