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Observed collaborative and intrusive parenting behaviours associated with psychosocial outcomes of adolescents with type 1 diabetes and their maternal caregivers.
Tilden, Daniel R; Anifowoshe, Kashope; Jaser, Sarah S.
Affiliation
  • Tilden DR; Division of Endocrinology, Diabetes and Clinical Pharmacology, Department of Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
  • Anifowoshe K; Division of Pediatric Psychology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Jaser SS; Division of Pediatric Psychology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Diabet Med ; 41(5): e15300, 2024 May.
Article in En | MEDLINE | ID: mdl-38303663
ABSTRACT

AIMS:

Maternal caregiver involvement is strongly associated with psychosocial and glycemic outcomes amongst adolescents with type 1 diabetes (T1D); however, previous studies have lacked detailed, objective examinations of caregiver involvement. We examined the relationship between observed parenting behaviors and psychosocial and glycemic outcomes amongst youth with T1D.

METHODS:

Data collected from adolescents with T1D (age 11-17) and their female caregivers as a part of a randomized controlled trial were analyzed. These included structured, observation-based scores of adolescent-caregiver dyads engaged in videotaped interactions and selected psychosocial and glycemic outcome measures.

RESULTS:

In adjusted analyses, higher levels of intrusive parenting behaviors during observed interactions were associated with higher diabetes distress in adolescents, but no difference in HbA1c. Associations between intrusive parenting behaviors and psychosocial outcomes were stronger for females compared to males for both diabetes distress and quality of life. Similarly, associations between collaborative parenting behaviors and quality of life were stronger for female adolescents than males. No associations were observed between collaborative parenting behaviors and glycemic outcomes. Consistent with previous work, we noted higher levels of adolescent-reported family conflict were associated with lower adolescent quality of life and higher diabetes distress with no significant difference between male and female adolescents.

CONCLUSION:

These findings indicate that high levels of intrusive parenting behaviors, such as lecturing or over-controlling behaviors, are associated with lower levels of adolescent well-being, particularly among adolescent girls. This work suggests that interventions to reduce intrusive parenting by maternal caregivers could result in improved psychosocial outcomes for adolescents with T1D.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Parenting / Diabetes Mellitus, Type 1 Type of study: Clinical_trials / Risk_factors_studies Limits: Adolescent / Child / Female / Humans / Male Language: En Journal: Diabet Med Journal subject: ENDOCRINOLOGIA Year: 2024 Type: Article Affiliation country: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Parenting / Diabetes Mellitus, Type 1 Type of study: Clinical_trials / Risk_factors_studies Limits: Adolescent / Child / Female / Humans / Male Language: En Journal: Diabet Med Journal subject: ENDOCRINOLOGIA Year: 2024 Type: Article Affiliation country: United States