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Journal of Pediatric Psychology Advance Access published online on November 4, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp098
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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

A Pilot Study of Observed Parenting and Adjustment in Adolescents with Type 1 Diabetes and their Mothers

Sarah S. Jaser, PhD and Margaret Grey, DrPH RN

Yale University School of Nursing

All correspondence concerning this article should be addressed to Sarah S. Jaser, Yale University School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536, USA. E-mail: sarah.jaser{at}yale.edu


  Abstract

Objectives The purpose of this pilot study was to determine the association of observed parenting behaviors with adjustment in adolescents with type 1 diabetes (T1D) and their mothers. Methods Adolescents with T1D (n = 30) and their mothers provided data on psychosocial adjustment and engaged in a discussion task about diabetes stress, which was coded for parenting behavior. Clinical data (i.e., HbA1c) was obtained from adolescents’ medical records. Results Mothers’ symptoms of anxiety and depression were related to lower levels of child-centered parenting. Higher levels of observed child-centered parenting and positive reinforcement and lower levels of maternal hostility and parental influence were related to better psychosocial adjustment in adolescents (i.e., fewer depressive symptoms, better quality of life) and better metabolic control. Conclusions Results support the use of observational data in this population and provide estimates of effect sizes between parenting variables, maternal and adolescent psychosocial adjustment, and metabolic control.

Key words: adjustment; adolescents; diabetes; parent-adolescent communication; parenting..

Received June 15, 2009; revision received August 11, 2009; accepted October 1, 2009


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