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. 2010 May;35(4):426-35.
doi: 10.1093/jpepsy/jsp068. Epub 2009 Aug 26.

The effects of parental depression and parenting practices on depressive symptoms and metabolic control in urban youth with insulin dependent diabetes

Dikla Eckshtain  1 , Deborah A Ellis, Karen Kolmodin, Sylvie Naar-King
Affiliations

The effects of parental depression and parenting practices on depressive symptoms and metabolic control in urban youth with insulin dependent diabetes

Dikla Eckshtain et al. J Pediatr Psychol. 2010 May.

Abstract

Objective: Examine relationships between parental depressive symptoms, affective and instrumental parenting practices, youth depressive symptoms and glycemic control in a diverse, urban sample of adolescents with diabetes.

Methods: Sixty-one parents and youth aged 10-17 completed self-report questionnaires. HbA1c assays were obtained to assess metabolic control. Path analysis was used to test a model where parenting variables mediated the relationship between parental and youth depressive symptoms and had effects on metabolic control.

Results: Parental depressive symptoms had a significant indirect effect on youth depressive symptoms through parental involvement. Youth depressive symptoms were significantly related to metabolic control. While instrumental aspects of parenting such as monitoring or discipline were unrelated to youth depressive symptoms, parental depression had a significant indirect effect on metabolic control through parental monitoring.

Conclusions: The presence of parental depressive symptoms influences both youth depression and poor metabolic control through problematic parenting practices such as low involvement and monitoring.

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Figures

Figure 1.
Figure 1.
Theoretical model of relationships between parental depressive symptoms, parenting variables youth depressive symptoms and metabolic control.
Figure 2.
Figure 2.
Full structural model. Standardized path coefficients are shown (*p < .05, **p < .01), with youth depression measured by parent report.
Figure 3.
Figure 3.
Trimmed structural model predicting HbA1c from youth depressive symptoms, parenting variables and parental depressive symptoms. Standardized path coefficients are shown (*p < .05, **p < .01).
See this image and copyright information in PMC

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