title: Authoritative parenting, parenting stress, and self-care in pre-adolescents with type 1 diabetes.
abstract: Parent involvement in type 1 diabetes (T1DM) care leads to improved adherence; however, the manner in which parents approach illness management interactions with children must also be considered. It was hypothesized that greater use of an authoritative parenting style and less parenting stress would be associated with greater behavioral adherence and better metabolic control. Ninety-five primary caregivers of preadolescents (ages 8-11) with T1DM completed questionnaires assessing parenting style, pediatric parenting stress, and child behavioral adherence. Caregivers primarily self-identified as using an authoritative parenting style. Greater authoritative parenting was associated with greater behavioral adherence and less difficulty with pediatric parenting stress; no differences in metabolic control were observed. Greater engagement in authoritative parenting behaviors may contribute to increased age-appropriate child behavioral adherence and less pediatric parenting stress. Interventions highlighting diabetes-specific authoritative parenting techniques may enhance health outcomes and improve overall family functioning.
authors.affiliation: Center for Clinical and Community Research, Children's National Medical Center, 6th Floor, 111 Michigan Ave NW, Washington, DC 20010, USA. mmonagha@cnmc.org
authors.forename: Maureen
authors.initials: M
authors.lastname: Monaghan
authors.forename: Ivor B
authors.initials: IB
authors.lastname: Horn
authors.forename: Vanessa
authors.initials: V
authors.lastname: Alvarez
authors.forename: Fran R
authors.initials: FR
authors.lastname: Cogen
authors.forename: Randi
authors.initials: R
authors.lastname: Streisand
mesh_terms: D000328:Adult; D001318:Authoritarianism; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008873:Mid-Atlantic Region; D008875:Middle Aged; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology; D010349:Patient Compliance / Q000523:psychology*; D012648:Self Care / Q000523:psychology*; D013315:Stress, Psychological