Good Cop, Bad Cop: Quality of Parental Involvement in Type 1 Diabetes Management in Youth

Young, Mackenzie T.; Lord, Jadienne H.; Patel, Niral; Gruhn, Meredith A.; Jaser, Sarah S.

doi:10.1007/s11892-014-0546-5

Cited by 91 publications

(102 citation statements)

References 75 publications

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“…Additionally, adolescents with T1D are at increased risk for psychological problems, especially depression (Hood et al, 2006). The responsibility of managing diabetes generally falls to the individual and his or her family; consequently, parenting and family functioning has been consistently related to outcomes in youth with T1D (Young, Lord, Patel, Gruhn, & Jaser, 2014). …”

mentioning

confidence: 99%

Collaborative and overinvolved parenting differentially predict outcomes in adolescents with Type 1 diabetes.

Gruhn¹,

Lord²,

Jaser³

2016

Health Psychology

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Objective The current study examined the impact of collaborative and intrusive parenting on depression and glycemic control in children with Type 1 diabetes (T1D). Research examining the association between parenting and child adjustment in this population has been limited by a reliance primarily on questionnaire data and cross-sectional analyses. To address these gaps, the current study used an observational coding system to measure the effects of parenting on child adjustment over a 1-year period. Method Youth (10 to 16 years old) with T1D and their mothers (N = 81) were recruited from an outpatient pediatrics diabetes clinic. Mothers' symptoms of anxiety and depression and children's depressive symptoms were assessed by self- reports; parenting behaviors were assessed via video-recorded observations coded using the Iowa Family Interaction Rating Scales; and adolescents' glycosylated hemoglobin (HbA1c) was obtained from medical records. Results Bivariate correlations and linear regression analyses revealed that higher levels of observed collaborative parenting were related to significantly lower HbA1c 12 months later, and higher levels of observed overinvolved parenting were related to significantly greater child depressive symptoms 12 months later. Further, age and treatment type moderated the relation between overinvolved parenting and child depressive symptoms. Conclusions Collaborative and overinvolved parenting appears important for adolescents in predicting both psychological and health-related outcomes over time. Parenting behaviors may serve as an important target for future interventions to enhance adjustment in these children.

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mentioning

confidence: 99%

Collaborative and overinvolved parenting differentially predict outcomes in adolescents with Type 1 diabetes.

Gruhn¹,

Lord²,

Jaser³

2016

Health Psychology

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“…Healthy adolescent development involves interdependence with parents, making it important for parents to remain involved to facilitate effective diabetes care even as their direct oversight wanes (see Young, Lord, Patel, Gruhn, & Jaser, 2014, for review). Coded observations of positive parent-adolescent interactions (Jaser & Grey, 2010), and self-reports of both high quality parent-adolescent relationships (i.e., feelings of warmth and acceptance) and parental monitoring (i.e., having regular contact with the adolescent, being knowledgeable about and supervising diabetes care) are associated concurrently with better T1D management (Berg et al, 2008; Ellis, Templin, Naar-King, & Frey, 2008).…”

Section: The Social Context Of T1d In Childhood and Adolescencementioning

confidence: 99%

The social context of managing diabetes across the life span.

Wiebe¹,

Helgeson²,

Berg³

2016

American Psychologist

112

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Diabetes self-management is crucial to maintaining quality of life and preventing long-term complications, and occurs daily in the context of close interpersonal relationships. This article examines how social relationships are central to meeting the complex demands of managing type 1 and type 2 diabetes across the life span. The social context of diabetes management includes multiple resources, including family (parents, spouses), peers, romantic partners, and health care providers. We discuss how these social resources change across the life span, focusing on childhood and adolescence, emerging adulthood, and adulthood and aging. We review how diabetes both affects and is affected by key social relationships at each developmental period. Despite high variability in how the social context is conceptualized and measured across studies, findings converge on the characteristics of social relationships that facilitate or undermine diabetes management across the life span. These characteristics are consistent with both Interpersonal Theory and Self-Determination Theory, two organizing frameworks that we utilize to explore social behaviors that are related to diabetes management. Involvement and support from one’s social partners, particularly family members, is consistently associated with good diabetes outcomes when characterized by warmth, collaboration and acceptance. Under-involvement and interactions characterized by conflict and criticism are consistently associated with poor diabetes outcomes. Intrusive involvement that contains elements of social control may undermine diabetes management, particularly when it impinges on self-efficacy. Implications for future research directions and for interventions that promote the effective use of the social context to improve diabetes self-management are discussed.

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“…Previous research has found that families with a child diagnosed with T1D report lower levels of family functioning compared to families that do not have children with T1D, indicating the negative impact that T1D can have on a family . Differences in the experience of family functioning among family members have been linked to poor metabolic control …”

Section: Introductionmentioning

confidence: 99%

Assessment of family functioning in families with a child diagnosed with type 1 diabetes ‐ Validation and clinical relevance of the General Functioning subscale of the McMaster Family Assessment Device

et al. 2019

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Background Type 1 diabetes (T1D) can have a negative effect on family functioning, which is associated with deterioration in metabolic control. Therefore, a valid tool for assessing family functioning is clinically relevant. We assessed the quality and validity of the Danish general functioning (GF) subscale of the family assessment device (FAD). Additionally, we investigated GF scores among adolescents with T1D and their parents and the relationship between family functioning and background variables, including metabolic control. Methods All Danish families with a child diagnosed with T1D (N = 1997) were invited to participate in a web‐based survey. In total, 616 adolescents (aged 12‐17 years) and 1035 parents (of children aged 2‐17 years) responded. The quality and validity of measurements made using the GF subscale were assessed using the Rasch model and graphical log‐linear Rasch models (GLLRMs). Differences among GF responses were also assessed using GLLRMs. The relationships between GF scores and background variables were examined by multivariate analyses. Results A dichotomized version of the GF subscale provided essentially valid measures of family functioning. Furthermore, the GF subscale measured family functioning most accurately in families with worse family functioning than in our population. To accurately characterize family functioning, it is important to take both parent's and adolescent's perceptions into account. Family functioning was associated with glycated hemoglobin (HbA1c) levels, and discrepancies in family functioning were associated with higher HbA1c levels. Conclusions A dichotomized GF subscale is useful for assessment of family functioning. Parent's and adolescent's scores should be kept separate. Family functioning is associated with HbA1c levels.

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Good Cop, Bad Cop: Quality of Parental Involvement in Type 1 Diabetes Management in Youth

Cited by 91 publications

References 75 publications

Collaborative and overinvolved parenting differentially predict outcomes in adolescents with Type 1 diabetes.

Collaborative and overinvolved parenting differentially predict outcomes in adolescents with Type 1 diabetes.

The social context of managing diabetes across the life span.

Assessment of family functioning in families with a child diagnosed with type 1 diabetes ‐ Validation and clinical relevance of the General Functioning subscale of the McMaster Family Assessment Device

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