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Journal of Pediatric Psychology Advance Access published online on May 6, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp022
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© The Author 2009. 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

The Role of Parental Monitoring in Metabolic Control: Effect on Adherence and Externalizing Behaviors During Adolescence

Dwayne Horton, BS1, Cynthia A. Berg, PhD1, Jonathan Butner, PhD1 and Deborah J. Wiebe, PhD, MPH2

1The Department of Psychology, University of Utah, 2University of Texas-Southwestern Medical Center

All correspondence concerning this article should be addressed to Cynthia A. Berg, Department of Psychology, 380 S. 1530 E., University of Utah, Salt Lake City, UT 84112, USA. E-mail: cynthia.berg{at}psych.utah.edu


  Abstract

Objective We examined the role of parental monitoring (general and diabetes specific) on metabolic control through better adherence and lower externalizing behaviors for adolescents with type 1 diabetes. Methods Adolescents aged 10–14 (n = 252) completed assessments of general and diabetes-specific mothers’ and fathers’ monitoring, adherence, and the Youth Self Report (YSR). Glycosylated hemoglobin (HbA1c) indexed diabetes control. Results Path analyses revealed that perceived mothers’ general monitoring was indirectly associated with lower HbA1c through lower externalizing behaviors and higher adherence. Perceived fathers’ general monitoring was associated with HbA1c differently at the extremes: low fathers’ monitoring was associated with higher HbA1c through higher externalizing behaviors; high fathers’ monitoring was associated with HbA1c through higher adherence. Diabetes-specific monitoring was not associated with externalizing behaviors. Conclusion Perceived mothers’ and fathers’ general parental monitoring facilitates metabolic control through a similar process, with parental differences largely seen at the extremes.

Key words: adolescents; diabetes; externalizing behaviors; fathers; monitoring; mothers..

Received June 25, 2008; revision received March 9, 2009; accepted March 10, 2009


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