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Journal of Pediatric Psychology Advance Access originally published online on July 16, 2008
Journal of Pediatric Psychology 2009 34(2):195-204; doi:10.1093/jpepsy/jsn073
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Mothers', Fathers', and Children's Perceptions of Parental Diabetes Responsibility in Adolescence: Examining the Roles of Age, Pubertal Status, and Efficacy*

Debra L. Palmer, PhD1, Cynthia A. Berg, PhD2, Jorie Butler, PhD2, Katherine Fortenberry, MS2, Mary Murray, MD3, Rob Lindsay, MD3, David Donaldson, MD3, Michael Swinyard, MD4, Carol Foster, MD3 and Deborah J. Wiebe, PhD5

1Department of Psychology, University of Wisconsin, 2Department of Psychology, University of Utah, 3Department of Pediatrics, University of Utah School of Medicine, 4Private Practice and 5University of Texas-Southwestern Medical Center

All correspondence concerning this article should be addressed to Debra Palmer, Department of Psychology, 2001 4th Avenue, Science Building Room D240, University of Wisconsin, Stevens Point, WI, 54481, USA. E-mail: dpalmer{at}uwsp.edu


  Abstract

Objectives To examine how perceptions of parental responsibility for diabetes management are associated with age, pubertal status, adolescents’ self-efficacy, and parental perceptions of adolescents’ efficacy, and if parental responsibility is associated with better metabolic control as a function of adolescents’ self-efficacy and parental perceptions of adolescents’ efficacy. Methods Questionnaires assessing parental responsibility, pubertal status, adolescents’ self-efficacy, and parental perceptions of adolescents’ efficacy were given to 185 adolescents with type 1 diabetes, 185 mothers, and 145 fathers. Results Greater parental responsibility was negatively associated with age, perceptions of pubertal status, and efficacy for all reporters. Interactions between parental responsibility and parental perceptions of adolescents’ efficacy indicated that parental responsibility was associated with better metabolic control when adolescents were perceived to have lower efficacy. Conclusions Adolescents’ and parents’ perceptions of parental responsibility are related to multiple factors. Metabolic control is best when high parental responsibility is maintained among adolescents with lower efficacy.

Key words: adolescents; age; diabetes; efficacy; fathers; mothers; puberty.

*Portions of this work were presented at the Regional Conference on Child Health Psychology in Cincinnati, Ohio in April, 2007.

Received October 9, 2007; revision received June 17, 2008; accepted June 17, 2008


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