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Authoritative Parenting, Parenting Stress, and Self-Care in Pre-Adolescents with Type 1 Diabetes

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Abstract

Parent involvement in type 1 diabetes (T1DM) care leads to improved adherence; however, the manner in which parents approach illness management interactions with children must also be considered. It was hypothesized that greater use of an authoritative parenting style and less parenting stress would be associated with greater behavioral adherence and better metabolic control. Ninety-five primary caregivers of preadolescents (ages 8–11) with T1DM completed questionnaires assessing parenting style, pediatric parenting stress, and child behavioral adherence. Caregivers primarily self-identified as using an authoritative parenting style. Greater authoritative parenting was associated with greater behavioral adherence and less difficulty with pediatric parenting stress; no differences in metabolic control were observed. Greater engagement in authoritative parenting behaviors may contribute to increased age-appropriate child behavioral adherence and less pediatric parenting stress. Interventions highlighting diabetes-specific authoritative parenting techniques may enhance health outcomes and improve overall family functioning.

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References

  • American Academy of Pediatrics. (2003). Family-centered care and the pediatrician’s role. Pediatrics, 112, 691–697.

    Article  Google Scholar 

  • American Diabetes Association. (2010). Standards of medical care in diabetes—2010. Diabetes Care, 33(Suppl 1), S11–S61.

    Article  Google Scholar 

  • Anderson, B. J., Auslander, W. F., Jung, K. C., Miller, J. P., & Santiago, J. V. (1990). Assessing family sharing of diabetes responsibilities. Journal of Pediatric Psychology, 15, 477–492.

    Article  PubMed  CAS  Google Scholar 

  • Anderson, B. J., Ho, J., Brackett, J., Finkelstein, D., & Laffel, L. (1997). Parental involvement in diabetes management tasks: Relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus. Journal of Pediatrics, 130, 257–265.

    Article  PubMed  CAS  Google Scholar 

  • Anderson, B. J., Vangsness, L., Connell, A., Butler, D., Goebel-Fabbri, A., & Laffel, L. M. (2002). Family conflict, adherence, and glycaemic control in youth with short duration type 1 diabetes. Diabetic Medicine, 19, 635–642.

    Article  PubMed  Google Scholar 

  • Baumrind, D. (1971). Current patterns of parental authority. Developmental Psychology, 4, 1–103.

    Article  Google Scholar 

  • Bruce, B., Letourneau, N., Ritchie, J., Larocque, S., Dennis, C., & Elliott, M. (2002). A multisite study of health professionals’ perceptions and practices of family-centered care. Journal of Family Nursing, 8, 408–429.

    Article  Google Scholar 

  • Butler, J. M., Skinner, M., Gelfand, D., Berg, C. A., & Wiebe, D. J. (2007). Maternal parenting style and adjustment in adolescents with type I diabetes. Journal of Pediatric Psychology, 32, 1227–1237.

    Article  PubMed  Google Scholar 

  • Butner, J., Berg, C., Osborn, P., Butler, J. M., Godri, C., Fortenberry, K. T., et al. (2009). Parent-adolescent discrepancies in adolescents’ competence and the balance of adolescent autonomy and adolescent and parent well-being in the context of type 1 diabetes. Developmental Psychology, 45, 835–849.

    Article  PubMed  Google Scholar 

  • Darling, N., & Steinberg, L. (1993). Parenting style as context: An integrative model. Psychological Bulletin, 113, 487–496.

    Article  Google Scholar 

  • Davis, C. L., Delamater, A. M., Shaw, K. H., La Greca, A. M., Eidson, M. S., Perez-Rodriguez, J. E., et al. (2001). Parenting styles, regimen adherence, and glycemic control in 4- to 10-year-old children with diabetes. Journal of Pediatric Psychology, 26, 123–129.

    Article  PubMed  CAS  Google Scholar 

  • Delamater, A. M., Shaw, K. H., Applegate, E. B., Pratt, I. A., Eidson, M., Lancelotta, G. X., et al. (1999). Risk for metabolic control problems in minority youth with diabetes. Diabetes Care, 22, 700–705.

    Article  PubMed  CAS  Google Scholar 

  • Dumont-Mathieu, T. M., Bernstein, B. A., Dworkin, P. H., & Pachter, L. M. (2006). Role of pediatric health care professionals in the provision of parenting advice: A qualitative study with mothers from 4 minority ethnocultural groups. Pediatrics, 118, e839–e848.

    Article  PubMed  Google Scholar 

  • Greene, M. S., Mandleco, B., Roper, S. O., Marshall, E. S., & Dyches, T. (2010). Metabolic control, self-care behaviors, and parenting in adolescents with type 1 diabetes: A correlational study. Diabetes Educator, 36, 326–336.

    Article  PubMed  Google Scholar 

  • Harris, M. A., Mertlich, D., & Rothweiler, J. (2001). Parenting children with diabetes. Diabetes Spectrum, 14, 182–184.

    Article  Google Scholar 

  • Hassan, K., Loar, R., Anderson, B. J., & Heptulla, R. A. (2006). The role of socioeconomic status, depression, quality of life, and glycemic control in type 1 diabetes mellitus. Journal of Pediatrics, 149, 526–531.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Snyder, P. R., Seltman, H., Escobar, O., Becker, D., & Siminerio, L. (2010). Brief report: Trajectories of glycemic control over early to middle adolescence. Journal of Pediatric Psychology, 35, 1161–1167.

    Article  PubMed  Google Scholar 

  • Hubbs-Tait, L., Kennedy, T. S., Page, M. C., Topham, G. L., & Harrist, A. W. (2008). Parental feeding practices predict authoritative, authoritarian, and permissive parenting styles. Journal of American Dietetic Association, 108, 1154–1161.

    Article  Google Scholar 

  • Kremers, S. P., Brug, J., de Vries, H., & Engels, R. C. (2003). Parenting style and adolescent fruit consumption. Appetite, 41, 43–50.

    Article  PubMed  Google Scholar 

  • La Greca, A. (2004). Manual for the Self Care Inventory. Coral Gables, FL: Author.

    Google Scholar 

  • Lewin, A. B., LaGreca, A. M., Geffken, G. R., Williams, L. B., Duke, D. C., Storch, E. A., et al. (2009). Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: The Self-Care Inventory (SCI). Journal of Pediatric Psychology, 34, 999–1007.

    Article  PubMed  Google Scholar 

  • Palmer, D. L., Berg, C. A., Butler, J., Fortenberry, K., Murray, M., Lindsay, R., et al. (2009). Mothers’, fathers’, and children’s perceptions of parental diabetes responsibility in adolescence: Examining the roles of age, pubertal status, and efficacy. Journal of Pediatric Psychology, 34, 195–204.

    Article  PubMed  Google Scholar 

  • Rhee, K. E., Lumeng, J. C., Appugliese, D. P., Kaciroti, N., & Bradley, R. H. (2006). Parenting styles and overweight status in first grade. Pediatrics, 117, 2047–2054.

    Article  PubMed  Google Scholar 

  • Robinson, C., Mandleco, B., Olsen, F., & Hart, C. (1995). Authoritative, authoritarian, and permissive parenting practices: Development of a new measure. Psychological Reports, 77, 819–830.

    Article  Google Scholar 

  • Robinson, C., Mandleco, B., Olsen, F., & Hart, C. (2001). The Parenting Styles and Dimensions Questionnaire (PSDQ). In B. F. Perlmutter, J. Touliatos, & M. A. Straus (Eds.), Handbook of Family Measures Techniques (Vol. 3, pp. 319–321). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Rohlfing, C. L., Wiedmeyer, H. M., Little, R. R., England, J. D., Tennill, A., & Goldstein, D. E. (2002). Defining the relationship between plasma glucose and HbA1c: Analysis of glucose profiles and HbA1c in the Diabetes Control and Complications Trial. Diabetes Care, 25, 275–278.

    Article  PubMed  CAS  Google Scholar 

  • Schor, E. L. (2003). Family pediatrics: Report of the task force on the family. Pediatrics, 111, 1541–1571.

    PubMed  Google Scholar 

  • Sherifali, D., Ciliska, D., & O’Mara, L. (2009). Parenting children with diabetes: Exploring parenting styles on children living with type 1 diabetes mellitus. Diabetes Educator, 35, 476–483.

    Article  PubMed  Google Scholar 

  • Shorer, M., David, R., Schoenberg-Taz, M., Levavi-Lavi, I., Phillip, M., & Meyerovitch, J. (2011). Role of parenting style in achieving metabolic control in adolescents with type 1 diabetes. Diabetes Care, 34, 1735–1737.

    Article  PubMed  Google Scholar 

  • Solowiejczyk, J. (2004). The family approach to diabetes management: Theory into practice toward the development of a new paradigm. Diabetes Spectrum, 17, 31–36.

    Article  Google Scholar 

  • Streisand, R., Braniecki, S., Tercyak, K. P., & Kazak, A. E. (2001). Childhood illness-related parenting stress: The Pediatric Inventory for Parents. Journal of Pediatric Psychology, 26, 155–162.

    Article  PubMed  CAS  Google Scholar 

  • Streisand, R., Kazak, A., & Tercyak, K. P. (2003). Pediatric-specific parenting stress and family functioning in parents of children treated for cancer. Children’s Health Care, 32, 245–266.

    Article  Google Scholar 

  • Streisand, R., Swift, E., Wickmark, T., Chen, R., & Holmes, C. S. (2005). Pediatric parenting stress among parents of children with type 1 diabetes: The role of self-efficacy, responsibility, and fear. Journal of Pediatric Psychology, 30, 513–521.

    Article  PubMed  Google Scholar 

  • Streisand, R., & Tercyak, K. P. (2004). Parenting chronically ill children: The scope and impact of pediatric parenting stress. In N. Long & M. Hoghughi (Eds.), Sage Handbook of Parenting (pp. 181–197). London: Sage.

    Google Scholar 

  • Wake, M., Nicholson, J. M., Hardy, P., & Smith, K. (2007). Preschooler obesity and parenting styles of mothers and fathers: Australian national population study. Pediatrics, 120, e1520–e1527.

    Article  PubMed  Google Scholar 

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Acknowledgments

Supported by R03DK071990, awarded to Randi Streisand, Ph.D.

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Authors and Affiliations

  1. Center for Clinical and Community Research, Children’s National Medical Center, 6th Floor, 111 Michigan Ave NW, Washington, DC, 20010, USA

    Maureen Monaghan, Ivor B. Horn, Vanessa Alvarez & Randi Streisand

  2. Department of Pediatrics, The George Washington University School of Medicine, Washington, DC, USA

    Ivor B. Horn, Fran R. Cogen & Randi Streisand

  3. Department of Endocrinology and Metabolism, Children’s National Medical Center, Washington, DC, USA

    Fran R. Cogen

Authors
  1. Maureen Monaghan
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  2. Ivor B. Horn
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  3. Vanessa Alvarez
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  4. Fran R. Cogen
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  5. Randi Streisand
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Correspondence to Maureen Monaghan.

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Monaghan, M., Horn, I.B., Alvarez, V. et al. Authoritative Parenting, Parenting Stress, and Self-Care in Pre-Adolescents with Type 1 Diabetes. J Clin Psychol Med Settings 19, 255–261 (2012). https://doi.org/10.1007/s10880-011-9284-x

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  • DOI: https://doi.org/10.1007/s10880-011-9284-x

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