Generic and Diabetes-specific Parent-Child Behaviors and Quality of Life Among Youth with Type 1 Diabetes

被引:67
作者
Weissberg-Benchell, Jill [1 ]
Nansel, Tonja
Holmbeck, Grayson [2 ]
Chen, Rusan [3 ]
Anderson, Barbara [4 ]
Wysocki, Tim
Laffel, Lori
机构
[1] Childrens Mem Hosp, Dept Child & Adolescent Psychiat, Chicago, IL 60614 USA
[2] Loyola Univ, New Orleans, LA 70118 USA
[3] Georgetown Univ, Washington, DC 20057 USA
[4] Texas Childrens Hosp, Houston, TX 77030 USA
关键词
family conflict; family interactions; parent-child behavior; quality of life; type; 1; diabetes; SUBCUTANEOUS INSULIN INFUSION; FAMILY SYSTEMS THERAPY; GLYCEMIC CONTROL; METABOLIC-CONTROL; PSYCHOLOGICAL CONTROL; CONTROLLED-TRIAL; HEALTH-STATUS; CORE SCALES; SELF-CARE; ADOLESCENTS;
D O I
10.1093/jpepsy/jsp003
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 To evaluate associations among parent-child behaviors and generic and diabetes-specific health-related quality of life (HRQOL) in a multi-site sample of youth with type 1 diabetes. Method One hundred and twenty-one youth and their primary caregivers completed measures of parent-child behaviors, child HRQOL, and participated in an observed family interaction task. Results Diabetes-specific parent-child variables were associated significantly with both generic and diabetes-specific HRQOL above and beyond the contributions of demographic and generic parent-child variables, accounting for between 13% and 31% of the variance in HRQOL. Diabetes-specific family conflict and negative diabetes-specific family communication were associated with lower HRQOL. Collaborative parent involvement in diabetes care was associated with higher levels of HRQOL. Conclusions Interventions that target diabetes-specific family interactions will be beneficial to the quality of life of children with type 1 diabetes.
引用
收藏
页码:977 / 988
页数:12
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