Role of parental monitoring in understanding the benefits of parental acceptance on adolescent adherence and metabolic control of type 1 diabetes

被引：100

作者：

Berg, Cynthia A. ^{[1
]}

Butler, Jorie M. ^{[1
]}

Osborn, Peter ^{[1
]}

King, Gary ^{[1
]}

Palmer, Debra L. ^{[2
]}

Butner, Jonathan ^{[1
]}

Murray, Mary ^{[3
]}

Lindsay, Rob ^{[3
]}

Donaldson, David ^{[3
]}

Foster, Carol ^{[3
]}

Swinyard, Michael ^{[4
]}

Wiebe, Deborah J. ^{[5
]}

机构：

[1] Univ Utah, Dept Psychol, Salt Lake City, UT 84112 USA

[2] Univ Wisconsin, Dept Psychol, Stevens Point, WI 54481 USA

[3] Univ Utah, Sch Med, Dept Pediat, Salt Lake City, UT USA

[4] Off Mike T Swinyard MD PC, S Jordan, UT USA

[5] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA

来源：

DIABETES CARE | 2008年 / 31卷 / 04期

关键词：

D O I：

10.2337/dc07-1678

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

OBJECTIVE - This study examined 1) whether the benefits of mothers' and fathers' acceptIng relationships with their adolescents regarding diabetes control were due to parental monitoring and 2) how parents together may provide sufficient acceptance and monitoring for diabetes management. RESEARCH DESIGN AND METHODS - Adolescents aged 10 -14 years with type 1 diabetes (n = 185) and their mothers (n = 185) and fathers (n = 145) completed assessments of parental acceptance and monitoring of diabetes tasks. Adolescents completed a modified version of the Self-Care Inventory (1) to measure adherence. A1C scores were used as a marker of glycemic control. RESULTS - Mediational analyses revealed that the benefits of adolescents' reports of fathers' acceptance on A1C and mothers' and fathers' acceptance on better adherence were partially mediated by monitoring. Both mothers' and fathers' monitoring and fathers' acceptance had independent effects in predicting adherence. However, only fathers' monitoring had an independent effect on A1C. The effect of fathers' monitoring on A1C occurred as fathers were monitoring at a lower level than mothers. Mothers' and fathers' reports of their own acceptance and monitoring were not associated with A1C or adherence. CONCLUSIONS - Results reveal the importance of fathers' acceptance and monitoring in diabetes management, a role that should be encouraged, despite the little attention it has received.

引用

页码：678 / 683

页数：6

共 30 条

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Aiken L. S., 1991, Multiple Regression: Testing and Interpreting Interactions

[2]

A secure base in adolescence: Markers of attachment security in the mother-adolescent relationship [J].