The Role of Authoritative Parenting in Adolescent Type 1 Diabetes Management

被引：20
|
作者：
Radcliff, Zach [1 ]
Weaver, Patrick [2 ]
Chen, Rusan [3 ]
Streisand, Randi [4 ]
Holmes, Clarissa [1 ,3 ]
机构：
[1] Virginia Commonwealth Univ, Richmond, VA 23284 USA
[2] Eastern Michigan Univ, Ypsilanti, MI 48197 USA
[3] Georgetown Univ, Washington, DC 20057 USA
[4] Childrens Natl Med Ctr, Washington, DC 20010 USA
来源：
JOURNAL OF PEDIATRIC PSYCHOLOGY | 2018年 / 43卷 / 02期
基金：
美国国家卫生研究院;
关键词：
adherence; adolescence; parenting glycemic control; QOL; type; 1; diabetes; QUALITY-OF-LIFE; GLYCEMIC CONTROL; METABOLIC-CONTROL; POWER ANALYSIS; TREATMENT ADHERENCE; REGIMEN ADHERENCE; FIT INDEXES; CHILDREN; YOUTH; INVOLVEMENT;
D O I：
10.1093/jpepsy/jsx107
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
Objective Adolescents with Type 1 diabetes are at risk for poorer adherence, lower quality of life (QOL), and poorer glycemic control (HbA1c). Authoritative parenting (AP) along with youth adherence and QOL was hypothesized to relate to better HbA1c. Methods Parent-youth dyads (N = 257) completed baseline measures of adherence and QOL. Youth completed an AP questionnaire, and HbA1c samples were evaluated. Structural equation modeling determined relations among AP, adherence, QOL, and glycemic control. Results AP indirectly linked to better HbA1c (beta= -.15, p =.021) through both better adherence and higher QOL. AP also was associated directly with better adherence (beta =.26, p =.001), which in turn was linked to better HbA1c (beta = -.35, p =.021). In addition, adherence was associated directly with QOL (beta = -.56, p =.001). Conclusions Together, better youth adherence and higher QOL are two mechanisms by which more AP indirectly relates to better glycemic control during the early adolescent years.
引用
收藏
页码：185 / 194
页数：10
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