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Journal of Pediatric Psychology Advance Access published online on August 26, 2009

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp068
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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 Effects of Parental Depression and Parenting Practices on Depressive Symptoms and Metabolic Control in Urban Youth with Insulin Dependent Diabetes

Dikla Eckshtain, PhD1, Deborah A Ellis, PhD2, Karen Kolmodin, PhD2 and Sylvie Naar-King, PhD2

1Judge Baker Children's Center, Harvard Medical School and 2Carman and Ann Adams Department of Pediatrics, Wayne State University

All correspondence concerning this article should be addressed to Dikla Eckshtain, PhD, Judge Baker Children's Center, Harvard Medical School, 53 Parker Hill Avenue, Boston, MA 02120-3225, USA. E-mail: deckshtain{at}jbcc.harvard.edu


   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.

Key words: diabetes; depression; metabolic control; parental depression; parental monitoring..

Received December 15, 2008; revision received June 17, 2009; accepted July 10, 2009


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