title: Health-related quality of life and metabolic control in adolescents with diabetes: the role of parental care, control, and involvement.
abstract: This questionnaire-based study explored the role of parenting in health-related quality of life in a population of 115 adolescents with type 1 diabetes (aged 11-18 years, 48% girls). Healthy adolescents (n = 9,345) and physically disabled adolescents (n = 291) were included as controls. The adolescents with diabetes reported their parents as being more controlling and involved than did adolescents in the 2 other groups. In multiple regression analyses, age, gender, and a higher degree of parental care and involvement explained 46% of the variation in mental health. Age, gender, a higher degree of parental care and involvement, and a lower perception of parental control explained 52% of the variation in diabetes life-satisfaction. Neither glycosylated hemoglobin nor the other clinical variables studied were significantly related to the perception of health-related quality of life. Family support should be provided to facilitate coping with everyday management and demands of diabetes.
authors.affiliation: Department of Pediatrics, Haukeland University Hospital, Bergen, Norway. marit.graue@hib.no
authors.forename: Marit
authors.initials: M
authors.lastname: Graue
authors.forename: Tore
authors.initials: T
authors.lastname: Wentzel-Larsen
authors.forename: Berit Rokne
authors.initials: BR
authors.lastname: Hanestad
authors.forename: Oddmund
authors.initials: O
authors.lastname: Søvik
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001294:Attitude to Health; D016022:Case-Control Studies; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000517:prevention & control / Q000523:psychology; D006233:Persons with Disabilities / Q000523:psychology; D004645:Empathy; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D008297:Male; D009664:Norway; D015404:Nursing Methodology Research; D009769:Object Attachment; D010287:Parent-Child Relations; D000297:Psychology, Adolescent; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D012803:Sick Role; D012944:Social Support; D011795:Surveys and Questionnaires
chemical_list: D006442:Glycated Hemoglobin