Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Oct;36(9):1052-61.
doi: 10.1093/jpepsy/jsr039. Epub 2011 Aug 9.

Parenting behavior, child functioning, and health behaviors in preadolescents with type 1 diabetes

Bridget Armstrong  1 , Eleanor Race Mackey, Randi Streisand
Affiliations

Parenting behavior, child functioning, and health behaviors in preadolescents with type 1 diabetes

Bridget Armstrong et al. J Pediatr Psychol. 2011 Oct.

Abstract

Objective: To examine the association of critical parenting behaviors with preadolescent reported depressive symptoms, self-efficacy, and self-care behaviors in youth with type 1 diabetes (T1D).

Method: A total of 84 youth with T1D, ages 9-11 years, completed the Diabetes Family Behavior Checklist, Child Depression Inventory, Self-Efficacy for Diabetes scale, and Self-Care Inventory during a baseline assessment for a randomized controlled trial of an intervention to promote adherence.

Results: Preadolescents who reported more critical parenting behaviors reported more depressive symptoms and lower self-efficacy. The relationship between critical parenting and self-efficacy was partially mediated by depressive symptoms. In a second model, depressive symptoms were associated with lower self-efficacy and fewer self-care behaviors. The relationship between depressive symptoms and self-care was fully mediated by self-efficacy.

Conclusions: Critical parenting behaviors are associated with preadolescents' psychological well-being, which has implications for self-care. Clinical implications include decreasing critical parenting behaviors and monitoring preadolescents with T1D for depressive symptoms.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Depressive symptoms (CDI) partially mediating the relationship between critical parenting behaviors (DFBC) and self-efficacy (SED). Figure illustrates how depressive symptoms partially mediate the relationship between critical parenting and self-efficacy. Bold numbers are beta weights of the relationship between the individual constructs. The non-bolded numbers are beta weights for the entire model after depressive symptoms have been included. *p ≤ .05; **p ≤ .01; ***p ≤ .001.
Figure 2.
Figure 2.
Self-efficacy (SED) fully mediating the relationship between depressive symptoms (CDI) and self-care behaviors (SCI). Figure illustrates how self-efficacy mediates the relationship between depressive symptoms and self-care behaviors. Bold numbers are beta weights of the relationship between the individual constructs. The non-bolded numbers are beta weights for the entire model after self-efficacy has been included. *p ≤ .05; **p ≤ .01; ***p ≤ .001.
See this image and copyright information in PMC

References

    1. American Diabetes Association (ADA) Diabetes care in the school and day care setting. Diabetes Care. 2007;30:S66–73. - PubMed
    1. Anderson B, Auslander W F, Jung K C, Miller J P, Santiago J V. Assessing family sharing of diabetes responsibilities. Journal of Pediatric Psychology. 1990;15:477–492. - PubMed
    1. Anderson B, Ho J, Brackett J, Finkelstein D, Laffel L. 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. 1997;130:257–265. - PubMed
    1. Baron R M, Kenny D A. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51:1173–1182. - PubMed
    1. Berg C A, Skinner M, Ko K, Butler J M, Palmer D L, Butner J, Wiebe D J. The fit between stress appraisal and dyadic coping in understanding perceived coping effectiveness for adolescents with type 1 diabetes. Journal of Family Psychology. 2009;23:521–530. - PubMed

Publication types